There are three main types of fibroids based on where they are found:
– Fibroids that grow in the outer wall of the uterus (55%)
– Fibroids that are in the muscular layer of the uterine wall (40%)
– Fibroids that protrude into the uterine cavity (5%)
Are fibroids causing my infertility?
Most women with fibroids will not be infertile. If you have difficulty getting pregnant, we recommend you and your partner be thoroughly evaluated to find other problems with fertility before fibroids are treated. Fibroids can reduce fertility if they:
– Protrude into the uterine cavity and changes the shape of the uterus, which can interfere with embryo implantation.
– Change the shape of the cervix or block the fallopian tube openings, which can affect sperm that can enter the uterus or fallopian tubes.
– Impact the blood flow to the uterine cavity, which decreases the ability of an embryo to implant or to develop.
In general, fibroids that grow outside of the uterus are considered not to impact fertility and do not need to be removed unless the size is large enough to cause symptoms.
Large size fibroids in the muscular layer of uterus or fibroids that grow inside of the uterine cavity will impact fertility, and surgical removal is recommended.
Surgical removal of fibroids can be done by laparoscopy, Robotic assisted laparoscopy, or hysteroscopy, depending on number, location, and size of the fibroids. Other less commonly used treatment options include uterine artery embolization and radiofrequency ablation.
Book a consultation with our doctor to assess your fibroid condition and find out if surgery is an appropriate treatment before pregnancy.