<s>[INST] Hi there, im 34 years old female trying to concieve since august 2009. fertility doctors have found posterior intramural fibroid in teh lower uterine segment that measures approx 3.5 cm. they did not suggest to have it removed but i still wonder if this can be casue for infertility, i do have painfull but regular periods, and would like to hear what do you suggest. i had no previous pregnancies, husbands semen is normal range (had it checked three times) [/INST] hello, u mentioned that u have lower uterine fibdroid which may be obustructive factor for sperms.if your ovaries are good functioning and semen is good quality, go for intra uterine insemination technology, which will be more helpful. in terms of bypass that fibroid. </s>