Can I get pregnant and have a baby if I have uterine fibroids?

Generally, women with small uterine fibroids that do not affect embryonic development due to their location may become pregnant and have children. However, large fibroids or those located in specific positions that interfere with pregnancy may prevent conception. If in doubt, it is recommended to seek medical advice in advance. Detailed analysis is as follows:

Uterine fibroids that are small in size and located subserosally or intramurally, without compressing the endometrium or fallopian tubes, and with regular menstrual cycles and normal ovarian function, generally do not affect fertilization or embryo implantation. Pregnancy may be attempted, with monitoring of fibroid changes during gestation.

Uterine fibroids larger than 5 cm or located submucosally or in the cervix may occupy uterine cavity space, hinder embryo implantation, or lead to restricted embryonic development and increased risk of miscarriage. In such cases, pregnancy should not be attempted directly. The fibroids should be treated first, followed by an evaluation of the possibility of pregnancy.

Women who discover they have uterine fibroids and plan to become pregnant should first undergo detailed examinations to determine the size and location of the fibroids. A physician should assess whether pregnancy is advisable, avoiding blind preparation for pregnancy which could lead to adverse outcomes.