Fibroids and Fertility: Can You Still Get Pregnant With Fibroids?
This is the question I get asked most, and I understand why — it's rarely just a medical question, it's an emotional one. I lived it myself: a 12cm fibroid, and 7 years of trying before I conceived. You can read my full story here. What I want to share in this guide is the more complete, less frightening picture than "fibroids = can't get pregnant," because that's simply not accurate for most women.
It depends on where the fibroid actually is
Not all fibroids are the same, and where one sits in the uterus matters far more than the fact that it's there at all. There are three main types:
| Type | Where it grows | Typical fertility impact |
|---|---|---|
| Submucosal | Into the uterine cavity itself | Usually the biggest impact — can make conceiving or carrying a pregnancy harder |
| Intramural | Within the muscular uterine wall | Variable — depends on size and whether it distorts the cavity |
| Subserosal | On the outer surface of the uterus | Usually the least impact — doesn't typically affect the uterine cavity |
This is exactly why "I have a fibroid, can I get pregnant" doesn't have one universal answer — it genuinely depends on your specific scan, and it's worth asking your doctor directly which type you have rather than assuming the worst.
Pregnancy risks worth knowing about
Even when a fibroid doesn't prevent conception, it can sometimes raise the chance of complications like preterm birth, depending on its size, number, and location. This isn't meant to alarm you — it's meant to explain why doctors monitor fibroids more closely during pregnancy rather than ignoring them once you've conceived.
Do fibroids need to be removed before trying to conceive?
Not always. Some women conceive successfully with fibroids still present and untouched. Others are advised to address the fibroid — through surgery or another approach — before or during their fertility journey. This is a decision that has to be made with a doctor who has actually seen your scan and understands your specific case, not a blanket rule that applies to everyone.
Where root-cause support fits in
This is why every plan we offer takes a root-cause-first approach — supporting hormonal balance and overall body health alongside the fibroid itself, rather than treating the fibroid as the only variable. Our Complete Plan includes additional fertility-focused support for exactly this reason. It's not a fertility guarantee — I want to be honest about that — but it's the same approach that worked for me personally. Read more about that approach here.