Uterine fibroids Or Myomas occur in up to 30% of reproductive age women. But fortunately, the vast majority of fibroids are asymptomatic and do not require treatment. A critical and still unsolved question in this field is the relationship between fibroids and infertility. It is essential to clarify whether these tumours affect fertility and, if so, which kind of fibroids deserves treatment. Although most women affected with fibroids are fertile, fibroids may interfere with fertility largely by the location and size of the fibroid.
Classification of fibroids
- Submucous fibroids: are those that distort the uterine cavity. fertility outcomes are decreased in women with submucosal fibroids, and removal seems to confer benefits.
- Subserosal: fibroids do not affect fertility outcomes, and removal does not confer benefits.
- Intramural fibroids appear to decrease fertility, but the results of therapy are unclear.
How fibroids can impact fertility
It is generally believed that fibroids may interfere with sperm migration, ovum transport, and embryo implantation. In addition, local inflammation associated with the presence of submucosal fibroids may result in a hostile endometrial environment that impairs sperm transport and embryo implantation. An inadequate blood supply to the endometrium has also been advocated to explain reduced embryo implantation.
