Oncology and Fibroids
Red degeneration of fibroid occurs most commonly in: (AIIMS Nov 2011)
1. Fibroid degeneration occurs in pregnancy because the fibroid, which is effectively an overgrowth of muscle in the wall of the uterus, enlarges under the effect of the circulating estrogens and 'outstrips' its blood supply.
2. This causes thrombosis of the vessels around the outside of the fibroid, and congestion and swelling.
3. The middle of the fibroid becomes red and soft-a process known as red degeneration - causing pain and possibly fever, usually during the 2nd part of pregnancy.