Uterine fibroids and infertility

 🌺 Fibroids & Fertility – What Every Woman Should Know 🌺

Every week, so many women inbox us worried about fibroids and whether they can ever have children. It’s a very real fear — but here’s the truth:

💡 What are Fibroids?

Fibroids are benign (non-cancerous) growths of the uterus. They are very common, especially among women in their 30s and 40s. Most fibroids are harmless, but some can affect fertility and pregnancy.

🔎 How Fibroids Can Affect Fertility

Not all fibroids interfere with getting pregnant. But:

Submucosal fibroids (inside the uterine cavity) can prevent implantation and increase miscarriage risk.

Intramural fibroids (within the uterine wall) — if large — may distort the uterine shape, making it harder to conceive or carry a pregnancy.

Subserosal fibroids (outside the uterus) usually don’t affect fertility, unless they grow very large and press on other organs.

👉 Location and size matter more than the number of fibroids.

🤰 Pregnancy with Fibroids

Many women still conceive naturally with fibroids. However, fibroids can sometimes cause:

Painful or heavy bleeding in pregnancy

Miscarriage

Preterm labor

Malpresentation (baby not turning head down)

Need for cesarean section

⚠️ Important: During pregnancy, fibroids often increase in size due to hormonal changes. This growth can sometimes change their natural structure and lead to acute pain episodes (known as “red degeneration of fibroid”). These attacks can be very distressing but are usually managed with supportive care.

🩺 Treatment Options

1. Observation – If fibroids are small and not affecting fertility or quality of life.

2. Medical therapy – Can help with symptoms (bleeding, pain) but does not shrink fibroids permanently.

3. Myomectomy (fibroid surgery) – Removes fibroids and preserves the uterus. This may improve fertility if the fibroids are inside the cavity or large.

Hysteroscopic myomectomy: for fibroids inside the cavity.

Laparoscopic or open myomectomy: for bigger or multiple fibroids.

✨ Key Takeaway

Fibroids are common — and having them doesn’t mean you can’t get pregnant.

But if you have:

✔️ Multiple miscarriages

✔️ Trouble conceiving for more than 1 year

✔️ Very heavy/painful periods

✔️ Large or multiple fibroids on scan

👉 It’s time to see a specialist. With proper evaluation and treatment, many women go on to have healthy pregnancies.

📩 We received many inbox questions about fibroids and fertility. If this is your concern too, remember: you are not alone, and solutions are available.

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