Can You Work With Fibroids

Summary: Fibroids are non-cancerous growths in the uterus that can cause pelvic pain, heavy bleeding, and other symptoms. Many women wonder whether they can have sex with fibroids, and if there are any risks involved. The answer is not straightforward, and depends on various factors.

1. Types of Fibroids and Their Location

The first factor that determines whether sex with fibroids is safe is the type and location of the fibroids. Some fibroids are located inside the uterine cavity, while others are on the outside. Intracavitary fibroids can cause more bleeding during intercourse, painful cramps, and discomfort, while subserosal fibroids may not cause any symptoms at all.

Submucosal fibroids, which grow just beneath the lining of the uterus, may protrude into the internal spaces of the uterus and affect the function of the fallopian tubes, which can impact fertility. Large fibroids can also cause problems with sexual positions, as they can push against the cervix, causing pain or difficulty during sex.

It’s important to consult with a doctor to determine the type of fibroids you have and whether they are in a location that could cause painful intercourse or other problems.

2. Symptoms Associated with Fibroids

Another aspect to consider when answering whether sex is safe with fibroids is the presence and severity of symptoms. Fibroids can cause various symptoms, including pelvic pressure, frequent urination, constipation, abdominal swelling, and others. These symptoms can make sexual activity uncomfortable or painful, and may need to be addressed before resuming intercourse.

Additionally, fibroids can cause heavy periods that can lead to anemia, which can make you feel tired and weak, greatly lowering your sex drive and making sex less pleasurable. It’s essential to get a thorough evaluation by your doctor to identify all of the potential symptoms you may be experiencing and address them appropriately.

Some women may choose to avoid sex altogether, while others may find positions that are comfortable or explore new types of sexual activities to avoid putting pressure on the fibroids. Communication with your partner is crucial during this time to ensure that both parties are comfortable and satisfied with the sexual experience.

3. Impact of Fibroids on Fertility and Pregnancy

Fibroids can have an impact on fertility and pregnancy, which should also be considered before engaging in sexual activity. While not all fibroids affect fertility, some may obstruct the fallopian tubes or cause implantation failure, making it difficult for pregnancy to occur. It’s important to note that fibroids do not always cause infertility, and many women with fibroids can still become pregnant normally.

However, if you are trying to conceive, it’s essential to discuss your options with your doctor and determine whether any treatment is necessary before attempting pregnancy. Additionally, fibroids can cause complications during pregnancy, including preterm labor, placental abruption, and fetal growth restriction, so it’s important to have regular check-ups with your obstetrician to monitor the health of you and your baby.

If you are pregnant or trying to conceive, it’s best to avoid sexual activity until you have consulted with your doctor and discussed your options. Sex during pregnancy can be safe for most women, but complications related to fibroids may warrant a more cautious approach.

4. Treatment Options for Fibroids

Depending on the location, size, and severity of your fibroids, your doctor may recommend various treatment options to manage your symptoms and improve your sexual health. Some women may opt for watchful waiting, where they monitor their fibroids for growth and progression without any intervention.

Other treatment options may include medication to control bleeding or shrink the size of the fibroids, uterine artery embolization to cut off the blood supply to the fibroids, and surgery (such as myomectomy or hysterectomy) to remove the fibroids entirely. In some cases, alternative therapies like acupuncture, herbal medicine, or dietary changes may also be suggested.

If you are considering treatment for your fibroids, it’s crucial to discuss the potential impact on your sexual health and function with your doctor. Some treatments may have contraindications or side effects that could affect your ability to engage in sexual activity comfortably.

5. Communication with Your Partner and Healthcare Providers

Finally, communication is key when it comes to sex and fibroids. Talk openly with your partner about any discomfort or pain you are experiencing during sex and explore alternative positions or other sexual activities that may be more comfortable. Discuss any concerns you have with your healthcare providers and make sure you are getting regular check-ups to monitor the health of your fibroids and any associated symptoms.

It’s essential to prioritize your physical and emotional health during this time and seek support if you are experiencing anxiety, depression, or other mental health concerns related to your fibroids. Remember that you’re not alone, and there are resources available to help you manage this condition and its impact on your sexual wellbeing.


In conclusion, women with fibroids may face various challenges related to sexual activity, depending on the location, type, and severity of their fibroids. It’s essential to consult with a doctor to determine the best course of action for managing symptoms and ensure that any treatment options are discussed thoroughly, including their potential impact on sexual health.

Communicating openly and honestly with your partner about any discomfort or pain during sex can help you both find more comfortable and enjoyable ways to engage in sexual activity. Remember to prioritize your physical and emotional wellbeing and seek support if needed, as there are resources available to help you manage this condition and maintain a fulfilling sex life.

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