Not all uterine fibroids affect fertility, but submucosal fibroids and large intramural fibroids that distort the uterine cavity or alter blood supply can increase the risk.
Can Uterine Fibroids Cause Infertility?
Fibroids are extremely common, especially in women of childbearing age. Many fibroids remain asymptomatic and are never even diagnosed. The real concern begins when you are planning to have a baby.
Questions like, “What if fibroids make it difficult to conceive naturally?” Some also wonder if they’ll need a laparoscopic myomectomy surgery in Thane to get rid of fibroids before they conceive.
The Connection Between Fibroids and Fertility
The relationship between fibroids and fertility is more complicated than we think. Most women with fibroids never experience difficulty getting pregnant or any fibroid-related health concerns throughout pregnancy or during childbirth. Some, however, require regular monitoring.
Fibroids have been linked to recurrent pregnancy losses and infertility, but only 2-3% of women have fibroid-related infertility without any other contributing factor.
Many with fibroids have other underlying reproductive or hormonal health issues that can make conception difficult. That’s why a gynecologist in Thane will likely evaluate the entire reproductive system rather than assuming fibroids to be the cause of infertility.
Which Fibroids Affect Fertility
Not all fibroids are problematic. Their location explains whether they can interfere with a woman’s fertility.
- Submucosal fibroids: They are the least common, but cause the most prominent symptoms, one of which is infertility. They are located just beneath the inner uterine lining and might protrude into the uterine cavity. Even smaller submucosal fibroids can affect your fertility or increase the risk of miscarriage.
- Intramural fibroids: They are more common yet less likely to interfere with pregnancy. However, larger intramural fibroids, around 4-5 centimeters, can be a cause for concern.
- Subserosal Fibroids: Most healthy pregnancies continue well despite subserosal fibroids. Since they grow outside the uterine cavity, they may not affect fertility unless they are giant enough to press on the nearby reproductive organs.
How Exactly Do Fibroids Cause Infertility?
Depending on the fibroid’s location and size, here’s how they can impact your pregnancy:
They Can Alter Uterine Shape
Submucosal fibroids can occupy significant space in the uterus and might distort the uterine cavity. Since they affect the very area where the embryo attaches, they can cause fertility challenges or early pregnancy complications.
They May Block Fallopian Tubes
Fibroids do not grow in the tubes, but they can develop in the area where the fallopian tube connects with your uterus. They can be large enough to alter the nearby anatomy.
This can prevent sperm from reaching the egg and the fertilized egg from being transported to the uterus for implantation.
They Can Affect Blood Flow to the Uterus
Your uterine lining requires a proper blood supply to prepare for implantation. Some fibroids are known to alter blood circulation to the uterus, affecting the oxygen and nutrient supply to the endometrium. A poorly nourished uterine lining can increase the risk of implantation failure.
If you are trying to conceive and are aware of the fibroids, do not lose hope. Many conceive easily with fibroids. The key to ensuring a healthy pregnancy is proper evaluation and a professional’s guidance.
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