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SERVING HOUSTON & DALLAS-FORT WORTH

Fibroids & pregnancy,  treated while protecting your fertility

Fibroids are common in the reproductive years, but they don't have to stand between you and a healthy pregnancy. Learn how fibroids affect fertility, what to expect if you're expecting, and how uterine fibroid embolization (UFE) can help.
  • Uterus-preserving
  • Same-day, outpatient
  • Covered by most insurance

85%

UFE success rate

Same-day outpatient

Go home same-day

>90%

Symptom relief rate

Uterus
preserved

Fertility-sparing treatment

Fibroids & fertility

Can you get pregnant with fibroids?

Many women wonder how fibroids might impact their chances of conception. While fibroids don't always interfere with fertility, their size, location, and number can sometimes affect the ability to conceive or sustain a healthy pregnancy.

When fibroids affect fertility

Fibroids are common among women of reproductive age, and they don't always lead to fertility issues. But depending on where they grow, they can interfere with conception — which is why understanding your fibroids matters before you start or grow your family.
how fibroids affect fertility

The ways fibroids can interfere with conception

Not every fibroid affects fertility, but certain types and positions are more likely to make conceiving or carrying a pregnancy more difficult.

Uterine cavity distortion

Submucosal fibroids grow into the cavity and can change the shape of the uterus, interfering with implantation of a fertilized egg.

Blocked fallopian tubes

In rare cases, larger fibroids near the tubes can obstruct the passage of eggs from the ovaries, making fertilization difficult.

Implantation interference

A distorted or crowded uterine cavity may make it harder for an embryo to implant and establish a healthy pregnancy.

Heavy bleeding & anemia

Symptomatic fibroids can cause heavy, prolonged periods that affect overall reproductive health and energy.

Hormonal influence

Estrogen and progesterone can encourage fibroid growth during the reproductive years, when fertility matters most.

Pregnancy loss risk

Submucosal fibroids that affect the uterine lining may contribute to early pregnancy loss for some women.

during pregnancy

Symptoms of fibroids in pregnancy

Fibroid symptoms can present differently during pregnancy because of hormonal changes and increased blood flow. Many women have no symptoms at all — but recognizing these signs early helps your care team guide the right plan for a safe pregnancy.
  • Pelvic pain or cramping
  • Spotting or bleeding
  • Pelvic pressure
  • Fullness or bloating
  • Lower back pain
  • Frequent urination
  • Constipation
  • Red degeneration pain
possible complications

Fibroids during pregnancy: what to know

Most pregnancies with fibroids are uncomplicated. But large or poorly positioned fibroids — especially those over 5 cm or in the lower uterine segment — can raise the risk of certain complications.

Preterm birth

Large fibroids can crowd the uterus and raise the chance of early labor.

Malpresentation

Fibroids may leave the baby in a breech or transverse position at delivery.

Placental abruption

A fibroid behind the placenta can increase the risk of early separation.

Placenta previa

Low-lying fibroids may be linked to the placenta covering the cervix.

Cesarean delivery

Poorly positioned fibroids can make a C-section more likely.

When to seek care

Heavy bleeding, painful periods, fatigue, or pelvic pressure are signs to see a specialist.

TREATMENT before pregnancy

UFE: shrink fibroids while keeping your uterus

If your fibroids are symptomatic and you're planning a pregnancy, your doctor may recommend treatment before conceiving. UFE is a non-surgical option that blocks the blood flow feeding fibroids, no hospital stay, no large incision, and the uterus stays intact.
How embolization works
  1. A catheter is guided into the vessels that feed the fibroids.
  2. Microscopic particles are released to block the blood supply.
  3. Without blood flow, fibroids shrink and symptoms improve.
UFE is an outpatient procedure that usually takes about an hour. Most patients go home the same day and return to normal activities within 1–2 weeks.

Outpatient, same-day

No hospital stay. Most patients go home within hours.

No surgical incision

A single pinhole in the wrist or groin. No abdominal cut.

Treats all fibroids at once

Every fibroid is targeted in a single session, regardless of count.

Preserves the uterus

No hysterectomy. Your uterus — and potential fertility — stay intact.

Planning a pregnancy? 
Find our if UFE is right for you. 
pregnancy after ufe

Is it safe to get pregnant after UFE?

