WOMB HEALTH   |   FIBROIDS   |   FERTILITY

They Told You That You Have Fibroids. But Did They Tell You What Kind — And What It Means For Your Future?

By Nina Lemtir  |  Nutrition Lifestyle Strategist, Author of Beyond The Surgery  |  The Womb Care Network

 

The day someone tells you that you have fibroids, there is a version of that conversation that gives you everything you need to move forward.

And then there is the version most women actually get.

 

A diagnosis — sometimes delivered in under five minutes. Perhaps a recommendation to monitor, or a referral to a surgeon. And then you leave the room holding a word — "fibroids" — but very little else. No map. No context. No understanding of what this actually means for your body, your hormones, or your hopes for a family.

I know that experience intimately.

I had submucosal fibroids. Very large — about the size of a football. And I had miscarriages. Not once, but more than once. It was only after I began to understand what kind of fibroids I had, and exactly where they were sitting inside my body, that I understood why. You can read more here in my book Beyond The Surgery.

No one had told me that the location of a fibroid could directly disrupt the ability of an embryo to implant. No one had explained that the type of fibroid matters as much — sometimes more — than the size.

"This is the gap between a diagnosis and genuine understanding. And it is a gap that can cost women years."

 

The Conversation About Fibroids That Most Women Never Have

Here is something that rarely makes it into a routine gynaecology appointment: not all fibroids are the same, and not all fibroids affect your fertility in the same way.

There are four distinct types. Each grows in a different location. Each creates a different set of consequences for your body. And each calls for a different approach when it comes to treatment, monitoring, and the choices you make going forward.

A fibroid sitting inside the uterine cavity — called a submucosal fibroid — is in a completely different category to one sitting on the outer wall of the uterus. The first directly disrupts the environment your body needs to support an embryo. The second may cause pressure and discomfort, but in most cases, has minimal impact on fertility at all.

These are not minor distinctions. They are the difference between a treatment decision that protects your fertility and one that does not.

The Four Types — and Why Location Is Everything

Submucosal (inside the uterine cavity): Strongest impact on fertility and implantation. Even small ones matter. This is where location, not size, is the critical factor.

Intramural (within the muscle wall): Fertility impact increases with size. Fibroids over 4cm are linked to lower pregnancy rates. Steady growth makes monitoring essential.

Subserosal (on the outer surface): Minimal fertility impact in most cases. Can grow large without detection, causing pressure rather than reproductive disruption.

Pedunculated (on a stalk): Impact depends entirely on position — whether the stalk sits inside or outside the cavity changes everything about management.

 

Personal Assessment Is Not Optional — It Is the Beginning

This is the part that rarely gets said.

A diagnosis of "fibroids" is not a treatment plan. It is the beginning of a conversation that, if handled correctly, gives you the clarity to make decisions that serve your long-term health — and your fertility.

That conversation has to start with you. With your body specifically. With the precise location, type, and size of your fibroid — not a generalisation about fibroids as a category, but the information that is unique to you.

Because here is what deeper personal understanding changes:

• It tells you how urgently you need to act — and whether urgency is even warranted.
• It tells you what your internal environment currently looks like, and what needs to shift.
• It tells you whether your hormonal picture is feeding growth — and what to address first.
• It tells you what a treatment plan that actually serves you should look like.
• It puts you in a position of genuine informed consent, rather than simply following a recommendation you do not fully understand.

 

Without this foundation, you are making decisions — or having decisions made for you — in the dark.

"Understanding your body is not a luxury. It is the most important clinical step you can take before any other."

 

What Happens After Surgery — The Part That Often Goes Unsaid

If you have been told that surgery is your best or only option, I want to offer you something important: context.

A myomectomy — the surgical removal of fibroids — can absolutely be the right choice. For some women, it is necessary. But it is a choice that permanently changes the structure of the uterus. And those changes carry real implications for future pregnancy that most women are not clearly informed of before they consent.

When a fibroid is removed surgically, the uterus is cut and stitched. This creates scar tissue. That scar tissue can reduce the natural elasticity of the uterine wall. Research shows that pregnancy following myomectomy carries a rupture risk of between 0.2% and 3.7% — some studies cite approximately 1 in 50 pregnancies. Pregnancies after myomectomy are routinely classified as higher risk.

