Fibroids, which are non-cancerous growths in the uterus, can indeed impact fertility. Depending on their size and location, fibroids can interfere with conception, implantation, and pregnancy. They can distort the shape of the uterus, block fallopian tubes, or disrupt the blood flow to the uterus.

When it comes to managing fibroids during IVF procedures, specialists assess the specific circumstances of each case. If fibroids are found to potentially affect fertility, various approaches can be considered:

1. Fibroid Removal: If fibroids are significantly impacting fertility, surgical removal before IVF may be recommended. This can be done through procedures like myomectomy, which involves removing the fibroids while leaving the uterus intact.

2. Fibroid Monitoring: In cases where fibroids are small or not significantly affecting fertility, they may be monitored closely during IVF treatment. Ultrasounds and other imaging techniques may be used to track the growth and position of the fibroids.

3. Management Strategies: Some medications, such as gonadotropin-releasing hormone agonists, may be used to temporarily shrink fibroids before IVF procedures. This can help improve the chances of successful implantation and pregnancy.

4. Specialized Techniques: In some cases, advanced IVF techniques like preimplantation genetic testing (PGT) may be used to select embryos least likely to be affected by fibroids or to detect any abnormalities that could impact implantation