Yes. Many women with fibroids conceive naturally and have healthy pregnancies. Fibroids are noncancerous growths of the uterine muscle. Their effect on fertility depends on their location, size and whether they change the shape of the uterine cavity.

Which fibroids matter most?

• Submucosal fibroids grow into the uterine cavity and may interfere with implantation.
• Intramural fibroids grow within the muscular wall. Their impact varies, particularly if they are large or distort the cavity.
• Subserosal fibroids grow toward the outside of the uterus and generally have less effect on fertility.

Does every fibroid need removal?

No. Having a fibroid does not automatically mean you need surgery. Your specialist will consider your symptoms, ultrasound findings, pregnancy history and fertility goals. Removing fibroids that distort the uterine cavity may help selected patients, but surgery also has risks.

What should you do?

A pelvic ultrasound can assess fibroids. A saline sonogram or hysteroscopy may be recommended to examine the uterine cavity more closely.

If you have heavy periods, pelvic pressure, repeated pregnancy losses or difficulty conceiving, discuss an assessment with your gynecologist or fertility specialist. Other fertility factors should also be considered.

Longevity Fertility Centre