Should I get pregnant or treated for fibroids first? One of the symptoms of fibroids is their impact on a woman’s fertility. Just when mothers-to-be are preparing for a new life, it is not helpful to be anxious and frustrated to find an unwanted visitor inside the uterus. So, what should we do to fight back strongly against this unwelcome invader? Or should we let the fibroids and the fetus co-exist? 1. Subplasmalemmal fibroids: It is advisable to treat fibroids before pregnancy. Subplasmalemmal fibroids have little effect on conception and delivery, but as the uterus increases in size, subplasmalemmal fibroids with a tip can twist and require emergency surgery. Surgery for subplasmalemmal fibroids does not destroy the integrity of the uterus and has relatively little impact on the uterus. 2. Submucosal fibroids: It is recommended to treat fibroids before pregnancy. Submucosal fibroids affect conception and have a high rate of spontaneous abortion after pregnancy. 3.Large (>3cm) interstitial fibroids: It is recommended to treat fibroids before pregnancy. Large interstitial fibroids affect the development of the fetus and have many complications in the late stage of delivery. 4. Fibroids in special areas: Some fibroids have obvious symptoms or grow in areas such as the isthmus, which have a greater impact on pregnancy and are prone to fibroid degeneration after pregnancy, so surgery should be considered in these cases. 5.Patients with fibroids who have a history of miscarriage: most scholars advocate that preconception myomectomy is advisable for patients with fibroids who have a history of miscarriage and preterm delivery; some patients with fibroids who are infertile due to fibroids also need timely treatment. 6. Interstitial fibroids less than 3cm: Interstitial fibroids (less than 3cm) are recommended to be pregnant first. Small interstitial fibroids have little effect on pregnancy and can be suspended without surgery.