Uterine fibroids (leiomyomas quot; in medical jargon) are very common. There were a number of them removed when I was in my top 30 and I think my healthy lifestyle to avoid more new fibroids grow. Here is an article about how fibroids may impair fertility: uterine leiomyomas InfertilityElizabeth J. SmallPal, MD, Halina Wiczyk, MD (www.femalepatient.com) from Article: theories about how leiomyomas may impair fertility revolve around two main mechanisms: obstruction of gamete transport, and deployment of deterioration. Fibroids may affect sperm and ova transport in several ways. An intramural leiomyoma can block the fallopian endocervix or holes. A large posterior fibroid may interfere with the normal anatomical relationship between the tube and ovary. An enlarged uterus by leiomyomas may have a higher cavity, increasing the distance that sperm have to migrate. Contractility secondary to dysfunctional uterine myomas can also interfere with sperm migration and ovum transport. Even if the sperm can fertilize an egg, leiomyomas may prevent implantation by distortion of the cavity, affecting the blood supply to the endometrium, and worrying for endometrial thinning, ulceration, hyperplasia, inflammation or atrophy. The impact on the transport of egg and sperm can be overcome by in vitro fertilization (IVF), but the potential negative impact on the implementation of leiomyomas raises the question whether they should be removed routinely in infertile patients, particularly those undergoing assisted reproduction technique (ART). br br
