Fibroids and IVF: Should you remove them before treatment?

Uterine fibroids, those pesky growths that affect up to 70% of women, can be a major roadblock to achieving pregnancy. As an IVF hopeful, you’re probably wondering if removing them is the key to success. Let’s dive in and explore the world of fibroids, their impact on fertility, and how Bavisi Fertility Institute approaches treatment.

Understanding fibroids: Types and Impact

Fibroids can grow in various locations within the uterus, each with its own set of challenges:

Submucosal fibroids: These growths develop inside the uterine cavity and can interfere with implantation, cause heavy bleeding, and increase the risk of miscarriage.
Intramural fibroids: Growing within the uterine wall, these fibroids may affect uterine contractions and fertility.
Subserosal fibroids: Typically asymptomatic, these growths on the outside of the uterus may cause pressure or discomfort.

When are fibroids harmful?

Not all fibroids are created equal. Be aware of these red flags:

Size matters: Large fibroids (>5 cm) may cause issues with implantation, pregnancy, or delivery.
Location: Submucosal fibroids can be particularly problematic, while subserosal fibroids often aren’t a concern.
Symptoms: Heavy bleeding, pelvic pain, or pressure can indicate a problematic fibroid.
Fertility impact: Distortion of the uterine cavity or blockage of fallopian tubes can hinder conception.

To remove or Not to remove?

At Bavisi Fertility Institute, we take a customized approach. If the fibroid isn’t significantly impacting fertility or causing symptoms, we often recommend leaving it alone. Our goal is to achieve a healthy pregnancy, not unnecessary surgery.

Removal options:

Myomectomy: Surgical removal of the fibroid, often performed laparoscopically or hysteroscopically.

Uterine Artery Embolization (UAE): Minimally invasive procedure that cuts off blood supply to the fibroid.

Focused Ultrasound Surgery (FUS): Non-invasive treatment using high-frequency sound waves to shrink the fibroid.

Pre-IVF checklist:

Ultrasound Evaluation: Assess fibroid size, location, and impact on the uterine cavity.

Hysteroscopy: Visual examination of the uterine cavity to detect any abnormalities.

Symptom Evaluation: Assess the impact of fibroids on fertility and overall health.

Our Approach at Bavisi Fertility Institute

We prioritize your overall health and fertility goals. Unless the fibroid is significantly impacting your chances of conception or poses a risk to pregnancy, we’ll focus on IVF treatment first. Our expert team will guide you through every step, ensuring the best possible outcome for you and your future baby.

Case-by-Case Approach

Every patient’s situation is unique, and we’ll work with you to determine the best course of action. If removal is necessary, we’ll discuss the most suitable option for your specific case.

Conclusion

Fibroids do not have to stand in the way of your dream of parenthood. With the right diagnosis, timely treatment, and expert fertility guidance, many women with fibroids can successfully conceive and enjoy a healthy pregnancy. At Bavishi Fertility Institute, we are committed to providing personalized care, advanced fertility solutions, and compassionate support at every stage of your journey.

If you are struggling with fibroids and planning for pregnancy, book a consultation with the fertility experts at Bavishi Fertility Institute today and take the first step toward building your family with confidence.

Author Bio

Dr. Parth Bavishi

Dr. Parth Bavishi, MD in Obstetrics and Gynecology, brings over 12 years of invaluable work experience to his role as Director of Bavishi Fertility Institute, leading a group of IVF clinics committed to helping couples realise their dreams of parenthood.

Bavishi Fertility & Institute, is dedicated to provide customised and personalised treatments which are simple, safe , smart and successful.Bavishi Fertility & Institute, works with success and satisfaction for all at heart. Providing an ideal blend of professional treatment and personalised care.

Dr. Parth had special training in infertility at Bavishi Fertility & Institute, the Diamond Institute, USA, and the HART Institute, Japan.

Dr. Bavishi is a distinguished expert in his field. In addition to his clinical practice, Dr.Bavishi is the author of the acclaimed book, ‘Your Miracle in Making: A Couple’s Guide to Pregnancy,’ offering invaluable insights to couples navigating the complexities of fertility. He loves to empower patients to make the correct choice by education both online and offline.

His exceptional contributions have earned him the prestigious Rose of Paracelsus award from the European Medical Association. Dr. Parth has been an invited faculty at many national and international conferences.