For women trying to conceive, an endometriosis diagnosis can raise many questions. Does having endometriosis mean you cannot get pregnant? How does it affect fertility? And what treatment options are available?

The good news is that endometriosis does not automatically mean infertility. Many women with the condition conceive naturally, while others may need medical support to improve their chances.

What Is Endometriosis?

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. These growths may develop on the ovaries, fallopian tubes, pelvic lining and other nearby structures.

Unlike the normal uterine lining, this tissue has no easy way to leave the body during menstruation. It can contribute to inflammation, irritation, scar tissue and adhesions.

Common symptoms include:

• Severe menstrual cramps
• Chronic pelvic pain
• Pain during or after sex
• Pain with bowel movements or urination, particularly around menstruation
• Heavy or irregular bleeding
• Difficulty getting pregnant

Some women, however, have very few symptoms or none at all.

How Does Endometriosis Affect Fertility?

Endometriosis can affect fertility in several ways. The impact depends on its location, severity and whether the ovaries or fallopian tubes are involved.

• Inflammation: Endometriosis can cause inflammation within the pelvis, potentially affecting the environment needed for fertilisation and early embryo development.
• Scar tissue and adhesions: Bands of scar tissue may cause pelvic organs to stick together or change their normal position. This can interfere with the movement of the egg and the function of the fallopian tubes.
• Ovarian involvement: Endometriosis can cause ovarian cysts called endometriomas. These may affect ovarian tissue and, in some cases, reduce ovarian reserve.
• Possible effects on egg quality and implantation: Changes associated with endometriosis may affect reproductive processes, although the exact mechanisms are still being studied.

Not every woman with endometriosis experiences these fertility problems, and the condition does not affect everyone in the same way.

Can You Get Pregnant With Endometriosis?

Yes. Many women with endometriosis become pregnant naturally and go on to have healthy pregnancies.

However, some may take longer to conceive or need fertility treatment. The chances of pregnancy depend on factors such as age, ovarian reserve, the condition of the fallopian tubes, the severity of endometriosis and the fertility health of both partners.

Having endometriosis does not mean you should give up on the possibility of having children.

How Is Endometriosis-Related Infertility Evaluated?

If you have endometriosis and are finding it difficult to conceive, a healthcare provider may recommend a fertility evaluation.

This may include:

• Reviewing your menstrual history, symptoms and previous pregnancies.
• Pelvic examination and imaging, such as transvaginal ultrasound, to look for endometriomas or other signs of endometriosis.
• Blood tests, including ovarian reserve assessment when appropriate.
• Evaluation of the fallopian tubes and uterus when indicated.
• A semen analysis for your partner, since fertility involves both partners.

A normal ultrasound does not completely rule out endometriosis. Your provider will consider your symptoms and medical history when deciding whether further evaluation is needed.

Treatment Options for Women With Endometriosis Who Want to Conceive

Treatment depends on your fertility goals, age, symptoms and the extent of the condition. Options may include:

• Surgery: In selected cases, laparoscopic surgery may remove endometriosis growths, adhesions or ovarian cysts. However, surgery involving the ovaries can sometimes reduce ovarian reserve, so the benefits and risks should be discussed carefully.
• Fertility medications and treatment: Depending on your circumstances, assisted reproductive options such as intrauterine insemination (IUI) or in vitro fertilisation (IVF) may be considered.
• Individualised fertility planning: Some women may benefit from trying to conceive naturally for a period, while others may need earlier fertility specialist involvement.

Hormonal treatments can help manage endometriosis symptoms, but they generally prevent pregnancy while being used and do not improve natural fertility during treatment.

When Should You See a Gynecologist?

Consider speaking with a gynecologist if you experience severe menstrual pain, ongoing pelvic discomfort, pain during sex or difficulty getting pregnant.

If you have known or suspected endometriosis, you do not necessarily need to wait until you have tried to conceive for a year before discussing your fertility concerns. Women with known fertility-related conditions may benefit from earlier evaluation.

Your Fertility Journey Deserves Attention

Endometriosis can make getting pregnant more challenging for some women, but it does not take away the possibility of motherhood. Understanding the condition, getting an appropriate evaluation and discussing your options with a healthcare provider can help you make informed decisions.

You deserve care that takes both your symptoms and your future fertility goals seriously.

Schedule your women’s health consultation with IVANA MD in Missouri City, TX.

