Can a patient with uterine fibroids get pregnant? Uterine fibroids are the most common benign tumors of the reproductive system in women of childbearing age, with an incidence of up to 20% to 50% in women of childbearing age. Fibroids may cause changes in the morphology of the cervix, uterine cavity and fallopian tube opening, affecting the endometrial blood supply and leading to infertility or miscarriage. Fibroids can also cause abnormal contractions of the uterus, which can affect sperm transport and embryo implantation and can increase the likelihood of miscarriage. Can a woman with fibroids get pregnant? There are three types of fibroids: 1) submucosal fibroids, which are fibroids that are convex to the endometrium or exist directly in the uterine cavity. These fibroids affect the area of the uterine cavity and blood supply, which can reduce the pregnancy and live birth rates. 2. Interstitial fibroids: These fibroids grow inside the uterine wall and are usually small in size and do not adversely affect fertility. 3.Subplasmalemma fibroids: fibroids grow on the exterior of the uterus, convex to the rich, and usually do not affect pregnancy and miscarriage. It needs to pay attention to the combined pregnancy of fibroids. The fibroids may increase rapidly in early pregnancy, which may affect embryonic development or even cause miscarriage; the uterus is rich in blood supply during pregnancy, and the fibroids are prone to red degeneration, infection and other complications; late pregnancy mainly affects fetal orientation and mode of delivery. However, concern about pregnancy complications should not be an indication for myoma removal surgery unless the patient has a history of myoma-related pregnancy complications. Moreover, the need for surgical treatment should not be judged solely on the basis of the size of the fibroids. Especially in patients with a history of infertility, detailed examination of fibroid type, site, size, relationship with the endometrium, and distance from the plasma membrane needs to be applied with ultrasound, MRI, and hysteroscopy. Once diagnosed, removal of submucosal fibroids is recommended. For interstitial myomas that do not affect the uterine cavity, the pros and cons associated with surgery should be fully evaluated and communicated to the patient, and the principle of individualized treatment should be followed. In female patients with small, non-submucosal fibroids and unchanged menstruation, a trial of pregnancy may be considered, and if unsuccessful, treatment may be considered. After pregnancy, estrogen and progesterone levels rise significantly and rapidly, the blood supply to the uterus increases significantly, and in theory fibroids should be increasing in size. However, in reality, about 50% of fibroids do not change significantly in size, about 20% increase in size, and some others shrink during pregnancy instead.