How fibroids affect fertility
Uterine fibroids are the most common benign tumours in women of reproductive age and are frequently seen in women facing infertility or recurrent pregnancy loss. Studies show that women with fibroids have lower clinical pregnancy, implantation, ongoing pregnancy and live birth rates, and higher miscarriage rates than those without fibroids, especially when the uterine cavity is distorted.
Key mechanisms include:
- Distortion of the uterine cavity by submucosal and large intramural fibroids, making it harder for the embryo to implant.
- Changes in endometrial receptivity and local blood flow, which can reduce implantation and increase early pregnancy loss.
- Mechanical blockage of the fallopian tubes or cervix in some cases, interfering with sperm transport or embryo passage.
Submucosal fibroids (those that project into the uterine cavity) have the clearest negative impact on fertility and IVF outcomes, while large intramural fibroids that distort the cavity also significantly reduce live birth rates.
Why laparoscopic myomectomy is a fertility‑friendly option?
When fibroids are identified as a likely cause of infertility or recurrent miscarriage, removing them while preserving the uterus is often recommended, especially for women who wish to conceive. Laparoscopic myomectomy (fibroid removal done via keyhole incisions) is a form of Laparoscopic Surgery for Fibroids that combines effective fibroid removal with all the advantages of Minimally Invasive Surgery.
Compared with open myomectomy, laparoscopic myomectomy offers:
- Reduced blood loss and postoperative pain.
- Shorter hospital stay and faster return to normal activities and fertility planning.
- Lower adhesion formation, which is crucial because pelvic adhesions can themselves impair fertility.
Large reviews and recent clinical studies report high pregnancy and live birth rates after laparoscopic myomectomy often exceeding 50–70% among women actively trying to conceive, with low rates of serious complications such as uterine rupture. These outcomes position minimally invasive myomectomy as a cornerstone fertility‑preserving treatment in appropriately selected patients.
How Laparoscopic Surgery for Fibroids can improve fertility?
Laparoscopic myomectomy performed by experienced best laparoscopic surgeons can improve fertility in several ways:
- Restoring normal uterine cavity shape: Removing submucosal and cavity‑distorting intramural fibroids can improve implantation rates and reduce miscarriage.
- Enhancing endometrial receptivity: By reducing fibroid‑related inflammation and pressure, surgery can normalize blood flow and endometrial function.
- Reducing symptoms that hinder conception: Heavy bleeding, pain and pelvic pressure often improve after surgery, making timed intercourse or fertility treatments easier.
- Optimising IVF outcomes: In women planning IVF, removing problematic fibroids has been associated with better implantation and live birth rates in many series.
Because every woman’s situation is unique, the decision to operate depends on fibroid size, number, location, symptoms and reproductive plans, and should be taken after detailed evaluation by a specialist.
Why choose Minimally Invasive Surgery with expert surgeons in Meerut?
Conventional laparoscopy and other minimally invasive myomectomy techniques (including single‑port or robot‑assisted approaches) show comparable or better fertility outcomes than open surgery when performed by skilled surgeons, with similarly low rates of uterine rupture and obstetric complications. These techniques exemplify modern Laproscopic Surgery, delivering precise fibroid removal while preserving healthy uterine tissue.
Dr. Medhavi Tomar is a senior general and laparoscopic surgeon at Star Hospital, Meerut, with more than four decades of surgical experience and a strong focus on laparoscopic and minimal access surgery. As one of the best laparoscopic surgeons in Meerut, he and his team offer advanced Laparoscopic Surgery options for conditions such as fibroids, endometriosis, hernias and gastrointestinal problems, emphasizing accurate diagnosis, patient‑centred care and faster recovery. Working alongside Dr. Monika Singh Tomar, the team provides comprehensive minimally invasive care tailored to women seeking both symptom relief and fertility preservation.
When to discuss surgery with a specialist
You should consider consulting a fertility‑oriented laparoscopic surgeon—if you have fibroids and:
- Have been trying to conceive for 12 months (or 6 months if over 35) without success.
- Have recurrent miscarriages, especially with known cavity‑distorting fibroids.
- Experience very heavy periods, anaemia, pelvic pain or pressure that affect quality of life.
- Are planning IVF and have fibroids identified on ultrasound or MRI.
A detailed fertility work‑up, imaging (TVS/MRI) and discussion of options including observation, medication, and Laparoscopic Surgery for Fibroids will help you choose the safest, most effective path to pregnancy.
Conclusion
Uterine fibroids can significantly impact fertility by distorting the uterine cavity, reducing implantation and increasing miscarriage, but well‑planned Laparoscopic Surgery for Fibroids offers a proven, fertility‑preserving solution with excellent pregnancy and live birth outcomes when performed by experienced minimally invasive surgeons.
For those seeking expert care, visit our clinic in Meerut or call us to book an appointment with Dr. Medhavi Tomar and Dr. Monika Singh Tomar for advanced Minimally Invasive Surgery and diagnosis.