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Fibroid

Discussion in 'All Categories' started by Alka - Aug 9th, 2025 7:37 am.
Alka	I am having fibroid in my uterus. Can fibroids cause infertility or complications in pregnancy? Can laparoscopic or robotic surgery be done in my case?
re: Fibroid by Dr. B. S. Bhalla - Aug 9th, 2025 7:38 am #1
Dr. B. S. Bhalla	Fibroids, also known as uterine leiomyomas, are non-cancerous growths in the uterus that can vary in size and number. Whether they cause infertility or complications in pregnancy depends on their location, size, and number. Submucosal fibroids (those that grow into the uterine cavity) can interfere with implantation of the embryo, cause recurrent miscarriages, or lead to difficulty conceiving. Large fibroids can distort the uterine cavity or block the fallopian tubes, making it harder for sperm to reach the egg. During pregnancy, fibroids may increase the risk of miscarriage, preterm birth, abnormal fetal position, placental abruption, and heavy bleeding during delivery. If you are trying to conceive or planning pregnancy, your gynecologist will assess whether your fibroid is affecting your fertility or posing a pregnancy risk. This evaluation is usually done through ultrasound or MRI to determine the exact position and size of the fibroid. Regarding treatment, laparoscopic myomectomy (minimally invasive removal of fibroids) is a good option for many women, especially if fertility preservation is a priority. This procedure involves small incisions, less postoperative pain, and faster recovery compared to open surgery. However, laparoscopic surgery is most suitable for fibroids that are fewer in number and of moderate size. For larger or multiple fibroids, the surgeon may still attempt laparoscopy if they have advanced skills or opt for robotic-assisted myomectomy, which offers more precision and better visualization. Robotic surgery can be particularly useful for complex fibroid locations while maintaining a minimally invasive approach. Your suitability for laparoscopic or robotic surgery depends on factors such as fibroid size, location, number, depth within the uterine wall, and your reproductive goals. Therefore, a detailed consultation with an experienced gynecologist or minimally invasive surgeon is essential to choose the safest and most effective treatment option while protecting fertility and minimizing risks.