How do uterine fibroids cause infertility?

Uterine fibroids can impact your ability to fall pregnant and maintain a healthy pregnancy, mainly by interfering with successful implantation of a fertilised embryo in the lining of your uterus. Usually it is submucosal fibroids that will cause problems with fertility in this way.

Uterine fibroids are also associated with pregnancy complications, such as needing a Caesarean section, the baby being breech (positioned feet first rather than head first during delivery), pre-term delivery, or placental complications. Many women with uterine fibroids will fall pregnant with no problems and progress smoothly through their pregnancy, labour, and delivery. However, if you are experiencing difficulty conceiving, surgical treatment to remove the fibroids may improve your fertility. For women who are still experiencing infertility despite uterine fibroid surgery, Dr Sam can refer you to a fertility specialist to consider your options with assisted reproductive technologies.