Can fibroids cause infertility? For many women in Houston who are struggling to conceive, this is a critical and often confusing question. Uterine fibroids—noncancerous tumors that develop in the uterus—are extremely common among women of reproductive age. While not all fibroids interfere with fertility, certain types and sizes can significantly impact a woman’s ability to become pregnant or carry a pregnancy to term.
This guide explores the relationship between uterine fibroids and infertility, the symptoms to watch for, and the importance of early diagnosis and treatment to improve reproductive outcomes. Whether you’re trying to conceive naturally or considering fertility treatment, understanding the role of fibroids is a crucial part of your journey.
Table of Contents
- Understanding Uterine Fibroids
- How Fibroids Impact Fertility
- Symptoms of Fibroid-Related Infertility
- Types of Fibroids Most Likely to Cause Infertility
- Diagnosis: When to See a Specialist
- Fibroid Removal and Fertility Success
- Final Thoughts
1. Understanding Uterine Fibroids
Uterine fibroids are muscular growths that form within or around the uterus. Their size, number, and location can vary widely. Many women live with fibroids without any symptoms or complications. However, in some cases, fibroids can lead to reproductive challenges—especially when they distort the shape of the uterus or block the fallopian tubes.
Fibroids are classified based on their location:
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Submucosal fibroids: Grow into the uterine cavity and are most associated with fertility problems.
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Intramural fibroids: Located in the uterine wall and may interfere with implantation.
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Subserosal fibroids: Grow on the outside of the uterus and typically don’t affect fertility unless very large.
2. How Fibroids Impact Fertility
The link between fibroids and infertility often depends on how these growths disrupt the natural reproductive process. They can:
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Distort the uterine cavity, making implantation difficult
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Block fallopian tubes, preventing sperm from reaching the egg
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Affect blood flow to the endometrium, hindering embryo development
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Trigger inflammation or hormonal imbalances that impair conception
In some women, fibroids may also lead to recurrent pregnancy loss or preterm labor.
3. Symptoms of Fibroid-Related Infertility
While fibroids are not always symptomatic, the following signs may suggest that they are contributing to fertility issues:
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Heavy or prolonged menstrual periods
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Pelvic pain or pressure
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Pain during intercourse
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Frequent urination or constipation
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History of miscarriage or difficulty conceiving
If you’re experiencing these symptoms and having trouble getting pregnant, it’s important to speak with a healthcare provider who specializes in fibroid-related infertility.
4. Types of Fibroids Most Likely to Cause Infertility
Among all fibroid types, submucosal fibroids are the most likely to interfere with fertility. These growths develop inside the uterine cavity and can make it harder for an embryo to implant and grow.
Intramural fibroids, located within the uterine wall, may also affect fertility, especially if they are large. Subserosal fibroids, which grow on the outer surface of the uterus, are less likely to cause infertility unless they grow large enough to press on surrounding reproductive structures.
A personalized diagnosis is crucial to determine whether your specific fibroids are affecting your fertility.
5. Diagnosis: When to See a Specialist
Early diagnosis can make a significant difference in treatment success. In Houston, specialists often use the following tools to assess the presence and impact of fibroids:
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Pelvic ultrasound
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MRI scans for detailed imaging
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Hysteroscopy to view the uterine cavity
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Hysterosalpingography (HSG) to examine fallopian tube function
If fibroids are suspected to be the cause of infertility, a tailored treatment plan can be developed to improve your chances of conception.
6. Fibroid Removal and Fertility Success
For women who are trying to conceive, fibroid removal may significantly boost fertility. Common treatment options include:
Myomectomy
A surgical procedure that removes fibroids while preserving the uterus. It’s the gold standard for women who want to maintain fertility.
Uterine Fibroid Embolization (UFE)
A minimally invasive option that cuts off blood supply to the fibroids, causing them to shrink. However, UFE is generally recommended for women who are not actively trying to conceive, as its effects on fertility are still being studied.
Medication
Temporary use of hormone therapy may shrink fibroids, but it’s not a long-term solution for women looking to conceive.
Many women experience successful pregnancies after treatment, especially when fibroids are addressed early and managed by a specialist.
7. Final Thoughts
If you’re struggling with conception, it’s natural to wonder, can fibroids cause infertility? The answer is yes—but with the right diagnosis and care, there’s hope. At Fibroid Care, we specialize in advanced treatment options, including minimally invasive techniques that prioritize fertility and recovery. Our Houston-based team is here to help you take the next step toward growing your family with expert care and compassion.
Disclaimer
This article is for informational purposes only and is not a substitute for professional medical advice. Please consult with a licensed healthcare provider to discuss diagnosis and treatment options tailored to your individual needs.