Can I get pregnant with uterine fibroids?

Generally, whether a woman with uterine fibroids can become pregnant depends on the location, size, and number of the fibroids. It is recommended to seek timely medical consultation to determine the underlying cause and receive appropriate treatment under a doctor's guidance. Detailed analysis is as follows:

If the uterine fibroids are small in size, limited in number, and located in positions that minimally affect fertility, they generally do not impair a woman's ability to conceive. These types of fibroids cause minimal changes to the uterine environment and are unlikely to interfere with normal implantation and development of a fertilized egg. Therefore, under these conditions, women can attempt to conceive normally.

If the uterine fibroids are large in size or located within the uterine wall or submucosally, they may alter the shape of the uterus and the intrauterine environment, hindering embryo implantation or causing early miscarriage. In such cases, patients may need to undergo surgery or medication to reduce or remove the fibroids before attempting pregnancy.

A comprehensive gynecological examination should be performed before conception to clarify the size, location, and number of fibroids. If the fibroids are large, located in unfavorable positions, or accompanied by symptoms such as heavy menstrual bleeding or abdominal pain, it is recommended to undergo treatment first and wait until the condition stabilizes before attempting to conceive.