Dear Doctor,

Can I conceive with fibroids?

Julia,

Dear Julia,

Fibroids, also known as uterine myomas, are swellings in the uterus originating from the smooth muscle of uterus. Fibroids develop during the reproductive years and shrink after menopause; therefore they are believed to be associated with female hormones.

Fibroids may be single (one) or multiple (many) and can be located anywhere in the uterus. Depending on the number, size and location of the fibroids, different complications can be expected. Infertility may be a complication of fibroids in the following circumstances;

Large fibroids located in the lumen or the wall of the uterus can distort the shape of the uterus or fill the lumen thus interfering with implantation. Multiple small fibroids especially those in the wall of the uterus can also distort the uterus leading to infertility.

Although rare, fibroids can exert pressure on the fallopian tubes blocking them. Even after conception, fibroids can compete with a foetus for space leading to small for age babies or even abortions.

Fibroids can be managed. Drugs to shrink them are available. Surgery to remove them (myomectomy) can also be done with good results. Please see your gynaecologist for detailed assessment and management of your fibroids as well as fertility.

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