346-585-4077

4220 Cartwright Road, Suite 201, Missouri City, Texas 77459

References

Becker, C. M., et al. (2022). ESHRE guideline: Endometriosis. Human Reproduction Open, 2022(2), hoac009. https://doi.org/10.1093/hropen/hoac009?utm_source 

Hamdan, M., et al. (2015). The impact of endometrioma on IVF/ICSI outcomes: A systematic review and meta-analysis. Human Reproduction Update, 21(6), 809–825. https://doi.org/10.1093/humupd/dmv035?utm_source 

National Institute for Health and Care Excellence (NICE). Endometriosis: Diagnosis and management (NG73).https://www.nice.org.uk/guidance/ng73 

Practice Committee of the American Society for Reproductive Medicine. (2012). Endometriosis and infertility: A committee opinion. Fertility and Sterility, 98(3), 591–598.

https://doi.org/10.1016/j.fertnstert.2012.05.031?utm_source 

The post The Connection Between Endometriosis and Infertility appeared first on IvanaMd.

Adenomyosis is a gynecological condition in which tissue similar to the lining of the uterus grows into the muscular wall of the uterus. This can cause the uterus to become enlarged, tender, or inflamed, leading to heavy menstrual bleeding and painful periods.

Although adenomyosis can affect quality of life, effective treatment options are available, and symptoms can often be managed.

What Causes Adenomyosis?

The exact cause of adenomyosis is not fully understood. However, researchers have identified several possible contributing factors, including hormonal influences, inflammation, and changes in the uterine tissue.

The condition is most commonly diagnosed in women in their 30s and 40s, although it can occur in younger women too. It is also sometimes found alongside other conditions, such as uterine fibroids and endometriosis.

Common Symptoms of Adenomyosis

Some women with adenomyosis have no noticeable symptoms. Others experience symptoms that interfere with their daily activities.

Common signs include:

• Heavy or prolonged menstrual bleeding
• Severe menstrual cramps
• Pelvic pain or pressure
• Persistent lower abdominal discomfort
• Pain during sexual intercourse
• An enlarged or tender uterus

Heavy menstrual bleeding may also lead to iron-deficiency anemia, which can cause fatigue, weakness, dizziness, or shortness of breath.

Adenomyosis vs. Endometriosis: What Is the Difference?

Adenomyosis and endometriosis are often confused because they can cause similar symptoms, including painful periods and pelvic pain.

However, they are different conditions.

With adenomyosis, tissue similar to the uterine lining grows within the muscular wall of the uterus.

With endometriosis, tissue similar to the uterine lining grows outside the uterus, sometimes involving the ovaries, fallopian tubes, pelvic lining, or other organs.

It is possible to have both conditions at the same time.

How Is Adenomyosis Diagnosed?

Diagnosis usually begins with a discussion of your symptoms, menstrual history, and medical history, followed by a pelvic examination when appropriate.

Your provider may recommend imaging tests, including:

• Transvaginal ultrasound: Uses sound waves to examine the uterus and look for features that may suggest adenomyosis.
• MRI: Provides more detailed images of the uterus and may help clarify the diagnosis when ultrasound findings are uncertain.

Adenomyosis can sometimes be difficult to distinguish from fibroids, so your provider will consider your symptoms and imaging findings together.

How Is Adenomyosis Treated?

Treatment depends on the severity of your symptoms, your overall health, and whether you wish to become pregnant in the future.

Options may include:

• Pain medication: Anti-inflammatory medications may help relieve menstrual cramps and pelvic pain.
• Hormonal birth control: Certain contraceptive pills, hormonal patches, or vaginal rings may help reduce bleeding and menstrual pain.
• Hormonal IUD: A levonorgestrel-releasing intrauterine device may reduce heavy bleeding and painful periods.
• Other hormonal treatments: Certain medications can temporarily suppress hormonal activity and help manage symptoms.
• Surgery: For severe symptoms that do not improve with other treatments, surgical options may be discussed. Hysterectomy, which removes the uterus, is the definitive treatment for adenomyosis but means pregnancy is no longer possible.

Not every woman needs surgery. Your treatment plan should reflect your symptoms and reproductive goals.

Can Adenomyosis Affect Fertility?

Adenomyosis may be associated with difficulties conceiving and certain pregnancy complications, but the relationship is complex and still being studied.

Having adenomyosis does not automatically mean you cannot get pregnant. Some women conceive naturally, while others may benefit from an individualized fertility assessment and specialist support.

If you are planning a pregnancy or experiencing difficulty conceiving, discuss your options with your gynecologist.

When Should You See a Gynecologist?

