Learning that you have fibroids can bring a mix of emotions—relief at finally having an explanation for your symptoms, but also uncertainty about what comes next. Fibroids are incredibly common, yet each person’s experience is different. Understanding what they are, how they affect fertility, and the treatment options available can help you make confident choices about your care.
The insights below summarize key points from the in-depth discussion between Dr. Leigh Rosen, MD and Dr. Lucky Sekhon, MD about fibroids, fertility, and surgical care. Watch the full discussion here.
1. Every fibroid is unique, and your treatment should be too.
Fibroids are muscular growths that develop inside or around the uterus. Their size, number, and position determine whether they cause heavy bleeding, bloating, or pelvic pain. Some remain small and unnoticed, while others interfere with fertility or daily life.
As Dr. Leigh Rosen explained, fibroids are almost always benign. Up to 80 percent of women will develop them, but many never require surgery. Treatment depends on the pattern of symptoms, the type of fibroids, and the person’s reproductive goals.
When removal is necessary, the aim is to excise the fibroids while preserving healthy uterine tissue. Surgical planning reflects imaging findings, fertility priorities, and overall health. There are different approaches to myomectomy (fibroid removal), including hysteroscopic, laparoscopic, robotic, or open myomectomy.
2. Specialized care makes all the difference.
Fibroids that appear similar on imaging can behave very differently. Because of that, specialized evaluation is essential. Dr. Lucky Sekhon and Dr. Leigh Rosen emphasized that effective management depends on matching treatment to symptom severity, fertility goals, and precise imaging.
Consulting with a fibroid specialist ensures that medical, surgical, and fertility-preserving options are all considered. Providers experienced in advanced minimally invasive techniques can tailor the plan to your anatomy and priorities.
3. Minimally invasive surgery can restore comfort and preserve fertility.
For many people, laparoscopic or robotic myomectomy offers meaningful relief with a faster recovery than open surgery. Through small abdominal incisions, fibroids can be removed while keeping the uterus intact. This minimally invasive approach reduces scarring and postoperative pain and supports a quicker return to normal activity.
When fibroids are large, deeply embedded, or numerous, open abdominal surgery may still be required to fully restore the uterus. In cases where fibroids coexist with advanced endometriosis, multidisciplinary planning ensures complete removal and balanced hormonal recovery.
4. Recovery and scar prevention are part of the healing process.
Healing is an integral part of treatment. Most hysteroscopy patients experience mild cramping or spotting as the uterus repairs itself, usually recovering within days. Laparoscopic or open myomectomy may require several weeks to months before the uterus is fully healed and ready for pregnancy.
To minimize scar tissue, Dr. Rosen sometimes places a small balloon inside the uterus for about a week after surgery to keep the cavity open. Additional therapies may be recommended to further support healing and potentially reduce adhesions.
5. Fibroids often coexist with other conditions, and whole-patient care matters.
Fibroids may appear alongside endometriosis or adenomyosis, creating overlapping pain and hormonal symptoms. Treating all conditions together leads to more complete recovery. For other patients, combining procedures—such as reproductive and aesthetic surgery—can minimize downtime and achieve both functional and cosmetic goals in one operation.
What This Means for Your Care
Understanding fibroids and how they affect your reproductive health is an important part of taking control of your well-being.
Both Dr. Leigh Rosen MD and Dr. Lucky Sekhon MD emphasize that education and individualized planning are the foundations of effective treatment.
If you are managing fibroids, consider these key points as you plan your next steps:
- Understand your anatomy. Knowing where fibroids are located and how they impact your uterus helps determine which treatments will offer the best results.
- Choose the right specialist. Work with a doctor experienced in advanced, minimally invasive, and fertility-preserving techniques who can clearly explain your imaging and treatment options.
- Plan for healing. Recovery is part of the treatment process. Supporting your uterus as it heals and preventing scar tissue formation protects long-term reproductive health.
- Look at the full picture. Fibroids often exist alongside other conditions like endometriosis or adenomyosis. Coordinated care ensures that every aspect of your health is addressed.
- Stay informed and involved. Understanding your condition helps you make confident, informed choices about your care and recovery.
If you’re ready for specialized fibroid care that prioritizes your overall health, wellness, and reproductive goals, schedule a consultation with the ESSE Care team today.