85%
success rate for UFE — and by shrinking fibroids while keeping the uterus healthy, the procedure can improve fertility for many women.
At Texas Endovascular, we tell patients the answer is often yes. Many women go on to conceive and carry healthy pregnancies after UFE — and unlike a hysterectomy, the uterus and your potential fertility stay intact.
  • Uterus and potential fertility preserved
  • Relief from heavy bleeding, pain, and pressure
  • Outpatient treatment with same-day discharge
  • Shorter recovery than myomectomy or hysterectomy
  • Many women conceive and carry healthy pregnancies
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Compare your options

Fertility-preserving fibroid treatments

How uterine fibroid embolization compares with surgery and other treatments when you want to protect your fertility.
Treatment Invasiveness Recovery Preserves Fertility Best for
UFE WHAT WE DO Minimally invasive 7-10 days Yes Symptomatic, multiple or large fibroids
Myomectomy Surgical 4–6 weeks Yes Removing specific fibroids
Hysterectomy Major surgery 6–8 weeks No When fertility isn’t desired
Endometrial Ablation Minimally invasive 2–3 weeks No
Heavy bleeding, no pregnancy planned
Watchful waiting Non-invasive Yes Mild or asymptomatic fibroids
MEET YOUR DOCTORS

Board-certified fibroid specialists in Houston & Dallas

Our team has performed more than 40,000 UFE and minimally invasive vascular procedures and brings over 80 years of combined experience. 
Portrait of Eric Hardee

Dr. Eric Hardee

Co-Founder · Houston Fibroids Specialist
Co-founder of Texas Endovascular and a board-certified interventional radiologist serving the Houston and Katy areas. Specializes in UFE, PAD, and vein disease.
Portrait of Dr Fox

Dr. William Fox

Co-Founder · Houston Fibroids Doctor
Board-certified interventional radiologist and co-founder of Texas Endovascular, serving Central Houston. Specializes in fibroid embolization, vein disease, and PAD.
Dr. Jay Patel, M.D.

Dr. Jay Patel

Dallas-Fort Worth Fibroid Doctor
Board-certified interventional radiologist leading fibroid care at the Dallas and Plano clinics, offering UFE for women throughout the DFW metroplex.

Dr. Ryan Armstrong

Houston Fibroids Doctor
Board-certified interventional radiologist providing advanced, minimally invasive care across Greater Houston — uterine fibroids, vein disease, PAD, and joint conditions.

Dr. AJ Valenson

Houston Fibroid Doctor · Bilingual (EN/ES)
Board-certified interventional radiologist and lead provider at the Clear Lake (Webster) clinic. Fluent in English and Spanish, serving the Houston Bay Area.
WHY TEXAS ENDOVASCULAR

Why choose Texas Endovascular for fibroid care

Every patient receives compassionate, personalized treatment focused on long-term relief, improved health, and a better quality of life.

Fellowship-trained specialists

Board-certified interventional radiologists deliver expert care using the latest minimally invasive fibroid treatments.

Fertility-minded care

We treat fibroids while protecting your uterus, so you can pursue a healthy pregnancy on your own timeline.

Convenient locations across Texas

Clinics throughout Houston and Dallas–Fort Worth make advanced fibroid care easy to access close to home.

PROUDLY SERVING TEXAS
Dallas Fibroids Logo
Real patient stories

Pregnancy after fibroid
treatment at Texas Endovascular

Rated 5 stars by hundreds of Houston and Dallas fibroid patients
"So thankful and grateful of this company and the services offered. UFE has improved my daily livelihood."
Temeka Davis
"Dr. Fox and his team are AMAZING. His confidence with UFE made me feel at ease to know I was in the right hands. I had the procedure done 2 weeks after my birthday in February and this month marks 10 months and i see a huge improvement with my periods."
Monique Smith
"I wanted to take a moment to express my deep gratitude to Dr. Eric Hardee and the nursing staff who took care of me during my UFE procedure. From the moment I arrived, I felt completely at ease with the professionalism and kindness shown by the entire team. "
Jummy
"Great from beginning to end. I’m more than excited that I took this route as opposed to getting the myomectomy. The UFE procedure was the best option for me as I didn’t want to risk having to get an unplanned hysterectomy."
Q.
Convenient to you

Fibroid treatment centers across Houston & Dallas

Every location offers the same specialized fibroid care from board-certified interventional physicians. Our Houston and Dallas specialists serve patients throughout Texas at eight convenient clinics.