You should consider an evaluation if you regularly experience:

• Periods that are unusually heavy or prolonged
• Severe menstrual cramps that interfere with daily activities
• Pelvic pain that persists beyond your period
• Pain during intercourse
• Symptoms of anemia, such as unusual fatigue or dizziness

You do not have to accept severe period pain or heavy bleeding as something you simply have to live with. These symptoms deserve attention and proper evaluation.

Understanding Your Symptoms Is the First Step

Adenomyosis can be frustrating, especially when symptoms affect your work, relationships, or everyday activities. But understanding what is happening in your body can help you make informed decisions about your care.

At IVANA MD, we take women’s health concerns seriously and provide individualized gynecological care to help you understand your symptoms and explore appropriate treatment options.

Schedule your women’s health consultation with IVANA MD in Missouri City, TX.
346-585-4077
4220 Cartwright Road, Suite 201, Missouri City, Texas 77459.

References

Benagiano, G., Brosens, I., & Habiba, M. (2015). Adenomyosis: A life-cycle approach. Reproductive BioMedicine Online.

https://doi.org/10.1016/j.rbmo.2014.11.005?utm_source 

Chapron, C., et al. (2020). Adenomyosis: An overview of clinical and epidemiological aspects, pathogenesis and treatment. Human Reproduction Update, 26(3), 392–411.

https://doi.org/10.1093/humupd/dmz049?utm_source

Dason, E. S., et al. (2023). Guideline No. 437: Diagnosis and Management of Adenomyosis. Journal of Obstetrics and Gynaecology Canada.

https://doi.org/10.1016/j.jogc.2023.04.008?utm_source 

Vannuccini, S., & Petraglia, F. (2019). Recent advances in understanding and managing adenomyosis. F1000Research, 8, 283. https://doi.org/10.12688/f1000research.17242.1

The post What Is Adenomyosis? appeared first on IvanaMd.

A diagnosis of polycystic ovary syndrome (PCOS) can feel overwhelming. There are medications to consider, symptoms to manage, and often frustration when your weight or other symptoms do not respond the way you expect.

While diet cannot cure PCOS, the foods you eat can support metabolic health, overall wellbeing, and management of some PCOS symptoms. The goal is not a restrictive “PCOS diet,” but a balanced eating pattern that you can maintain long term.

Why Does Diet Matter in PCOS?

Insulin resistance is common in PCOS, including among women who are not overweight. When the body becomes less responsive to insulin, the pancreas may produce more insulin to maintain normal blood glucose levels. Higher insulin levels can contribute to increased androgen production in some women with PCOS and are associated with metabolic risks such as prediabetes and type 2 diabetes.

This is one reason nutrition is an important part of PCOS management. But PCOS is complex, and insulin resistance is not the only factor involved. Diet should not be viewed simply as a way to lose weight or “balance hormones.”

What Eating Pattern Can Help?

There is no single diet that has been proven to be the best for everyone with PCOS.

Current guidelines emphasize healthy eating based on individual preferences and nutritional needs rather than recommending one specific diet. Mediterranean-style eating patterns, higher-fiber diets, and diets that emphasize minimally processed foods can be practical options.

A balanced PCOS-friendly eating pattern can include:

• Plenty of vegetables, including leafy greens and other non-starchy vegetables
• Whole fruits rather than relying on juices or sweetened fruit products
• Whole grains such as oats, brown rice, quinoa, and barley
• Protein sources such as fish, eggs, poultry, beans, lentils, tofu, and other legumes
• Healthy fats from olive oil, nuts, seeds, and avocados
• Fiber-rich foods, which can support fullness, digestion, and blood glucose control

You do not need to eliminate carbohydrates. Choosing higher-fiber carbohydrates and pairing them with protein or healthy fats can help create balanced meals.

Foods to Limit

Rather than completely banning specific foods, focus on limiting foods that are high in added sugars, refined carbohydrates, or saturated fat, particularly when they make up a large portion of the diet.

Examples include:

• Sugary drinks and frequent intake of sweetened beverages
• Sweets, pastries, and other foods high in added sugars
• Highly refined grains
• Highly processed snack foods
• Frequent intake of processed meats
• Foods high in saturated fat when consumed in excess

An occasional treat does not undo healthy eating habits. The overall pattern of your diet matters more than any single food.

What About Supplements?

Some supplements have been studied in PCOS, but they should not replace a balanced diet or prescribed treatment.

