Uterine Fibroids and Their Impact on Fertility: Insights from Fertility Institute of San Diego

Fertility is a journey that many aspire to embark on, but it can be fraught with challenges and uncertainties. One such challenge is uterine fibroids, which are noncancerous growths in the uterus that can significantly impact a woman’s fertility and pregnancy outcomes.

At the Fertility Institute of San Diego, under the expert guidance of Dr. Minoos Hosseinzadeh, we understand the complexities surrounding fibroids and fertility. In this article, we’ll delve into the risks, types, and treatment options for uterine fibroids, providing you with the knowledge needed to make informed decisions on your path to parenthood.

What Are Uterine Fibroids?

Uterine fibroids, also known as leiomyomas or myomas, are benign tumors that develop in the muscular tissue of the uterus. They are one of the most common gynecological conditions, affecting up to 80% of women by the age of 50. Fibroids can vary in size, from as small as a pea to as large as a melon, and can occur singly or in clusters.

Types of Uterine Fibroids

Fibroids are classified based on their location within the uterus:

Intramural Fibroids: These are the most common type and grow within the muscular wall of the uterus.
Subserosal Fibroids: These grow on the outer surface of the uterus and can sometimes extend on a stalk-like projection.
Submucosal Fibroids: These are less common and grow just beneath the inner lining of the uterus, protruding into the uterine cavity.
Pedunculated Fibroids: These are fibroids that are attached to the uterus by a thin stem or stalk.

Impact of Fibroids on Fertility

While many women with fibroids can conceive naturally and have healthy pregnancies, fibroids can interfere with fertility in several ways:

Blockage of Fallopian Tubes: Large fibroids can obstruct the fallopian tubes, preventing sperm from reaching the egg or the fertilized egg from reaching the uterus.
Altered Uterine Shape: Fibroids can change the shape of the uterus, making it difficult for an embryo to implant or grow.
Interference with Blood Flow: Fibroids can disrupt the blood flow to the uterus, affecting the implantation of the embryo.

Risks Associated with Uterine Fibroids

Fibroids are generally benign and often do not cause symptoms. However, they can lead to:

  • Heavy menstrual bleeding
  • Pelvic pain or pressure
  • Frequent urination
  • Constipation
  • Pain during intercourse

Should Uterine Fibroids Be Removed?

The decision to remove fibroids depends on various factors, including their size, location, and the symptoms they cause. At the Fertility Institute of San Diego, we assess each case individually to determine the best course of action. In some instances, fibroids may need to be removed to improve fertility and increase the chances of a successful pregnancy.


Treatment Options for Uterine Fibroids

Treatment for fibroids varies depending on their size, location, and the symptoms they cause.

Options include:

Medication: Certain medications can help manage symptoms but do not eliminate fibroids.
Myomectomy: This surgical procedure removes fibroids while preserving the uterus, making it a preferred option for women who wish to maintain their fertility.
Uterine Artery Embolization: This minimally invasive procedure blocks blood flow to the fibroids, causing them to shrink.
Hysterectomy: This is the surgical removal of the uterus and is typically a last resort for women who do not wish to have children in the future.

Uterine fibroids can have a significant impact on a woman’s fertility and pregnancy outcomes. At the Fertility Institute of San Diego, we are committed to providing personalized care and treatment options to help you overcome the challenges posed by fibroids. If you’re concerned about fibroids and their impact on your fertility, our team, led by Dr. Minoos Hosseinzadeh, is here to support you every step of the way.

If you’re ready to start your fertility journey, please book a complimentary virtual consultation with Dr. Hosseinzadeh, to go over fertility options or any other reproductive healthcare questions, click here.

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