Uterine Fibroids Can Cause Infertility: Know How

Dr. Aruna Kalra
3 min readFeb 22, 2023

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What is Uterine fibroids?

Fibroids are common in women who are pregnant. They are unnatural growths that develop inside the uterus. However, they’re usually non-injurious and rarely occurs as a result of these.
The size and area of fibroids can differ. They can be small and some are large and distorting the uterus. Submucosal fibroids can be found within the uterus. Subserosal fibroids can be found outside the uterus and intramural fibroids are located inside the uterine wall.
Because fibroids aren’t the only cause of symptoms, it’s feasible to be suffering from them and not aware of it. If you do exhibit symptoms of fibroid it is possible to notice:

  1. Heavy or protracted menstrual cycles
  2. In between-period bleeding that is not consistent
  3. A lower backache
  4. Back pain in the lower back
  5. Sexual discomfort

Fibroids and Infertility
Fibroids can be found in a lot of women. They usually have no effect on your chances of becoming pregnant. However, they could affect fertility if you have multiple fibroids or are submucosal.
Submucosal fibroids may make it harder for your uterus in facilitating conception and sustain pregnancy The presence of fibroids doesn’t hinder the ovulation process. The fibroid type can sometimes cause infertility or miscarriage.
The ultrasound device or MRI can be utilized during the pelvic examination to determine fibroids. A treatment plan is recommended according to the size and position of the fibroids. It’s essential to keep an of the fibroids when you’re trying to or expecting to become pregnant. The probability of needing caesarean sections during labor and delivery rises the more fibroids you have when you’re expecting. If you’re suffering from fibroids your chance of having a placental abruption or preterm birth may be increased.

The role of fibroids in Infertility
Your fertility could be affected by fibroids in a variety of ways. Some examples include:

  1. Fibroids may block fallopian tubes, which makes it difficult or impossible for fertilised egg to pass through the uterus to implant.
  2. The quantity of sperm that is absorbed into the uterus can alter due to variations in the cervical area that are caused by fibroids.
  3. The uterus may change shape due to fibroids. These can block the movement of sperm or prevent the embryos from implanting.
  4. The presence of fibroids could alter the amount of uterine the lining.
  5. The presence of fibroids impacts the flow of blood to the uterine cavity.

Outlook
The majority of women who have fibroids can continue to carry their pregnancy to term in a normal manner. However, between 10% and 30% of women who suffer from fibroids during pregnancy can experience pregnancy-related or birth problems that are related to their fibroids, for example:

  • Early pregnancy bleeding
  • Announcing the breech
  • Cesarean delivery
  • Women who have fibroids that are greater than five centimeters in diameter typically experience pain.
  • postpartum bleeding
  • premature birth
  • Slow work
  • A weird placenta
  • Cervical dilation is not sufficient.

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Dr. Aruna Kalra
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Dr. Aruna Kalra is one of the best gynaecologists and obstetricians in Gurgaon, Haryana.