Ep 285: Fibroids: Friend or Foe?

Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, “Fibroids, Friend or Foe?” the docs dive into one of the most common—and often confusing—topics in reproductive medicine: uterine fibroids and their impact on fertility. They break down the different types of fibroids—submucosal, intramural, and subserosal—and explain why location is often more important than size when it comes to whether a fibroid should be removed. Fibroids that distort the uterine lining can interfere with embryo implantation by causing inflammation or friction, making pregnancy more difficult. The docs explain the surgical options for fibroid removal, including hysteroscopy (removal through the cervix), laparoscopy, and laparotomy (which address fibroids from outside the uterus). They also discuss fluid management during hysteroscopy to ensure patient safety. Beyond fertility concerns, fibroids may need to be removed if they’re causing significant bleeding or pelvic pressure. Finally, they touch on recovery and why patients may need to wait several months after surgery before attempting pregnancy. If fibroids are part of your fertility journey, this episode is a must-listen.  This episode was sponsored by ReceptivaDx and Reproductive Science Center of the Bay Area.