Uterine fibroids: Understanding the disease and its impact on fertility

Uterine fibroids are a common health concern, particularly among women of reproductive age. These benign tumors of the uterus, while often asymptomatic, can have a significant impact on fertility and overall quality of life. At NatuVitro, we specialize in addressing the fertility challenges posed by uterine fibroids. 

1: Understanding Uterine Fibroids

Uterine fibroids are benign tumors that develop from the muscle tissue of the uterus. The development of fibroids is influenced by hormonal and genetic factors. Women may experience symptoms such as heavy menstrual bleeding, pelvic pain, and reproductive issues, depending on the size, number, and location of the fibroids.

2: Causes and Risk Factors

The exact cause remains unknown, but several factors are identified as potential contributors:

• Hormonal Influence: Estrogen and progesterone, key hormones in the development of the uterine lining, are considered to promote the growth of fibroids.
• Genetic Factors: A family history of fibroids increases the risk, suggesting a genetic component.
• Lifestyle and Environmental Factors: Age, ethnicity, diet, and obesity are also considered influential.

3: Symptoms and Diagnosis

Symptoms vary, but the most common include:

• Menstrual Changes: Heavier and prolonged periods or bleeding between periods.
• Pelvic Pain and Pressure: Ranging from mild discomfort to severe pain.
• Urinary and Intestinal Issues: Increased frequency of urination, difficulty emptying the bladder, and constipation.
• Reproductive Challenges: Infertility and recurrent miscarriages.

Diagnosis typically involves pelvic exams, ultrasounds, or advanced imaging techniques such as MRI.

4: Treatment Options for Uterine Fibroids

The choice of treatment depends on the severity of symptoms, the size and location of the fibroids, age, and reproductive goals:

Medications: Aimed at managing symptoms or shrinking fibroids, medications may include hormonal treatments such as birth control pills, Gonadotropin-Releasing Hormone (GnRH) agonists, and progesterone-releasing intrauterine devices.

Non-Invasive Procedures: MRI-guided focused ultrasound surgery (FUS) uses high-frequency sound waves to destroy fibroid tissue without incisions.

Minimally Invasive Surgery: Procedures like laparoscopic myomectomy involve the removal of fibroids while preserving the uterus, which is beneficial for women wishing to conceive.

Conventional Surgery: In cases where fibroids are large or symptoms are severe, a hysterectomy, the complete removal of the uterus, may be the most effective treatment. This option, however, eliminates the possibility of pregnancy.

5: Impact on Fertility and Pregnancy

Fibroids can affect fertility in several ways:

• Obstruction of the Reproductive Tract: They can block the fallopian tubes or distort the uterine cavity, hindering the movement of sperm or implantation of the embryo.
• Impact on Uterine Function: Large fibroids can interfere with the uterus's ability to contract, affecting implantation and increasing the risk of miscarriage.

Fertility Solutions at NatuVitro

At NatuVitro, we offer specialized fertility treatments for women with uterine fibroids:

In Vitro Fertilization (IVF): Our IVF treatment offers hope for women whose fibroids interfere with natural conception. By fertilizing the egg outside the body and then implanting it into the uterus, IVF bypasses many of the challenges posed by fibroids.

IVF with Preimplantation Genetic Testing (PGT): This option involves genetic screening of embryos before implantation. It is particularly beneficial for those with a history of miscarriages, often linked to fibroids.

IVF with Egg Donation: For women facing significant fertility challenges due to fibroids or age-related factors, egg donation is a viable path to pregnancy. It involves using eggs from a donor, which are then fertilized with the partner's or a donor's sperm.

NatuVitro's Approach

Our approach at NatuVitro is holistic and patient-centered. We understand the emotional and physical complexities associated with managing fibroids and infertility. Our team, equipped with advanced technologies and expertise, ensures that each patient receives a personalized treatment protocol, offering the best chances of achieving a successful pregnancy.

Uterine fibroids present a unique set of challenges, particularly in the context of fertility. At NatuVitro, we are committed to helping our patients overcome these challenges. With our specialized treatments and compassionate care, we strive to turn the dream of parenthood into reality for those affected by uterine fibroids. If you are facing fibroids and fertility issues, we invite you to join us on a journey toward starting or expanding your family.