WOMEN’S HEALTH • FERTILITY CARE

Fibroids & Fertility

Understand how uterine fibroids may affect fertility and pregnancy, and when treatment may be considered.

What are uterine fibroids?

Fibroids are noncancerous growths that develop in or around the uterus. Their effect on fertility depends on their size, number and location.

How can fibroids affect fertility?

Certain fibroids may interfere with reproductive function.

Distortion of the uterine cavity

Changes in the uterine lining

Pressure on surrounding structures

Changes in implantation

Heavy menstrual bleeding

Possible pregnancy complications

Common symptoms of fibroids

Some women with fibroids have no symptoms.

Heavy menstrual bleeding

Longer periods

Pelvic pressure

Pelvic pain

Frequent urination

Difficulty conceivingy

How are fibroids evaluated?

Evaluation identifies their location, size and possible effect on fertility.

1. Medical History

We review symptoms, menstrual history and fertility concerns.

2. Pelvic Examination

An examination may help identify uterine enlargement.

3. Ultrasound

Ultrasound assesses fibroid size, number and location.

4. Uterine Assessment

Additional imaging may be recommended when the uterine cavity needs closer evaluation.

Fertility Treatment Options for Fibroids

Treatment depends on the fibroid characteristics and fertility goals.

Monitoring

Small fibroids without fertility impact may only require observation.

Medical Management

Medication may help manage symptoms.

Myomectomy

Surgical removal may be considered when fibroids affect fertility.

IUI

May be considered when fibroids do not significantly affect the uterine cavity.

IVF

May be recommended based on age, fibroids and other fertility factors.

Frequently Aksed Questions?

Some fibroids, particularly those affecting the uterine cavity, may affect fertility.
Yes. Many women with fibroids become pregnant.
No. Treatment depends on their size, location, symptoms and fertility impact.
Certain fibroids that distort the uterine cavity may interfere with implantation.
Fibroid behavior during pregnancy varies and depends on individual factors.
IVF may be possible, but treatment may be considered first if fibroids affect the uterine cavity.

Understand how fibroids may affect your fertility

Get an evaluation based on your reproductive goals