Fibroids and Fertility: What You Should Know

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

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.

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.

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.

• 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

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.

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.