Dr. Dimple Doshi (MBBS, MD, DGO)
Gynecologist & Laparoscopic Surgeon
27+ years’ experience
20,000+ surgeries completed
If you’re trying to conceive—or you’re already pregnant—and you hear the word “fibroids”, it can instantly trigger fear: “Will I be able to get pregnant?” “Will my baby be safe?”
The truth is: many women with fibroids conceive naturally and have healthy pregnancies, but some fibroids can interfere with fertility or create pregnancy complications—mostly depending on size, number, and (most importantly) location.
Fibroids that are more likely to affect fertility and pregnancy include:
Fibroids sitting on the outer surface (subserosal) usually affect fertility the least—unless very large.
Read more: Types of Uterine Fibroids: Submucosal, Intramural & Subserosal (Explained Simply)
If a fibroid distorts the uterine cavity, it can alter the endometrial environment and reduce implantation rates—especially in:
Fibroids linked with higher miscarriage risk are usually:
Fibroids near the cervix or cornual region can:
In assisted reproduction, the strongest negative impact is seen with:
Fibroids can cause pregnancy pain due to:
This is frightening but often manageable with safe medications and rest.
If a fibroid lies close to the placenta or irritates the uterine lining, spotting/bleeding may occur.
Not all fibroids raise miscarriage risk. Risk increases mainly with cavity-distorting fibroids.
Large or multiple fibroids may over-distend the uterus, increasing risk of:
Fibroids can sometimes increase the risk of:
Fibroids—especially in the lower uterus—may cause:
Fibroids may increase the likelihood of C-section when they:
A fibroid uterus may not contract efficiently after delivery, increasing postpartum bleeding risk in some cases.
They can—especially in the first half due to hormonal influence—but growth is unpredictable:
Treatment is considered when fibroids are clearly linked to infertility or recurrent loss, such as:
Surgery names only :
When surgery is needed, 3D laparoscopy with the Karl Storz Rubina system helps improve precision, bleeding control, suturing quality, and recovery—especially valuable for women planning pregnancy.
Most fibroids in pregnancy are managed conservatively:
Myomectomy during pregnancy is uncommon and reserved for very specific situations.
Ans. Yes—many women do. Risk depends on whether the fibroid affects the uterine cavity, tubes, or implantation.
Ans. Submucosal, and intramural fibroids that distort the cavity.
Ans. No. Removal is considered when fibroids are likely causing infertility, miscarriages, cavity distortion, or repeated implantation failure.
Ans. Most babies are fine. Some pregnancies may face higher risks like preterm birth, malpresentation, or placental issues depending on fibroid type and location.
Ans. They can—especially if they distort the uterine cavity or are multiple/large in critical locations.
Fibroids are common—and they don’t automatically mean infertility or a high-risk pregnancy. The key is proper mapping (scan/MRI when needed), understanding cavity involvement, and planning the safest route—before conception or during pregnancy. With the right strategy, most women do very well.
If you’re in Goregaon West, Mumbai: you can consult Vardaan Hospital – Dr. Dimple Doshi for a fertility-focused fibroid evaluation and pregnancy planning, including advanced 3D laparoscopic options (Karl Storz Rubina system) when surgery is genuinely required.
Medical disclaimer: This blog is for awareness and does not replace a personalized consultation or ultrasound-based assessment.
