A patient with submucosal fibroids came to us to ask whether to have a baby first or to treat the fibroids first. Generally speaking, submucosal fibroids, regardless of their size, should be treated before pregnancy. Because of the abnormal morphology of the uterine cavity in patients with submucosal fibroids, it is not easy to get pregnant, and even if you can get pregnant, it is easy to miscarry, and most of them are combined with heavy menstruation and anemia. Therefore, it is advisable to remove the fibroids first before considering pregnancy. The patient again said that although she had heavy menstrual flow and mild anemia, she was able to get pregnant and had an unplanned abortion. Is it possible to get pregnant first in a case like this? As already mentioned, there is a chance of pregnancy and a possibility of a high spontaneous abortion rate. The patient also asked, “How long does it take to get pregnant after removing the fibroid? Is it still possible to get pregnant after a long time? It usually takes 1-2 years for the uterus to recover after surgery, and the exact schedule will depend on the surgeon’s condition during surgery. It is natural that as you get older, your chances of getting pregnant decrease. The patient concluded, “I don’t think I have a chance to have a second child! But, I still want to try to get pregnant first! Why? Just to have a baby for the sake of having a baby? Is it not contradictory to having a baby regardless of your health condition? The chance of maternal comorbidity and morbidity is high, and the birth defect rate of newborns is high, so if you try to have a baby because of your age, the result will be a high maternal mortality rate and a high birth defect rate of newborns. The family and social problems brought about by this cannot be ignored! Specifically in gynecology, which diseases need to be treated first? Submucosal fibroids, other types of fibroids larger than 5 cm; after myomectomy, pregnancy should follow the time recommended by the surgeon; endometrial polyps, uterine adhesions, foreign bodies in the uterine cavity, endometritis; 2 years after gravida, 2 years after cesarean section before another pregnancy; ovarian cysts larger than 5 cm; suspected ovarian endometriosis cysts; those with acute inflammation of the reproductive tract should be cured before pregnancy severe cervical intraepithelial neoplasia; uterine adenomyoma affecting the morphology of the uterine cavity.