Fibroids.

To be honest, it sounds complicated.

And it can be, especially when you’re trying to conceive.

Fibroids are a common issue, affecting up to 70% of women by age 50.

These non-cancerous growths in the uterus can sometimes act as a frustrating barrier.

But here's the good news: if you’ve been diagnosed with fibroids, there’s a way around it.

This guide will delve into how fibroids can impact fertility, the treatment options available, and ways to optimize your overall reproductive health.

So, let’s navigate this hurdle with the right knowledge and proactive steps.

Read on!

What are fibroids?

Fibroids, also known as uterine leiomyomas, are non-cancerous growths that develop in the uterus.

These non-cancerous growths are made up of muscle and fibrous tissue and can vary greatly in size, from undetectable to as large as a grapefruit.

While the exact cause of fibroids remains unknown, factors like hormones and genetics are believed to play a role.

Most women with fibroids experience no symptoms at all. However, some may experience heavy or prolonged menstrual bleeding, pelvic pain, pressure or bloating in the lower abdomen, frequent urination, or pain during intercourse.

How do fibroids affect fertility?

Fibroids can affect fertility in various ways, depending on their size, number, and location within the uterus. Here are some key ways fibroids can impact fertility:

1. Distortion of the uterine cavity: Large fibroids or multiple fibroids can distort the shape of the uterine cavity, making it difficult for a fertilised egg to implant and grow properly. This can increase the risk of miscarriage or implantation failure.

2. Blockage of fallopian tubes: Fibroids located near the fallopian tubes or cervix can obstruct the passage of sperm or interfere with the release of eggs from the ovaries, hindering fertilisation.

3. Changes in blood flow: Fibroids can alter blood flow to the uterus, which is essential for nourishing a developing embryo. This can affect the lining of the uterus and reduce the chances of successful implantation.

4. Hormonal imbalance: Some studies suggest that fibroids may be associated with hormonal imbalances, such as elevated estrogen levels, which can disrupt ovulation and menstrual cycles, affecting fertility.

Can fibroid treatments help me maintain fertility?

If you're concerned about how fibroids may be affecting your fertility, there are several steps you can take to address these concerns and improve your chances of conceiving:

1. Consult your healthcare provider: If you suspect you have fibroids or are experiencing symptoms such as heavy menstrual bleeding, pelvic pain, or infertility, schedule a consultation with your healthcare provider. They can evaluate your symptoms, perform diagnostic tests such as ultrasound, and recommend appropriate treatment options.

2. Explore treatment options:

Depending on the severity of your fibroids, treatment options may include:

• Medication: Medications like GnRH agonists can help shrink fibroids and manage symptoms.

• Minimally invasive procedures: Procedures like uterine artery embolization (UAE) or laparoscopic myomectomy can target and remove specific fibroids while preserving the uterus.

• Surgery: In some cases, surgical removal of fibroids (myomectomy) or the uterus (hysterectomy) might be recommended. Your doctor will discuss the risks and benefits of each option to determine the best course of action for you.

1. Consider fertility preservation: If you're not ready to conceive but have concerns about fibroids affecting your fertility in the future, consider exploring fertility preservation options such as egg freezing. This allows you to preserve your eggs for future use, providing peace of mind and additional options for family building.

2. Optimize overall health: Maintaining a healthy lifestyle can support fertility and overall well-being. Eat a balanced diet, engage in regular exercise, manage stress, and avoid smoking and excessive alcohol consumption. These lifestyle factors can help optimize fertility and support your body's natural ability to conceive.

Preserving your fertility, with Arva

Fibroids can pose challenges for individuals trying to conceive, but with early detection and appropriate management, many people with fibroids can achieve successful pregnancies.

If you're concerned about fibroids and fertility, don't hesitate to reach out to your healthcare provider for guidance and support (we also have a network of non-judgemental gynaecs pan India, here!)

By addressing fibroids and any underlying fertility concerns, you can take proactive steps to enhance your reproductive health and pursue your family-building goals with confidence.

Remember, you’ve got this!