Q: How do fibroids affect fertility? A: Depends on the location of the fibroids.
- inside the uterus
- in the lining of the uterus
- in the wall of the uterus and
- on the outside of the uterus
When located in the lining of the uterus or inside the uterus they are more likely to cause problems. On the outside of the uterus is typically okay as far as conception is concerned. The only way that you are going to know whether your fibroid is causing a problem is actually to get an ultrasound and opinion of a specialist.
Depending on the location, fibroids may affect the ability of the sperm to get into the cervix and/or uterus. Which, subsequently, impacts implantation. The best approach is to have surgery to remove it, if possible. However, some fibroids are not operable. Doctors can not remove them via surgery because of where they are located.
Where multiple, large fibroids around the wall of the uterus or inside the uterus, implantation is most likely impacted. Therefore, surrogacy may be something to consider.
The best way to know whether your fibroid is impacting your fertility is to see a gynaecologist. They can advise whether a fibroid is negatively impacting your ability to conceive and whether it can be treated.
If your doctor recommends that you should have the fibroid operated because it is impacting your chances, we would support that direction.
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Here’s a copy of the video transcript How do fibroids affect fertility?