Submucosal Uterine Fibroids and Fertility

Uterine fibroids is quite a widely spread condition in women of childbearing age. These pathological formations form from the uterine muscular layer. In most cases, they are non-malignant.

The Classification of Uterine Fibroids

The localization of the fibroids may be different. It is important to consider this in order to choose the proper treatment method. Uterine fibroids are classified according to their placement:

  • Subserosal fibroids (growing in the abdominal direction)
  • Interstitial fibroids (growing inside the muscular tissue)
  • Submucosal fibroids (growing into the uterine cavity)

Submucosal fibroids are the most problematic when it comes to preserving a patient’s fertility. It is important to choose a treatment strategy that will maximally preserve the intrauterine tissues.


How to Diagnose a Submucosal Fibroid?

The most common symptom for submucosal fibroid is uterine bleeding. The bleedings may occur in the menstruation periods or between them. The second warning sign is severe menstrual cramps. The intensity of symptoms does not depend on the fibroid size. Regular bleedings may lead to the development of anemia.

If you notice these symptoms, you need to consult your GYN-doctor. The diagnosis can be fully confirmed only after an ultrasound pelvic exam and hysteroscopy.

How to Treat Submucosal Fibroids?

Earlier, the only possible way of treating this condition was the removal of the uterus. Today, fibroid treatment options included minimally invasive procedures to better preserve the bodies resources. Hysteroscopy allows examining the uterus from the inside, determining the size of the tumor accurately and even removing it with the help of resection.


How is it done? The device is inserted through the vagina and then the cervix is widened to let it in. The procedure is performed with anesthesia. Its duration depends on the localization and size of the tumor but usually does not take more than one hour.

What If the Tumor Is Too Big?

If the diameter of the submucosal fibroid is more than 5 cm, it is impossible to remove it during the hysteroscopy procedure. In such cases, hormonal therapy will be required before the procedure. It allows to reduce the tumor in size to make resection possible.


Sometimes, this happens in two stages. The part of fibroid available for removal is resected; then comes the hormonal treatment and the rest of it is removed afterwards. This complex approach may take a much longer time, but it preserves the uterus and allows getting pregnant in future.

In any case, the earlier you diagnose this pathology, the easier it will be to treat it. Do not let it grow too big – be attentive to your health and visit your doctor regularly to prevent the problem getting out of control.

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