Inositol has been studied extensively, particularly myo-inositol and combinations containing D-chiro-inositol. Research suggests it may have metabolic and reproductive benefits for some women, although the evidence is not strong enough to consider it a universal treatment for PCOS.

Vitamin D supplementation may be appropriate when a person has vitamin D deficiency, but taking high doses without medical guidance is not recommended.

Omega-3 fatty acids and other supplements have also been studied, but evidence varies, and they should be considered based on individual needs rather than automatically recommended for everyone with PCOS.

Talk with your healthcare provider before starting supplements, particularly if you take medications or are trying to become pregnant.

What About Weight Loss?

For women with PCOS who are overweight, even modest weight loss may improve some metabolic and reproductive outcomes. However, PCOS occurs across a range of body sizes, and weight loss should not be the only measure of successful treatment.

If weight management is one of your goals, focus on sustainable habits rather than crash diets or extreme calorie restriction. Regular physical activity is also an important part of PCOS care. Current guidelines generally recommend following physical-activity recommendations appropriate for your health and abilities, rather than prescribing one exercise plan for every woman.

Most importantly, you do not need to earn healthcare by losing weight first. PCOS symptoms and metabolic health deserve attention at every body size.

Building a Sustainable PCOS Diet

Managing PCOS through nutrition is not about finding a perfect food or following a strict list of foods you can never eat again.

It is about creating an eating pattern that provides adequate nutrition, supports metabolic health, fits your culture and preferences, and can realistically be maintained over time.

If you have PCOS and are unsure where to start, your healthcare provider can help you identify your individual metabolic and reproductive health needs and determine whether additional treatment or nutritional support may be appropriate.

Schedule your women’s health consultation with IVANA MD in Missouri City, TX.
346-585-4077
4220 Cartwright Road, Suite 201, Missouri City, Texas 77459

References

American Society for Reproductive Medicine. (2023). Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. Fertility and Sterility, 120(4), 767–793. Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) | American Society for Reproductive Medicine | ASRM 

Moran, L. J., Ko, H., Misso, M., Marsh, K., Noakes, M., Talbot, M., Frearson, M., Thondan, M., Stepto, N., & Teede, H. J. (2013). Dietary composition in the treatment of polycystic ovary syndrome: A systematic review to inform evidence-based guidelines. Journal of the Academy of Nutrition and Dietetics, 113(4), 520–545. https://doi.org/10.1016/j.jand.2012.11.018 

Teede, H. J., Tay, C. T., Laven, J. J. E., Dokras, A., Moran, L. J., Piltonen, T. T., Costello, M. F., Boivin, J., Redman, L. M., Boyle, J. A., et al. (2023). Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. Fertility and Sterility, 120(4), 767–793. https://doi.org/10.1016/j.fertnstert.2023.07.025 

Teede, H. J., Misso, M. L., Costello, M. F., Dokras, A., Laven, J., Moran, L., Piltonen, T., & Norman, R. J. (2018). Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Human Reproduction, 33(9), 1602–1618. https://doi.org/10.1093/humrep/dey256 

The post PCOS and Food: How Nutrition Can Support Your Hormonal Health appeared first on IvanaMd.

Many people think of polycystic ovary syndrome (PCOS) as an adult condition. But PCOS can become apparent during adolescence, although diagnosing it in teenagers can be challenging because some menstrual and hormonal changes are normal during puberty.

Recognizing concerning symptoms early can help teenagers receive appropriate evaluation, support, and treatment rather than having persistent symptoms dismissed as “just hormones.”

What Does PCOS Look Like in Teenagers?

The 2023 International Evidence-Based Guideline recommends a more careful approach to diagnosing PCOS in adolescents.

For adolescents, both of the following are required for a PCOS diagnosis:

• Persistent ovulatory dysfunction or irregular menstrual cycles
• Clinical or biochemical hyperandrogenism, such as excessive facial or body hair or elevated androgen levels

Ultrasound and anti-Müllerian hormone (AMH) testing are not recommended for diagnosing PCOS during adolescence, particularly within 8 years after the first menstrual period, because normal pubertal development can produce findings that resemble PCOS.

Menstrual irregularity also needs to be considered in the context of how long it has been since the first period. Some irregularity is normal during the early years after menstruation begins, but certain patterns—such as cycles longer than 90 days more than a year after the first period or persistently irregular cycles more than two years after the first period—should be evaluated.

What About Acne?

Acne is extremely common during adolescence and, by itself, does not mean a teenager has PCOS.

