Fibroids and Fertility: Causes,Symptoms and how IVF can help

7/15/2025 2:15:00 PM   Lotus IVF Team   

Fibroids are noncancerous growths in the uterus that affect many women during their reproductive years. Often benign, fibroids can lead to heavy periods, pelvic pain, and even infertility in some cases. If you’re wondering whether to manage fibroids medically or consider surgery for fibroids, or even IVF at Lotus IVF, this article is here to help.

What Are Fibroids?

Fibroids (also called uterine leiomyomas) are smooth-muscle tumors that develop in or around the uterus. They vary in size—from microscopic to several inches in diameter. Their impact depends on the type and location:

• Intramural fibroids grow within the uterine wall
• Subserosal fibroids extend outward
• Submucosal fibroids extend into the uterine cavity and often affect conception

Our team at Lotus IVF monitors any presence of fibroids and assesses how they may influence fertility treatment options.

Causes of Fibroids

Understanding the causes of fibroids helps in prevention and treatment. Key contributing factors include:

1. Hormonal imbalances: Fibroids are driven by estrogen and progesterone.
2. Genetics: A family history strongly increases risk.
3. Obesity and diet: High-fat diets and excess weight are associated with a greater incidence.
4. Early menstrual onset: Starting periods at a younger age raises the risk.
5. Vitamin D deficiency: Some research links low Vitamin D levels to fibroid development.

At Lotus IVF, we incorporate evaluation of these causes of fibroids during fertility consultations to create more effective treatment plans.

Symptoms of Fibroids

Some women with fibroids are entirely symptom-free, while others notice clear warning signs. Common symptoms of fibroids include:

• Heavy or prolonged menstrual bleeding
• Pelvic pressure or discomfort
• Pelvic pain and bloating
• Frequent urination or difficulty emptying the bladder
• Constipation and lower back pain
• Pain during intercourse
• Trouble conceiving or recurrent miscarriages

Early detection of these symptoms of fibroids is important. Our specialists at Lotus IVF use ultrasound and symptom review to tailor treatment guidance.

When Is Surgery for Fibroids Needed?

Treatment depends on severity. In several cases, surgery for fibroids becomes necessary:

1. Large fibroids causing pain or bleeding
2. Rapidly growing fibroids or those distorting the uterine cavity
3. Infertility related to fibroids, especially submucosal types
4. Failed medical treatment or persistent anemia
5. Post‑menopausal fibroids that continue to grow

The decision to perform surgery for fibroids is always personalized—especially when fertility preservation is a priority. Lotus IVF partners with experienced gynecologic surgeons for minimally invasive procedures that preserve reproductive potential.

Types of Surgery for Fibroids

Common surgical treatments include:

• Myomectomy: Removes fibroids while preserving the uterus—ideal for women wishing to conceive
• Hysterectomy: Removes the entire uterus; used when childbearing is complete
• Hysteroscopic removal: Targets submucosal fibroids via the vagina
• Uterine artery embolization (UAE): Minimally invasive option that cuts blood supply to fibroids

At Lotus IVF, we assess each case thoroughly to recommend the most suitable choice and refer to trusted surgical partners when necessary.

IVF: When to Consider It After Fibroid Treatment

Fibroids don’t always cause infertility. However, when they interfere with tubal function, distort the uterine cavity, or cause repeated pregnancy loss, IVF may be helpful.

Here’s how IVF steps in:

• Bypasses tubal blockage caused by fibroids
• Enables embryo placement in a prepared uterine lining after fibroid removal
• Improves pregnancy rates, especially when submucosal fibroids are treated first

At Lotus IVF, our fertility experts guide patients through customized IVF protocols following appropriate fibroid treatment. This combined approach often enhances success rates.

Do All Fibroids Affect Fertility?

No. Not all fibroids compromise conception. Smaller, stable fibroids often pose no fertility risk. The main concern is when fibroids distort the uterine shape or block the fallopian tubes—that’s when fertility is affected.

If you experience patterns of symptoms of fibroids, such as recurrent miscarriage or irregular periods, our medical team will evaluate whether surgery for fibroids or IVF is necessary.

Freestanding Lifestyle Tips

Lifestyle changes may support uterine health and reduce fibroid growth risk:

• Maintain a healthy weight
• Regular exercise
• Limit red meat and processed foods
• Increase intake of vegetables and whole grains
• Ensure adequate Vitamin D
• Reduce alcohol and caffeine

These measures, recommended by Lotus IVF, help support treatment plans and overall reproductive wellness—especially when trying to minimize the impact of fibroids.

Choosing the Right Specialist

If you suspect fibroids might be affecting your fertility, here’s who to see:

• Gynecologist: For initial diagnosis
• Reproductive endocrinologist: For fertility planning and IVF
• Gynecologic surgeon: Surgery for fibroids is needed
• Interventional radiologist: For embolization or non-surgical procedures

Lotus IVF provides integrated care with a fertility-focused team, surgical partners, and full diagnostic support under one roof.

Conclusion

When managed properly, fibroids need not prevent pregnancy. By combining careful evaluation with appropriate medical or surgical treatment, successful conception is within reach. Surgery for fibroids, when indicated, can restore uterine function and pave the way for IVF if needed.

At Lotus IVF, we take a patient-first approach, helping women navigate the challenges of fibroids with expert guidance, noninvasive treatment options, and personalized fertility solutions. Whether you're dealing with symptoms of fibroids, considering surgery for fibroids, or evaluating IVF for conception, Lotus IVF offers compassionate, comprehensive care.

If fibroids are weighing on your fertility journey, contact Lotus IVF today to explore your options and begin the path toward a successful pregnancy.

Top 10 FAQs: Fibroids, Fertility & IVF | Lotus IVF

Q1. Can fibroids stop me from getting pregnant?

A1. Yes, fibroids can block the fallopian tubes or affect embryo implantation, reducing natural fertility.

Q2. How do I know if fibroids are affecting my fertility?

A2.If you face heavy periods, pelvic pain, or trouble conceiving, fibroids may be involved.

Q3. Can I do IVF if I have fibroids?

Q3. Yes. Many women with fibroids conceive via IVF. Success depends on the fibroids' size and location.

Q4. Do all fibroids need removal before IVF?

A4. No. Only those affecting the uterine cavity or large fibroids may require surgery

Q5. Can fibroids grow during IVF or pregnancy?

Q5. Yes. Hormonal changes during IVF or pregnancy can make fibroids grow

Q6. What symptoms suggest fibroids are affecting fertility?

Q6. Heavy bleeding, pelvic pain, miscarriages, or failed IVF cycles are key signs

Q7. Is surgery the only option?

Q7. Not always. Small or harmless fibroids can be managed medically or monitored.

Q8.Can small fibroids cause IVF failure?

Q8.Yes, if they distort the uterine lining or affect implantation areas

Q9. How does Lotus IVF treat fibroid cases?

A9.We assess each patient with scans and suggest IVF, medication, or surgery based on need.

Q10.Which is better – IVF or surgery?

A10. It depends. Some cases need fibroid removal before IVF; others can proceed directly.