- Submucosal and cavity-indenting fibroids most affect fertility.
- Wait 3–6 months to conceive after major myomectomy.
- Share the operative report with your obstetrician.
How fibroids affect fertility
Submucosal fibroids reduce implantation rates by around 40% and increase miscarriage risk. Intramural fibroids that indent the cavity have a smaller but real effect. Subserosal fibroids rarely affect fertility unless they are very large.
Myomectomy and pregnancy outcomes
Removing cavity-distorting fibroids reliably improves pregnancy rates and reduces miscarriage. After hysteroscopic removal, most couples can try to conceive after one menstrual cycle. After laparoscopic or open myomectomy, most surgeons advise waiting 3–6 months for uterine wall healing.
Pregnancy after myomectomy
After significant uterine wall reconstruction, elective caesarean is commonly recommended to reduce the small risk of uterine rupture in labour. Your operative note guides that decision — a detailed report from the myomectomy surgeon is essential to share with your obstetrician.
Frequently asked questions
How long before I can try to conceive?
1–2 months after hysteroscopy; 3–6 months after laparoscopic or open myomectomy.
Will I need a caesarean?
Often yes, especially after multiple or deep uterine incisions. Your operative report will guide the obstetric decision.
Can fibroids return during pregnancy?
Existing residual fibroids can grow with pregnancy hormones, but new fibroids rarely develop in that timeframe.
Could a doctor-led plan help you?
A 30-minute video consultation with Dr Berra Önsoy — reviewing your imaging and giving you a clear personalised plan for uterus-sparing fibroid surgery.
Request a video consultation