Intramural fibroids are non-cancerous growths that develop within the wall of the uterus. These fibroids grow in the muscle layer of the uterus and can vary in size. Some are as small as a seed, while others can grow as large as a grapefruit. Many women have fibroids and don’t even know it, especially if the fibroids are small and do not cause symptoms.
Fibroids are quite common. They often appear during a woman’s reproductive years. Although they are not cancerous, they can affect fertility depending on their size, location, and number.
How Intramural Fibroids Affect Fertility
Whether or not you can get pregnant with intramural fibroids depends on several factors. Some women with these fibroids have no trouble getting pregnant. Others may face challenges. The reason lies in how the fibroids interact with the uterus and its ability to support a pregnancy.
Intramural fibroids that are small and not pressing on the uterine cavity usually do not interfere with pregnancy. However, larger fibroids or those that distort the shape of the uterus may make it more difficult for an embryo to implant or for a pregnancy to develop normally.
Fibroids may reduce blood flow to the uterus or to the lining where the embryo needs to attach. They might also interfere with the movement of sperm or eggs. In some cases, they can cause hormonal changes that affect ovulation.
Symptoms That May Affect Pregnancy
Some women with intramural fibroids experience heavy periods, pelvic pain, or pressure. Others may notice frequent urination or constipation if the fibroids press on the bladder or bowels. While these symptoms can be uncomfortable, their presence does not always mean infertility.
However, if a woman is trying to conceive and has these symptoms, it’s worth discussing with a doctor. The size and position of the fibroids may be affecting fertility in ways that are not obvious.
Diagnosing Intramural Fibroids
Doctors usually detect fibroids through imaging tests. The most common test is an ultrasound. It is simple, non-invasive, and helps doctors see the size and location of the fibroids. In some cases, a doctor may recommend an MRI to get a clearer picture.
Sometimes, a hysterosonogram (a special ultrasound with fluid in the uterus) or a hysterosalpingogram (an X-ray of the uterus and fallopian tubes) is done. These tests show whether the fibroids are changing the shape of the uterus.
Treatment Options Before Trying to Get Pregnant
If you have intramural fibroids and are having trouble getting pregnant, there are treatments available. The choice of treatment depends on your age, symptoms, the size and number of fibroids, and whether you plan to become pregnant soon.
One option is medication. Hormone treatments can shrink fibroids temporarily. These are not permanent solutions, and the fibroids may grow back after stopping the medication. They are sometimes used before surgery.
Another option is surgery. Myomectomy is the most common surgery for women who want to preserve their fertility. It involves removing the fibroids while leaving the uterus intact. Depending on the size and location of the fibroids, the surgery can be done through a small incision or through traditional open surgery.
There are also non-surgical methods like uterine artery embolization. This blocks the blood supply to the fibroids, causing them to shrink. However, this is not always recommended for women who want to have children, as it may affect the uterus.
Getting Pregnant with Intramural Fibroids
Many women with intramural fibroids get pregnant naturally. If the fibroids are small and not affecting the shape of the uterus, there is a good chance you can conceive without treatment. But if the fibroids are large or distort the uterine cavity, they may reduce fertility.
In these cases, removing the fibroids through surgery may improve the chances of conception. After surgery, doctors usually recommend waiting a few months before trying to get pregnant to allow the uterus to heal.
For women who are older or who have other fertility problems, assisted reproductive technologies like IVF (in vitro fertilization) may be considered. If fibroids are pressing into the cavity of the uterus, removing them may also improve the success rate of IVF.
Risks During Pregnancy with Intramural Fibroids
If you become pregnant with intramural fibroids, most pregnancies progress normally. However, there are some risks to be aware of.
Fibroids can grow during pregnancy because of increased blood flow and hormones. This growth can cause pain or cramping. In rare cases, fibroids may lead to miscarriage, especially if they interfere with the placenta or limit space in the uterus.
Some women with fibroids may have a higher chance of needing a cesarean section. Fibroids can block the birth canal or prevent the uterus from contracting properly during labor.
Placental problems may also occur if the fibroids are near where the placenta attaches. This can lead to issues like placental abruption, where the placenta separates too early.
Despite these risks, many women with fibroids have healthy pregnancies and deliver healthy babies. Regular prenatal care is important. Your doctor may monitor the fibroids throughout the pregnancy to watch for any changes.
Preparing for Pregnancy with Intramural Fibroids
If you have intramural fibroids and want to get pregnant, talk to a fertility specialist. They can assess your individual case and help you understand your options. Tests can show how the fibroids are affecting your uterus and whether treatment is needed before trying to conceive.
Maintaining a healthy weight, eating a balanced diet, and reducing stress can also support fertility. Some studies suggest that a diet rich in fruits, vegetables, and whole grains may help manage fibroid growth. Avoiding high-fat, high-sugar foods may also help balance hormones naturally.
You should also avoid smoking and limit alcohol and caffeine intake. These lifestyle choices can support your overall reproductive health.
Emotional Support and Patience
Trying to get pregnant with intramural fibroids can be emotionally stressful. You may feel frustrated, anxious, or uncertain. These feelings are normal. Seeking support from your partner, family, or a counselor can help you cope.
There are also support groups, both in person and online, where women share their experiences with fibroids and fertility. Knowing that others have gone through similar struggles—and found success—can offer hope.
Patience is also important. Whether you are trying to conceive naturally or with medical help, the process may take time. Taking steps to understand your body and your options can increase your chances of success.
When to See a Specialist
If you have been trying to get pregnant for a year without success—or six months if you are over 35—it’s time to see a fertility specialist. This is especially true if you know you have fibroids or are having symptoms like heavy bleeding or pelvic pain.
A specialist can evaluate your reproductive health, suggest treatment options, and work with you to create a personalized plan. Early action often leads to better outcomes.
The Bottom Line
Yes, you can get pregnant with intramural fibroids. Many women do. The key is understanding your condition, getting the right medical advice, and taking care of your body. If the fibroids are not causing major issues, pregnancy may happen naturally. If they are affecting your fertility, treatments like surgery can help.
Always talk to your doctor before starting any treatment. With the right care and support, many women with fibroids go on to have healthy pregnancies and happy families.
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