None of this means surgery is wrong. What it means is that the decision deserves to be made with full information — not in a context of fear or urgency that does not allow for genuine reflection.

It also means this: removing a fibroid does not address the environment that created it. Without attending to the underlying hormonal picture, regrowth is not only possible — it is common.

"The womb is not a problem to be solved. It is a system to be supported."

 

Shaping Your Treatment Plan From a Place of Understanding

Here is what becomes possible when you truly understand your fibroid picture.

You stop reacting and start making considered, strategic decisions. You understand what your body needs — hormonally, nutritionally, and in terms of stress and nervous system regulation. You can have a different quality of conversation with your clinician, because you are no longer taking what you are told at face value. You are asking better questions. You are bringing your own knowledge to the table.

And when it comes to fertility specifically, you understand that the goal is not just to remove the obstacle. The goal is to create an internal environment that supports conception, implantation, and pregnancy. That work happens at a cellular level — through the choices you make consistently, every day.

This is the work we do together inside The Womb Care Network.

What Shapes a Treatment Plan That Serves Your Fertility

Knowing your fibroid type and exact location within the uterus

Understanding how your hormonal environment — particularly oestrogen dominance — is contributing to growth

Addressing blood sugar stability, inflammation, and gut health as foundational priorities

Making stress regulation non-negotiable: cortisol directly disrupts oestrogen and progesterone balance

If surgery has been performed: understanding what scar tissue means for your uterine integrity and future pregnancy

Working with the body's own systems, not against them

 

The 5 Steps That Change Everything

These are not abstract concepts. They are the practical foundation of everything I teach inside The Foundation Method and across The Womb Care Network.

1. Know Your Type and Location Precisely

Ask your clinician directly — what type of fibroid do I have, and exactly where is it located? Do not leave without this information. It is non-negotiable.

2. Understand Your Womb's History

If you have had surgery, understand what that means for your uterine integrity now. Scar tissue, elasticity, monitoring needs — these are your right to know.

3. Address Your Internal Hormonal Environment

Most fibroids thrive in an oestrogen-dominant environment. Removing processed seed oils, soya, and blood sugar instability from your daily life is not a minor lifestyle tweak — it is a direct intervention in the hormonal ecosystem that fibroids depend on.

4. Treat Stress Reduction as a Clinical Priority

Chronic cortisol disrupts the oestrogen-progesterone relationship. It accelerates fibroid-friendly conditions in the body. Managing your nervous system is as important as managing your diet — and far less often discussed.

5. Build Your Internal Environment Consistently

Not perfectly. Consistently. Every choice you make — in what you eat, how you move, how you rest, how you respond to stress — shapes the internal terrain your womb either thrives or struggles in.

 

You Deserve to Understand Your Own Body

I did not have this information when I needed it most.

I had miscarriages I did not fully understand. I had a diagnosis that gave me a word but not a framework. I had well-meaning clinicians who worked within a system not designed to give women the full picture.

What changed everything for me was not finding the right surgeon. It was understanding my body well enough to make informed decisions, create the right internal conditions, and advocate for myself from a place of genuine knowledge.

That is what I want for you.

Whether you are newly diagnosed, considering surgery, recovering from a procedure, or trying to conceive — your starting point is understanding. From that foundation, everything becomes clearer. The decisions you need to make, the changes most worth your energy, and the path forward that is right for your body specifically.

"They did not explain it to me. So now I make sure women understand it for themselves."

 

Ready to Understand Your Body and Shape Your Own Plan?

Book a complimentary Discovery Call with Nina — and let's look at your picture together.

The Womb Care Network offers the structure, guidance, and community to move you from

confusion to clarity, and from passive patient to informed advocate for your own health.

Book your Discovery Call:  https://calendly.com/ninalemtir/your-fibroid-freedom-formula-session

Join The Womb Care Network:  ninalemtir.com

 

About Nina Lemtir

Nina Lemtir is a Nutrition Lifestyle Strategist, author of Beyond The Surgery, and founder of The Womb Care Network. With over ten years of professional experience and her own lived journey through fibroids and fertility challenges, Nina works with women navigating hormonal imbalance, fibroids, and womb health — helping them move from diagnosis to deep understanding, and from understanding to lasting change.

ninalemtir.com   |   The Womb Care Network   |   The Foundation Method