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Can uterine fibroids affect fertility and pregnancy?

Yes, uterine fibroids can impact fertility and pregnancy, though not all women with fibroids face these challenges. The effect depends on factors like size, location, and the number of fibroids.

  • Fertility Impact: Submucosal fibroids, which grow within the uterine cavity, are most likely to cause infertility or pregnancy complications, as they may obstruct the pathway of sperm, interfere with embryo implantation, or alter uterine blood flow.
  • Pregnancy Complications: Fibroids may increase the risk of miscarriage, preterm birth, and complications like placental abruption or breech birth. Some women experience increased pain due to fibroid growth during pregnancy, stimulated by elevated estrogen levels.
  • Delivery Complications: Large fibroids can increase the likelihood of needing a cesarean section (C-section) since they may interfere with labor.

For women with fibroids trying to conceive, treatments like myomectomy may improve fertility outcomes. If you have fibroids and are planning to start a family, discussing your options with a healthcare provider can help optimize your chances of a healthy pregnancy.

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