Fibroids do not automatically cause infertility, but certain types can make it harder to conceive. Understanding how fibroids affect fertility can help women plan for a healthy pregnancy.

How Fibroids Can Affect Fertility

1. Blocking the Fallopian Tubes – Large fibroids may press on or block the fallopian tubes, preventing the egg from meeting the sperm.
2. Affecting Sperm Movement – Changes in the shape of the cervix or uterus may affect how sperm travels.
3. Increasing Risk of Miscarriage – Some fibroids, especially those that distort the uterine cavity, are associated with a higher risk of early pregnancy loss.

Types of Fibroids and Their Impact on Pregnancy

• Submucosal fibroids (inside the uterus): Most likely to affect fertility and pregnancy.
• Intramural fibroids (within the uterine wall): May affect fertility if large.
• Subserosal fibroids (outside the uterus): Usually do not affect fertility.

Can You Get Pregnant with Fibroids?

Yes—many women do. If fibroids are small, located outside the uterine cavity, or not causing symptoms, pregnancy may occur naturally without complications. Some women only discover they have fibroids during routine scans in pregnancy.

When Fibroids May Need Treatment Before Pregnancy

Treatment may be recommended if:

• You’ve been trying to conceive without success
• You have recurrent miscarriages
• Fibroids are large or inside the uterine cavity
• You experience severe symptoms like heavy bleeding or pain

Treatment options depend on fertility goals and may include fertility-preserving procedures such as myomectomy.

Fibroids During Pregnancy

Fibroids don’t always cause problems during pregnancy, but in some cases, they may increase the risk of:

• Pain from fibroid degeneration
• Preterm labor
• Breech position
• Caesarean delivery

Close antenatal monitoring helps manage these risks effectively.

When to See a Doctor

Consult a gynecologist if:

• You’re struggling to conceive
• Your periods are very heavy or painful
• You’ve had pregnancy losses
• You’ve been diagnosed with fibroids and want to plan a pregnancy

Early evaluation can make a huge difference.

Final Thoughts

Fibroids can feel overwhelming, but they do not mean the end of your fertility journey. With the right diagnosis, guidance, and personalized care, many women with fibroids go on to conceive and deliver healthy babies.

Consult with a gynecologist to discuss fibroids and fertility options.