Persistent or severe acne may occur alongside PCOS, particularly when there are other signs of androgen excess such as hirsutism or irregular menstrual cycles. A healthcare provider can consider the complete clinical picture rather than using acne alone to diagnose PCOS.

Why Does Early Recognition Matter?

PCOS can affect more than menstrual cycles. Adolescents with PCOS may have an increased risk of metabolic problems, including insulin resistance and abnormal cholesterol levels, as well as a higher prevalence of anxiety and depression.

Appropriate evaluation creates an opportunity to identify these concerns early and provide individualized support. Healthy eating patterns, regular physical activity, adequate sleep, and avoiding tobacco are beneficial for overall health and are part of PCOS management.

However, having PCOS does not mean that a teenager will develop diabetes, heart disease, or infertility. Risk varies between individuals and can be influenced by factors such as weight, family history, metabolic health, and other medical conditions.

How Is a Teenager Evaluated for PCOS?

Evaluation usually begins with a detailed menstrual, medical, medication, and family history, along with a physical examination when appropriate.

Blood tests may be used to evaluate androgen levels and rule out other conditions that can cause similar symptoms. Depending on the presentation, a clinician may also assess thyroid function, prolactin, or other causes of irregular menstruation.

Routine pelvic ultrasound is not necessary to diagnose PCOS in adolescents. It may still be recommended when there is another clinical reason to perform imaging.

When the diagnosis is uncertain, a teenager may be considered “at increased risk” of PCOS and followed over time rather than being given a premature diagnosis.

How Is PCOS Treated in Teens?

Treatment depends on the teenager’s symptoms, health risks, and individual goals.

Lifestyle support is an important part of care. This does not mean putting a teenager on a restrictive diet or focusing only on weight. Healthy nutrition, regular movement, sleep, and positive body image should be emphasized.

Combined oral contraceptives may be used to regulate menstrual cycles and help manage acne or excessive hair growth when appropriate.

Metformin may be considered for some adolescents, particularly when metabolic concerns are present. Other treatments for acne or excess hair may also be appropriate depending on the individual situation.

Mental health should also be part of PCOS care. Anxiety, depression, and concerns about body image can occur alongside PCOS, so screening and appropriate support are important.

When Should a Teenager See a Doctor?

Consider an evaluation if a teenager has:

• Persistently irregular or absent periods
• Excess facial or body hair
• Persistent or severe acne, particularly alongside menstrual irregularity or other signs of androgen excess
• Other symptoms or concerns suggesting a hormonal or metabolic problem

These symptoms do not automatically mean PCOS. Other conditions can cause similar changes, which is why proper evaluation matters.

Connecting the Dots Early

PCOS is a long-term condition, but symptoms and health risks can be managed. For teenagers, the goal is not simply to put a label on normal pubertal changes. It is to recognize persistent or concerning patterns, rule out other causes, provide appropriate treatment, and support long-term physical and emotional health.

If you are concerned about your daughter’s menstrual cycles, acne, excess hair growth, or other symptoms, a conversation with a qualified healthcare professional is a good place to start.

Schedule your women’s health consultation with IVANA MD in Missouri City, TX.
346-585-4077
4220 Cartwright Road, Suite 201, Missouri City, Texas 77459

References:

American College of Obstetricians and Gynecologists. (2019). Screening and management of the hyperandrogenic adolescent. ACOG Committee Opinion No. 789. Obstetrics & Gynecology, 134(4), e106–e114.  Screening and Management of the Hyperandrogenic Adolescent | ACOG 

NICE. (2026). Polycystic ovary syndrome. NICE Guideline 

Polycystic ovary syndrome: methods 

Teede, H. J., Tay, C. T., Laven, J. J. E., Dokras, A., Moran, L. J., Piltonen, T. T., Costello, M. F., Boivin, J., Redman, L. M., Boyle, J. A., et al. (2023). Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. Fertility and Sterility, 120(4), 767–793. https://doi.org/10.1016/j.fertnstert.2023.07.025 

Teede, H. J., Misso, M. L., Costello, M. F., Dokras, A., Laven, J., Moran, L., Piltonen, T., & Norman, R. J. (2018). Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Human Reproduction, 33(9), 1602–1618. https://doi.org/10.1093/humrep/dey256 

The post PCOS in Young Women: The Signs You Shouldn’t Ignore appeared first on IvanaMd.

Finding out you have uterine fibroids when you are trying to start or grow your family can feel alarming. Questions often follow: Will I be able to get pregnant? Could fibroids cause a miscarriage? Do I need surgery before trying?

