Uterine fibroids are one of the most common gynecological conditions affecting women during their reproductive years. While many fibroids are harmless, others can interfere with fertility, pregnancy, or overall reproductive health.

At New World Fertility, we recognize the emotional and physical toll fibroids can take, especially for women trying to conceive. As a leading center for fertility care, we provide a full spectrum of diagnosis and treatment options for uterine fibroids tailored to support your fertility journey.

What Are Uterine Fibroids?

Uterine fibroids (also called leiomyomas or myomas) are non-cancerous tumors that grow in or on the uterus. They can vary in size from as small as a seed to as large as a melon, and women can have one or multiple fibroids.

They are classified based on their location:

• Intramural fibroids – within the uterine wall

• Submucosal fibroids – under the uterine lining (can most directly affect fertility)

• Subserosal fibroids – on the outer wall of the uterus

• Pedunculated fibroids – attached by a stem-like structure

How Common Are Fibroids?

According to studies, up to 70 percent of women will develop uterine fibroids by the age of 50. However, not all fibroids cause symptoms or impact fertility.

Do Fibroids Affect Fertility?

Yes, fibroids can affect fertility, especially when:

• They distort the uterine cavity or block fallopian tubes

• They interfere with embryo implantation

• They affect sperm movement or egg transport

• They lead to hormonal imbalances

• They increase the risk of early miscarriage

Fibroids are not always the cause of infertility, but in some women, they are a significant contributing factor.

Symptoms of Uterine Fibroids

Many fibroids are asymptomatic. However, when symptoms appear, they may include:

• Heavy or prolonged menstrual bleeding

• Pelvic pain or pressure

• Frequent urination

• Constipation

• Pain during intercourse

• Lower back pain

• Difficulty conceiving or repeated miscarriages

How Are Fibroids Diagnosed at New World Fertility?

At New World Fertility, we take a comprehensive approach to diagnosis:

1. Clinical History and Examination

We begin by reviewing your symptoms, menstrual history, and any history of pregnancy loss.

2. Pelvic Ultrasound

A transvaginal or abdominal ultrasound helps visualize the number, size, and location of fibroids.

3. Saline Infusion Sonography (SIS)

This test provides a clearer view of fibroids that distort the uterine cavity.

4. MRI Scan

In complex cases, MRI offers precise mapping of larger or multiple fibroids.

5. Hysteroscopy

This minimally invasive procedure allows direct visualization of the uterine cavity and treatment of certain fibroids.

Treatment Options for Uterine Fibroids at New World Fertility

Treatment depends on the severity of symptoms, size and location of fibroids, and whether you are planning pregnancy.

1. Medical Management

For mild cases or those not actively trying to conceive, we may prescribe medications to:

• Control bleeding (e.g., tranexamic acid)

• Regulate hormones (e.g., GnRH agonists or antagonists)

• Shrink fibroids temporarily before surgery

Note: These medications are not suitable for women actively trying to conceive.

2. Minimally Invasive Surgery

Hysteroscopic Myomectomy

Ideal for submucosal fibroids. This is a day-care procedure that removes fibroids from the uterine cavity without any external incision.

Laparoscopic Myomectomy

Recommended for intramural or subserosal fibroids. This keyhole surgery preserves the uterus and fertility potential.

3. Open Surgery

Open Myomectomy

Recommended for very large or multiple fibroids that are not suitable for laparoscopic removal. Though more invasive, it is effective for fertility restoration.

4. Uterine Artery Embolization (UAE)

This method blocks the blood supply to fibroids, causing them to shrink. However, it is not ideal for women planning pregnancy, as it may impact uterine and ovarian function.

Fibroids and IVF: What You Should Know

In women undergoing IVF, fibroids can:

• Reduce embryo implantation rates

• Increase miscarriage risk

• Cause uterine contractions that interfere with embryo attachment

At New World Fertility, we carefully evaluate the need for fibroid removal before starting IVF. In many cases, removing fibroids prior to IVF significantly improves the chances of success.

Real Patient Experience

"After two miscarriages and failed IVF cycles elsewhere, I came to New World Fertility. They diagnosed a submucosal fibroid that was never picked up. After a hysteroscopic removal, my next IVF cycle worked — and today I’m 18 weeks pregnant."
— Renu S., Delhi

Why Choose New World Fertility for Fibroid-Related Fertility Care?

• Led by experienced female fertility specialists

• Advanced diagnostic imaging and expert surgical care

• Personalized treatment planning based on fertility goals

• Integration with ART including IUI, IVF, and ICSI

• Patient-centered, holistic reproductive care

FAQs on Uterine Fibroids and Fertility

Q1: Can I get pregnant naturally with fibroids?
Yes, many women with fibroids conceive naturally, especially if fibroids are small and not distorting the uterine cavity.

Q2: Will I need surgery if I have fibroids?
Not always. Surgery is recommended when fibroids cause symptoms or impact fertility.

Q3: Can fibroids come back after surgery?
Yes, fibroids can recur, but recurrence is less likely with hormonal and lifestyle management.

Q4: How long should I wait to conceive after fibroid removal?
This depends on the type of surgery performed. Typically, a waiting period of 3 to 6 months is advised.

Take the First Step Toward Fertility with Confidence

At New World Fertility, we understand that no two women are the same. Our approach to uterine fibroids and fertility is based on scientific precision, compassionate care, and individualized solutions. If you’re struggling to conceive or have been diagnosed with fibroids, let our experts help you take the next step toward motherhood.

Visit our website: www.newworldfertility.com
Book your consultation today.