Fibroids and Fertility

Fibroids & Fertility: Can They Affect Pregnancy?

Fibroids & fertility are two terms which are discussed together when it comes to women’s reproductive health. There are many women who hear about fibroids but don’t know how they might be related to fertility or pregnancy. Fibroids are quite common but their effects can be different for every woman. So, it’s important to understand their connection with fertility for anyone who is trying to conceive or planning a family in the future.

 

In this blog, we will mention everything about fibroids, including what they are, their effect on fertility, common symptoms, treatment options, and more. By understanding these details, women can make better choices about their reproductive health and take steps toward a healthy pregnancy journey.

What are Fibroids?

Fibroids are non-cancerous growths that develop in or around a woman’s uterus. They are made up of muscle and fibrous tissue and can vary in size. There are many women who may have fibroids at some point in their lives, but not all will have symptoms.

 

In simple words, fibroids are lumps that can grow inside the womb (uterus) and may sometimes cause heavy periods, pain, or pressure in the lower belly. However, in many cases, they do not cause any problems and are found only during a routine check-up or scan.

Types of Uterine Fibroids

There are different types of uterine fibroids based on where they grow in the uterus and each type can affect fibroids & fertility in a different way. It’s important to know the type to help doctors decide the best treatment for every woman.

 

Intramural fibroids

 

Here are the main types of uterine fibroids:

 

  • Intramural Fibroids: These are the most common type. They grow inside the wall of the uterus and can make it feel larger.
  • Subserosal Fibroids: These grow on the outer surface of the uterus and can press on nearby organs and can cause pain or pressure.
  • Submucosal Fibroids: These grow just under the inner lining of the uterus and may cause heavy bleeding or fertility issues.
  • Pedunculated Fibroids: These are fibroids that grow on a small stem inside or outside the uterus, like a small ball hanging by a thread.

Common Symptoms of Fibroids

The symptoms of fibroids can be different for every woman. Some women may experience no signs at all and others may experience discomfort or changes in their menstrual cycle. So, it’s important to recognise the symptoms to help in managing them better.

 

Here are some common symptoms of fibroids:

 

  • Heavy or long menstrual bleeding
  • Pelvic pain or pressure in the lower abdomen
  • Frequent need to urinate
  • Pain during sexual intercourse
  • Backache or leg pain
  • Constipation or bloating
  • Issues in getting pregnant or repeated miscarriages

How Do Fibroids Affect Fertility?

Fibroids & fertility are closely connected because fibroids can sometimes make it difficult for a woman to get pregnant or carry a pregnancy smoothly. Fibroids are non-cancerous growths that develop in or around the uterus and their size or location can affect fertility in different ways.

 

They may block the fallopian tubes and can make it difficult for the egg and sperm to meet. In some cases, fibroids can change the shape of the uterus, which can also affect  the implantation of an embryo. Large fibroids may also reduce blood flow to the uterus and can affect the growth of the baby.

 

However, not all fibroids cause fertility problems. There are many women with fibroids who can conceive naturally and have healthy pregnancies.

Fibroids and Pregnancy Complications

Fibroids can sometimes cause problems during pregnancy, depending on their size and location. While many women with fibroids have a normal pregnancy, in some cases, they may lead to discomfort or certain complications. Knowing about these risks early helps in managing them with regular medical care.

 

Here are some common pregnancy complications linked to fibroids:

 

  • Pain or pressure in the lower abdomen.
  • Higher chances of preterm labor.
  • Problems with the position of the baby (like breech position).
  • Slower growth of the baby due to less space in the uterus.
  • Increased chance of needing a C-section.
  • Heavy bleeding after delivery (postpartum hemorrhage).

Diagnosis: How Are Fibroids Detected?

Fibroids & fertility are related and fibroids are usually found during a normal check-up or when a woman has symptoms like heavy bleeding or pain. Doctors use some simple tests to see if fibroids are present and to know their size and location.

 

Here are some common ways in which fibroids are detected:

 

  • Pelvic exam: The doctor checks the uterus for any lumps or enlargement.
  • Ultrasound: A painless test that uses sound waves to create images of the uterus and fibroids.
  • MRI (Magnetic Resonance Imaging): It helps to give a clear picture of fibroid size, number, and position.
  • Hysteroscopy: A thin tube with a camera is inserted into the uterus to look for fibroids.
  • Blood tests: Sometimes used to check for anemia caused by heavy bleeding.

Treatment Options for Fibroids

Treatment for fibroids depends on the size, how many there are, and what are the symptoms. Some women don’t need any treatment if their fibroids are small and not painful. But if fibroids cause heavy bleeding, pain, or problems in pregnancy then treatment can help to improve health and fertility.

 

Here are some common treatment options for fibroids:

 

  • Medication: It helps to control heavy bleeding, pain, or hormone levels.
  • Non-surgical procedures: Such as uterine artery embolization, which blocks the blood flow to fibroids and helps to shrink them.
  • Surgery: Myomectomy removes fibroids while keeping the uterus safe for future pregnancy.
  • Lifestyle changes: Eating healthy, staying active, and reducing stress may help to manage the symptoms.
  • Regular monitoring: In mild cases, doctors may just keep a regular check on the fibroids’ growth.

Final Words

Fibroids & fertility are connected because fibroids can sometimes make it difficult for a woman to get pregnant or have a healthy pregnancy. In this blog, we have shared what fibroids are, their types, common symptoms, how they affect fertility, and the treatment options. Knowing about these things can help women to take better care of their health and get the right help on time.

 

It’s important to spread awareness about women’s health so that more women go for regular check-ups and early treatment. Remember, understanding your body and getting timely care can make a big difference to your health.

Frequently asked questions (FAQs)

Can fibroids stop me from getting pregnant?

In some cases, yes. Fibroids can block the fallopian tubes or affect the uterus, making it harder for the embryo to implant.

 

Are all fibroids harmful for fertility?

No, not all fibroids affect fertility. Small fibroids that don’t change the shape of the uterus often don’t cause any problems.

 

Can I have a normal pregnancy if I have fibroids?

Yes, many women with fibroids have healthy pregnancies. However, your doctor will monitor you closely for any complications.

 

Can fibroids grow during pregnancy?

Yes, due to hormonal changes, fibroids may increase in size during pregnancy. Your doctor will keep a close watch through regular scans.

 

How can I prevent fibroids?

There’s no sure way to prevent fibroids, but maintaining a healthy weight, eating more fruits and vegetables, and regular exercise may help lower the risk.