Can I get pregnant with uterine fibroids?

Jul 10, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, whether a patient with uterine fibroids can become pregnant mainly depends on the location, size, and number of the fibroids. It is recommended to seek timely medical attention and undergo symptomatic treatment under a doctor's guidance. Patients are advised to undergo a comprehensive gynecological examination before conception and develop a personalized treatment plan under medical supervision. At the same time, maintaining good lifestyle habits, such as a balanced diet and avoiding stress, is also recommended.

Generally, whether a patient with uterine fibroids can become pregnant mainly depends on the location, size, and number of the fibroids. It is recommended to seek timely medical advice and undergo symptomatic treatment under a doctor's guidance. Detailed analysis is as follows:

When uterine fibroids are small and located within the uterine muscular layer without protruding into the uterine cavity, or are situated on the outer side of the uterus, these types of fibroids have minimal impact on the endometrium and generally do not directly affect fertility.

As fibroids grow larger, the pressure exerted on the uterus and surrounding tissues intensifies, increasing the risk of adverse pregnancy outcomes. Multiple fibroids tend to disrupt the uterine environment more severely than solitary fibroids, making them more likely to cause infertility, miscarriage, and other issues. In such cases, it is necessary to cooperate with a doctor to undergo fibroid removal surgery to help alleviate symptoms.

Patients are advised to undergo a comprehensive gynecological examination before attempting conception and to develop a personalized treatment plan under the guidance of a healthcare professional. Additionally, maintaining healthy lifestyle habits, such as balanced nutrition and stress reduction, can help improve the chances of successful pregnancy.