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Uterine Fibroids and Fertility: What You Need to Know 

If you’ve been told you have fibroids—or you suspect they might be affecting your ability to conceive— you may be feeling a mix of emotions—relief to finally know, concern that you may not be able to conceive, or even feelings of anger. You’re not alone. Uterine fibroids are common, and understanding their impact on fertility can bring both clarity and peace of mind.  

At NewLIFE, we know that finding answers is just as important as feeling supported. Every step of our approach prioritizes your well-being, autonomy, and family-building goals. 

What Causes Uterine Fibroids? 

Uterine fibroids, also called leiomyomas or myomas, are non-cancerous growths in or around the uterus. The American Society for Reproductive Medicine (ASRM) states that fibroids affect up to 70% of people assigned female at birth during their reproductive years.*  

While the exact cause isn’t fully understood, research shows hormones, genetics, and environmental factors may contribute, including: 

  • Hormones: Estrogen and progesterone can encourage fibroid growth. 
  • Genetics: A family history of fibroids increases your likelihood of developing them. 

Fibroids can grow inside the uterine wall (intramural), into the uterine cavity (submucosal), or outward (subserosal). Their size and placement influence fertility potential. 

Common Symptoms of Uterine Fibroids 

Not everyone with fibroids experiences symptoms, but they can affect daily life and reproductive health. Common signs include: 

  • Heavy, painful, or prolonged periods 
  • Pelvic pressure or discomfort 
  • Constipation or bloating 
  • Enlarged abdomen 

If you’re experiencing any of these symptoms, a fertility-focused evaluation can provide answers and guide next steps. 

How Fibroids Can Affect Fertility 

Fibroids don’t always impact fertility, but they can interfere when their size or location disrupts reproductive anatomy: 

  • Changing the shape of the uterus or cervix, making conception or implantation more difficult 
  • Blocking fallopian tubes 
  • Reducing blood flow to the uterine lining 
  • Causing contractions that affect embryo development 

The good news: many people with fibroids go on to conceive successfully. Understanding your specific fibroid type and how it affects your fertility is key. NewLIFE uses advanced imaging, including ultrasound and MRI, alongside hormone testing, to create a clear, personalized treatment plan. 

FAQs 

Can fibroids shrink on their own?

Some fibroids may shrink over time, particularly after menopause. During reproductive years, medical guidance ensures safety and clarity for your health and family builidng goals. 

What fertility treatments work for people with fibroids? 

Treatment depends on fibroid size, location, and symptoms. Options, depending on your goals, may include surgical removal, IVF, IUI, or fertility preservation like egg freezing. Your care team will recommend the approach that aligns with your goals. 

How can I tell if fibroids are affecting my fertility? 

A comprehensive fertility evaluation—including pelvic imaging, hormone testing, and ovulation assessment—can clarify how fibroids may influence your ability to conceive. 

You’re Not Alone: NewLIFE Fertility Has Answers 

Uterine fibroids and fertility can feel complicated, but you don’t have to navigate it alone. At NewLIFE, our reproductive gynecologists, embryologists, and lab teams combine advanced diagnostics with compassionate, science-backed care. We focus on clarity, personalized treatment, and supporting your unique family-building journey. 

If you’re managing fibroids, experiencing symptoms, or exploring your options, reach out today to schedule a consultation and start moving forward with confidence. We’re your partner in reproductive care, here to support your family-building goals. 

*Source: American Society for Reproductive Medicine 

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