Fibroids and fertility: size is not the only question

Fibroids are common

Fibroids are non-cancerous growths arising from the muscle of the uterus. Many people have fibroids and conceive without difficulty. The presence of a fibroid on a scan does not by itself prove that it is causing infertility.

Location may matter more than a headline size

Fibroids that distort the uterine cavity may be more relevant to implantation or pregnancy than some fibroids growing outward from the uterus. Number, location, growth pattern, symptoms and previous pregnancy history all contribute to the discussion.

Assessment should answer a specific question

Ultrasound may describe the uterus, ovaries and fibroids. Additional imaging or cavity assessment may be considered when results would change management. Ask the clinician to show which finding is relevant to the proposed fertility plan.

• Does the fibroid distort the cavity?
• Could it affect egg collection or pregnancy?
• What symptoms is treatment expected to improve?
• What are the risks of surgery for future pregnancy?
• How long should conception or IVF wait after treatment?

Removing every fibroid is not always helpful

Surgery can relieve symptoms or improve anatomy in selected cases, but it also brings recovery time, scar formation and other risks. The decision should weigh likely benefit against delay and procedure risk, especially when age or ovarian reserve makes time important.

Bring fertility and gynaecology planning together

If IVF is being considered, the fertility specialist and surgeon should agree on the purpose and timing of treatment. Patients should not have to navigate contradictory plans alone.

Common questions