Fibroids and Infertility

Mohamed T

Published on: 2024-02-14

Abstract

Fibroids or leiomyomas are extremely common and are said to be the most frequent benign tumor of the female genital tract. The clinical manifestations vary from abnormal uterine bleeding to causing pain and pressure symptoms and sometimes even urinary symptoms.

Fibroids may also cause pregnancy related problems including infertility, recurrent miscarriage, and other obstetric complications.

Approximately 5-10% of infertile women will have associated fibroids and it may be the only cause of infertility in about 1-2.4% of women [1]. The association between fibroids and infertility is undeniable; however, it is difficult to prove a direct causal relationship and hence this has been a subject of debate for many years.

To date there are also many conflicting studies related to fibroids and infertility, the effects of fibroids and the correct management thereof with regards to improving fertility.

Hence, from the review of the current and past literature there are several factors that one must consider when dealing with an infertile patient with fibroids.