Does uterine fibroids affect IVF?

Uterine fibroids are a benign tumor. Most women with this disease will experience symptoms such as abnormal menstruation, excessive vaginal discharge, and lower abdominal pain. If you want to know whether uterine fibroids have any impact on women's test tube fertilization, it is generally determined based on the size and location of the uterine fibroids. If the size and location of the uterine fibroids have an impact on implantation, it is generally necessary to treat it first and then do test tube fertilization.

Uterine fibroids are one of the most common tumors in the human body, with a cancer rate of approximately 3/1000. For uterine fibroids, submucosal fibroids will have symptoms of increased menstrual flow. Other intramural uterine fibroids and subserosal uterine fibroids, unless they grow relatively large, generally will not have their own symptoms. If they grow relatively large, abdominal lumps will appear, and there may also be increased leucorrhea, lower abdominal pain, etc.

The incidence of uterine fibroids in women over 30 years old is 20%-25%. One of the biggest hazards of uterine fibroids to women is that it affects pregnancy. Some uterine fibroids are associated with infertility or miscarriage. The impact on conception and pregnancy may be related to the growth location, size and number of the fibroids.

The impact of uterine fibroids on IVF is determined by the size and location of the uterine fibroids. If there is no impact, there is no need for treatment and the test tube cycle can be started directly; if the location and size of the uterine fibroids affect embryo implantation, the doctor will perform corresponding treatment based on the patient's condition to increase the success rate of test tube babies.

If the diameter of the fibroid is greater than 5 cm, it is recommended to undergo surgery first and then assisted pregnancy

Uterine fibroids are divided into submucosal fibroids, intramural fibroids, and subserosal fibroids according to the growth part. Whether surgery is needed before in vitro fertilization depends mainly on the size of the uterine fibroids and the extent of their impact on the endometrium. Therefore, for fibroids with a diameter >5cm, it is recommended to undergo surgery first and then IVF.

Submucosal fibroids can affect embryo implantation, so surgery must be performed first. Small ones can be treated with hysteroscopy. For submucosal fibroids with a diameter ≥ 4 cm and protruding into the muscle wall, laparoscopic surgery is recommended.

Small intramural fibroids do not require treatment, but large intramural fibroids require surgery if they affect the endometrium. The surgery is generally performed by laparoscopy or laparotomy. The principle of the surgery is to remove the fibroids as completely as possible without damaging the endometrium.

Subserosal fibroids do not affect the success rate. Depending on the different growth sites of the fibroids, after myomectomy, pregnancy can be achieved one month after surgery for subserosal fibroids and some submucosal fibroids, and 3-6 months after surgery for intramural fibroids. If the intramural fibroids are close to the endometrium or penetrate the uterine cavity during surgery, pregnancy will take one year to occur.

The impact of uterine fibroids on IVF is determined by the size and location of the uterine fibroids. If there is no impact, no treatment is necessary; if it affects embryo implantation, the doctor will give appropriate treatment based on your situation to improve the success rate of IVF transplantation. Therefore, women who are preparing for pregnancy or planning to have in vitro fertilization need to do relevant examinations in advance and prepare for pregnancy scientifically according to the doctor's advice.