These are valid concerns. The good news is that many women with fibroids become pregnant and have healthy pregnancies. However, fibroids can affect fertility and pregnancy differently depending on their size, number, and especially their location.

Can You Get Pregnant with Fibroids?

Yes. Having fibroids does not automatically mean you will have difficulty getting pregnant. Many women with fibroids conceive without fertility treatment.

In some cases, however, fibroids can interfere with fertility, particularly when they change the shape of the uterine cavity. The effect depends largely on where the fibroid is located rather than simply whether a fibroid is present.

How Can Fibroids Affect Fertility?

Fibroids may affect fertility by:

• Distorting the uterine cavity, which can interfere with implantation
• Affecting the uterine lining and its ability to support implantation
• Occasionally affecting the fallopian tubes or the normal anatomy of the reproductive tract
• Causing changes in the uterus that may make conception or implantation more difficult

Not every fibroid causes these problems, and many women with fibroids have no fertility-related complications.

Which Fibroids Are More Likely to Affect Fertility?

Location matters.

Submucosal fibroids, which grow into the uterine cavity, are the type most consistently associated with reduced fertility and pregnancy rates. Removing cavity-distorting submucosal fibroids may improve the chances of pregnancy in appropriately selected patients.

Intramural fibroids, which grow within the muscular wall of the uterus, have a more complicated relationship with fertility. Larger intramural fibroids, particularly those that distort the uterine cavity, may affect reproductive outcomes. However, surgery is not automatically recommended for every intramural fibroid.

Subserosal fibroids, which grow on the outside of the uterus, generally have less effect on fertility because they do not directly distort the uterine cavity.

Fibroids and Pregnancy

Many women with fibroids have uncomplicated pregnancies. However, fibroids can be associated with an increased risk of certain pregnancy complications, including:

• Miscarriage
• Preterm birth
• Placental abnormalities
• Fetal malposition, such as breech presentation
• Cesarean delivery

The risk varies according to factors such as fibroid size, number, and location.

Fibroids may also change in size during pregnancy. Some grow, particularly in early pregnancy, while others remain stable or become smaller. Rapid changes can sometimes cause pelvic or abdominal pain.

Do Fibroids Need to Be Treated Before Pregnancy?

Not necessarily.

Whether treatment is appropriate depends on the fibroid’s location and size, your symptoms, your fertility history, and whether it is affecting the uterine cavity.

Small fibroids that are not distorting the uterine cavity and are not causing significant symptoms may simply be monitored.

When treatment is recommended, myomectomy—surgical removal of fibroids while preserving the uterus—may be considered for women who wish to become pregnant. The approach can include hysteroscopic surgery for certain submucosal fibroids or laparoscopic/open surgery for other types.

Myomectomy has potential benefits and risks, including scar tissue formation and, depending on the depth and location of the uterine incision, possible implications for delivery in a future pregnancy.

Can You Have Fertility Treatment with Fibroids?

Yes. Women with fibroids may pursue fertility treatments such as IUI or IVF. However, whether fibroids should be treated before fertility treatment depends on the individual situation.

If you have fibroids and are trying to conceive, an OB-GYN or fertility specialist can assess the number, size, and location of your fibroids and determine whether they are likely to affect your fertility or pregnancy.

At IVANA MD, we provide individualized gynecologic care and can help you understand your options and coordinate care with fertility specialists when needed.

Schedule your women’s health consultation with IVANA MD in Missouri City, TX.
346-585-4077
4220 Cartwright Road, Suite 201, Missouri City, Texas 77459

References: 

American College of Obstetricians and Gynecologists. (2025). Uterine fibroids. https://www.acog.org/womens-health/faqs/uterine-fibroids 

Stewart, E. A. (2015). Uterine fibroids. New England Journal of Medicine, 372(17), 1646–1655. https://doi.org/10.1056/NEJMcp1411029 

Stewart, E. A., Cookson, C. L., Gandolfo, R. A., & Schulze-Rath, R. (2017). Epidemiology of uterine fibroids: A systematic review. BJOG: An International Journal of Obstetrics & Gynaecology, 124(10), 1501–1512. https://doi.org/10.1111/1471-0528.14640 

Pritts, E. A., Parker, W. H., & Olive, D. L. (2009). Fibroids and infertility: An updated systematic review of the evidence. Fertility and Sterility, 91(4), 1215–1223. https://doi.org/10.1016/j.fertnstert.2008.01.051

The post Can You Get Pregnant With Fibroids? Let’s Talk Fertility appeared first on IvanaMd.