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Subserocal fibroid
My wife is 33 and conceived through IUI on 28 August 2026, but recently had a missed miscarriage managed with medication.
Earlier scans showed a subserosal fibroid of approximately 4.2–4.5 cm.
The latest scan described a 7.6 × 5.6 × 7.2 cm mass behind the uterus/cervix, suspected to be a subserosal fibroid.
Could this have contributed to the miscarriage, and what tests can confirm whether it affects the uterine cavity?
Should it be removed before another pregnancy/IUI, and how long should we wait before trying again, with or without surgery?
Answers (7)
The fibroid is large and it can cause uterine cavity indentation or disortion of normal anatomy of fallopian tubes and uterus which might affect pregnancy chances and IUI success.
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Dr. Parru Singh
Gynecologist/Obstetrician
9 yrs exp
Lucknow
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Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
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Dr. Prateeksha B S
Obstetrician
7 yrs exp
Bangalore
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Dr. Pushpa Gour
Gynecologist
42 yrs exp
Bhopal
Consult please
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A subserosal fibroid sits on the outer wall of your uterus. That makes it less likely than one growing inside the cavity to have caused your miscarriage. But a mass this size, sitting right behind the uterus, can still affect blood supply and space around it. The real jump in size since your last scan is what needs attention now.
Next Steps
An MRI or saline sonography will show whether it's affecting your uterine cavity or pressing on it. If it is, most gynaecologists suggest a myomectomy before trying again. The usual wait after that surgery is about 3 to 6 months before your next pregnancy or IUI.
Health Tips
Please see your gynaecologist to go over both scans together. That way, the growth and surgery timing get planned against your actual reports.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.