Introduction: Uterine fibroids are noncancerous growths that develop in the uterus. While most fibroids are harmless and cause no symptoms, they can sometimes lead to infertility in women. Understanding the relationship between uterine fibroids and infertility is crucial for those experiencing difficulty conceiving. This article aims to shed light on how uterine fibroids can impact fertility and what treatment options are available. The Impact of Uterine Fibroids on Fertility: 1. Distortion of the Uterine Cavity: Fibroids that grow within the uterine cavity can disrupt the implantation process, making it difficult for a fertilized egg to attach to the uterine lining. 2. Blockage of Fallopian Tubes: Large fibroids can exert pressure on the fallopian tubes, leading to blockage. This can prevent the sperm from reaching the egg for fertilization. 3. Interference with Embryo Implantation: Even if fertilization occurs successfully, fibroids can interfere with the implantation of the embryo in the uterine lining, reducing the chances of a successful pregnancy. Treatment Options: Medications: In cases where fibroids are causing infertility, certain medications can be prescribed to shrink the fibroids and alleviate associated symptoms. However, this option may not be effective for everyone and is usually considered a temporary solution. Surgical Interventions: a) Myomectomy: A myomectomy involves the surgical removal of fibroids while preserving the uterus. It is an option for those who wish to conceive in the future. b) Hysteroscopic Resection: This minimally invasive procedure is used for fibroids that are inside the uterine cavity. A hysteroscope is inserted through the vagina and cervix to remove the fibroids.