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Can Uterine Fibroids Cause Infertility or Pregnancy Issues?

Yes, uterine fibroids can contribute to infertility and pregnancy complications, but not all fibroids cause these issues. The location and size of the fibroids play a critical role in their potential to affect fertility. Submucosal fibroids, which develop just underneath the uterine lining, are the most likely to cause fertility problems. These fibroids can interfere with embryo implantation or cause disruptions in the blood flow to the uterus, making it harder to maintain a pregnancy. In addition, large fibroids or those that alter the shape of the uterus may prevent sperm from reaching the egg or block the fallopian tubes, leading to infertility.

Regarding pregnancy, fibroids can cause several complications, including miscarriage, preterm labor, or abnormal fetal positioning. Fibroids may also lead to excessive bleeding during labor and delivery. While many women with fibroids can have healthy pregnancies, those with significant fibroid-related issues may need medical intervention or careful monitoring throughout their pregnancy. If fibroids are causing fertility problems, treatment options such as surgery or procedures to shrink the fibroids may be recommended. However, each case is unique, and a healthcare provider can guide a patient in making the best decision for her reproductive health.