Q: Should I have a fibroid removed before getting pregnant?
A: Probably not. Since your fibroid (a benign tumor) is asymptomatic, your doctor likely will choose to monitor it, rather than doing any type of intervention. The rule of thumb is to avoid treating a fibroid unless it is causing pain, unusually heavy periods or uncontrolled bleeding--or if it interferes with conception or causes miscarriage, both of which rarely occur. Because of your fibroid's size and location, it is not likely to impair your ability to conceive, the way a larger fibroid blocking a fallopian tube might. Nor should it cause problems during pregnancy or delivery, as might a large fibroid in the uterine cavity that blocks the cervix; this could necessitate a Cesarean section.