Houston

4747 Bellaire Blvd,
Suite 550
Bellaire, TX 77401
Schedule here

Katy

1331 West Grand Parkway
N, Suite 210
Katy, TX 77493

Schedule here

Sugar Land

7619 Branford Place
Suite 230
Sugar Land, TX 77479
Schedule here

The Woodlands

8850 Six Pines Drive,
Suite 280
The Woodlands, TX 77380
Schedule here

Clear Lake

390 East Medical Center Blvd
Webster, TX 77598
Schedule here

Dallas

3920 W Wheatland Rd
Suite 108
Dallas, TX 75237

Schedule here

Plano

5425 W. Spring Creek Parkway
Suite 100
Plano, TX 75024

Schedule here

Fort Worth

6620 Bryant Irvin Road
Suite 100
Fort Worth, TX 76132

Schedule here
Questions

Fibroids, pregnancy & UFE FAQs

Still unsure? Our team is happy to answer your questions over the phone.
Am I a Candidate? Take the quiz713.489.8623469.294.5589

Can you get pregnant with fibroids?

Often, yes. Many women with fibroids conceive without difficulty. Whether fibroids affect fertility depends on their size, number, and location — submucosal fibroids that distort the uterine cavity are the most likely to interfere with conception.

Do fibroids cause infertility?

Fibroids don’t always cause infertility, but certain fibroids can make conceiving or carrying a pregnancy harder by distorting the uterine cavity, blocking the fallopian tubes, or interfering with implantation.

Should I treat fibroids before getting pregnant?

If your fibroids are symptomatic, your physician may recommend treatment before conceiving. Addressing fibroids first can reduce symptoms and lower the chance of pregnancy complications. We’ll help you weigh the options for your situation.

Is it safe to get pregnant after UFE?

At Texas Endovascular, we tell patients the answer is often yes. By shrinking fibroids while keeping the uterus intact, UFE can improve fertility for many women, and many go on to conceive and carry healthy pregnancies.

How long should I wait to conceive after UFE?

Most patients return to normal activities within 7–10 days, but your physician will advise a recovery window before trying to conceive so the uterus can fully heal. The right timeline is individual — we’ll discuss it at your consultation.

Do you need a hysterectomy to treat fibroids?

No, a hysterectomy is not the only option. Although roughly 500,000 hysterectomies are performed each year in the United States — most of them due to fibroids — many women are unaware that less invasive alternatives exist. A hysterectomy is major surgery that requires a 4–6 week recovery and leaves a large permanent abdominal scar.

Uterine fibroid embolization (UFE) is a non-surgical alternative for women with symptomatic fibroids who want to avoid major surgery. It is an outpatient procedure with far less downtime than a hysterectomy and leaves no significant visible scar. A 2008 practice bulletin from the American College of Obstetricians and Gynecologists (ACOG) states that uterine artery embolization is a safe and effective treatment option for women with fibroids who wish to retain their uterus

Can fibroids grow during pregnancy?

Pregnancy hormones and increased blood flow can cause some fibroids to grow, especially in the first trimester. Many stay stable or shrink. Your OB will monitor any fibroids throughout your pregnancy.

What is red degeneration?

Red degeneration happens when a fibroid outgrows its blood supply during pregnancy, causing pain. It’s the most common fibroid complication in pregnancy and is usually managed with rest and pain relief rather than surgery.

Do fibroids cause miscarriage?

Most pregnancies with fibroids are uncomplicated. However, submucosal fibroids that affect the uterine lining may raise the risk of early pregnancy loss for some women, which is why pre-conception evaluation can be valuable.

UFE vs. myomectomy for fertility — which is better?

Both preserve the uterus. Myomectomy surgically removes specific fibroids, while UFE shrinks all fibroids without surgery. Studies show comparable outcomes; the best choice depends on your fibroids, your goals, and your physician’s guidance.

Can fibroids be treated during pregnancy?

Barring a medical emergency, fibroids generally aren’t treated during pregnancy. If you discover fibroids after conceiving, your OB will monitor them and manage any symptoms conservatively.

Will fibroids affect my delivery?

It depends on size and position. Most women deliver without issue, but large or low-lying fibroids can increase the chance of a cesarean or malpresentation. Your care team will plan ahead based on imaging.

FROM OUR DOCTORS

Learn about fibroids & pregnancy from the specialists who treat them

Our physicians break down the questions women ask most, in plain language, without the medical jargon.