Infertility and Fibroids

Infertility can occur for various reasons, and uterine fibroids are one of them. Although fibroids themselves are not the direct cause of infertility, they create certain difficulties for conceiving and carrying a child to term.

Fibroids that grow quickly or are larger in size can become a barrier to the movement of sperm. They can also affect the fallopian tubes and the shape of the uterus.

Also, the risk of a spontaneous abortion with fibroids increases. There is further a risk of a delayed development of the fetus due to the lack of oxygen and nutrients coming from the placenta.

Usually women suffering from uterine fibroids and interested in having children have two treatment options: a surgical option (myomectomy) and a nonsurgical option UFE (uterine fibroid embolization)UFE (uterine fibroid embolization).

Although myomectomy is designed to preserve a woman’s uterus, there is a chance that a patient may lose her uterus during the procedure due to excessive bleeding that cannot be controlled by the surgeon. Every woman should be prepared to face the possibility of losing her uterus when opting in for a myomectomy.

In contrast, UFE (uterine fibroid embolization) is a nonsurgical, fully outpatient procedure that allows women to keep their uterus, treat all fibroids, and potentially conceive after the procedure.

⇒Related: “My Miracle Baby” by Doris Combs

Video: Pregnancy after Myomectomy vs. Pregnancy after UFE

When to Seek Treatment

Fibroid removal is recommended for women with submucosal fibroids who are struggling to get pregnant, either naturally or through IVF. Many women have reported a pregnancy after UFE.

If fibroids are still present while a woman is pregnant, they are likely to increase in size due to increased levels of estrogen. This usually does not cause any complications with pregnancy, but some women can miscarry or give birth prematurely. UFE allows women to have a vaginal, full term birth.

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Atlanta Fibroid Center
of Atlanta Interventional Institute
John C. Lipman, MD, FSIR
3670 Highlands Parkway SE
Smyrna, GA 30082

Copyright © 2019 by ATLii & John C. Lipman, MD, FSIR. All Rights Reserved.