Fibroids and Fertility: What You Should Know
Dr. Marika Raff • July 30, 2025
Understanding the Impact of Uterine Fibroids on Fertility and How Caperton Fertility Institute Can Help

Uterine fibroids are a common concern for women of reproductive age, and while many are benign and symptom-free, others can significantly impact fertility and pregnancy outcomes. At Caperton Fertility Institute, with locations in Albuquerque, NM, and El Paso, TX, we provide expert care for patients navigating fibroids and fertility challenges.
What Are Uterine Fibroids?
Uterine fibroids, or leiomyomas, are non-cancerous tumors that grow within or around the uterus. They can vary in size, number, and location, which determines their impact on reproductive health. Fibroids are classified into four types:
- Submucosal Fibroids: Grow into the uterine cavity
- Intramural Fibroids: Develop within the uterine wall
- Subserosal Fibroids: Form on the outer surface of the uterus
- Pedunculated Fibroids: Attached to the uterus by a stalk
How Fibroids Can Affect Fertility
While not all fibroids cause fertility issues, certain types and locations are more likely to interfere with conception or pregnancy:
- Submucosal Fibroids: These are the most likely to impact fertility by distorting the uterine cavity, potentially preventing embryo implantation or increasing the risk of miscarriage.
- Intramural Fibroids: Large intramural fibroids can alter the uterus’ shape and decrease blood flow, which may affect embryo implantation.
- Fibroids Near the Fallopian Tubes: These can lead to tubal blockage, hindering sperm or egg passage.
- Cervical Fibroids: Rare but may impede sperm entry if located near the cervix.
Common Symptoms of Fibroids
Some patients with fibroids experience no symptoms, while others may notice:
- Heavy or prolonged menstrual bleeding
- Pelvic pain or pressure
- Pain during intercourse
- Frequent urination or constipation
- Recurrent miscarriages or infertility
Many fibroids are discovered during a fertility evaluation or routine pelvic exam.
Diagnosing and Treating Fibroids at Caperton Fertility Institute
We utilize advanced imaging technologies, including high-resolution ultrasound and MRI, to accurately diagnose fibroids. Treatment plans are tailored based on your symptoms, fertility goals, and the specific characteristics of your fibroids.
Treatment Options Include:
- Medical Management: Hormonal therapies to reduce symptoms
- Surgical Options: Myomectomy to remove fibroids while preserving fertility
- Minimally Invasive Procedures: Such as hysteroscopic or laparoscopic surgery for quicker recovery
Your Fertility Journey Doesn’t End with a Fibroid Diagnosis
A fibroid diagnosis doesn't mean infertility. With personalized care and proper management, many women go on to have successful pregnancies. At Caperton Fertility Institute, our fertility specialists in Albuquerque and El Paso are here to support your journey every step of the way.
Schedule a Consultation Today
If you suspect fibroids may be affecting your fertility, don't wait. Schedule a comprehensive consultation with our expert team and take proactive steps toward achieving your family-building goals.

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Uterine fibroids are a common diagnosis among women of reproductive age. While many fibroids are harmless and cause no symptoms, others can interfere with fertility and pregnancy. At Caperton Fertility Institute , we help patients understand how fibroids may affect reproductive health and provide personalized treatment options to optimize fertility outcomes. What Are Uterine Fibroids? Fibroids, also known as leiomyomas , are benign (non-cancerous) growths that develop in or on the uterus. They can vary greatly in size, number, and location. Depending on where they form, fibroids are classified into several types: Submucosal Fibroids: Grow into the uterine cavity Intramural Fibroids: Develop within the uterine wall Subserosal Fibroids: Form on the outer surface of the uterus Pedunculated Fibroids: Attached by a stalk extending from the uterus How Fibroids Can Affect Fertility Not all fibroids impact fertility. However, certain types and locations are more likely to interfere with conception, implantation, or pregnancy progression. Submucosal Fibroids: These are most likely to affect fertility because they distort the uterine cavity, which can prevent implantation or increase the risk of miscarriage. Intramural Fibroids: When large, these fibroids can change the shape of the uterus and affect blood flow, potentially reducing the chances of successful embryo implantation. Tubal Blockage: Fibroids located near the fallopian tubes can obstruct sperm or egg movement, preventing fertilization. Cervical Fibroids: Although rare, fibroids near the cervix can hinder sperm entry into the uterus. Common Symptoms of Fibroids Fibroid symptoms vary widely — some people experience significant discomfort, while others have no symptoms at all. Common signs include: Heavy or prolonged menstrual bleeding Pelvic pain or pressure Pain during intercourse Frequent urination or constipation Recurrent pregnancy loss or difficulty conceiving For many patients, fibroids are first discovered during a fertility evaluation or routine pelvic exam . Diagnosis and Treatment Options At Caperton Fertility Institute , we use advanced diagnostic imaging such as ultrasound and MRI to assess fibroid size, number, and location. Once diagnosed, treatment is tailored to your fertility goals and overall health. Treatment options include: Medical Management: Hormonal therapies to reduce symptoms and fibroid growth. Surgical Options: Myomectomy to remove fibroids while preserving the uterus. Minimally Invasive Procedures: Hysteroscopic or laparoscopic surgery for faster recovery and minimal scarring. Our approach is designed to preserve fertility whenever possible while alleviating symptoms and improving uterine health. Hope After a Fibroid Diagnosis A fibroid diagnosis doesn’t mean you can’t conceive. Many patients with fibroids go on to achieve healthy pregnancies — especially with proper evaluation and treatment. At Caperton Fertility Institute , our experienced fertility specialists in Albuquerque, NM , and El Paso, TX , provide compassionate, individualized care for every patient. We’ll guide you through diagnosis, treatment, and the next steps toward achieving your dream of parenthood. ✨ If you suspect fibroids may be affecting your fertility, schedule a consultation today. Let’s take the next step together toward your fertility goals.

