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

Fibroids and Fertility
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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