Can Fibroids Affect Your Chances of Getting Pregnant or Having a Healthy Pregnancy? Dr. Usha B. R

Fibroid is very common entity affecting 1 in 3 women but not in all women it causes fertility issues fibroids affects fertility depending on its size and location. It is important as to know how big the fibroid is and what is the location. Just merely the presence of fibroid will not cause infertility. How do we know this? By simple ultrasound when we do in the first visit will screen for the presence of fibroids. If it is present we look as to where it is present, it is there in the interior of the cavity. If there is a fibroid in the uterus, called as the submucosal fibroid in the interior of the uterus. If you have a fibroid there where baby is going to grow it will act as a space occupying lesion. It will not let the baby grow in the initial phases itself. So any fibroid in the cavity has to be removed when you are going to conceive. He one in the wall of the uterus, it is called as intramural, if they are very small will not affect fertility if it is 1 to 2 cm, if it is 4 cms or more, in the intramural side. Fibroids outside the uterus called as the subserosal fibroids, which are either with a pedicle or without a pedicle. These are ones which usually do not case infertility thy do not trouble implantation or the growth of the baby. If they are to big 7 cm or 8 cms or more than that. They may cause problems in the growth of the pregnancy. They cause problems in the growth in the 2nd trimester, or may cause preterm deliveries these fibroids if they are very big, they need to be removed. Otherwise small fibroids that are subserosal or small fibroids that are intramural need not e removed. Therefore fibroids affect fertility depending on other size and location. A small fibroids less than 3 cms. Inside the wall uterus or outside the uterus like the subserosal, will not affect fertitlty. The closer the fibroid is towards the cavity and the bigger the size is it affects fertility more.