Fertility clinics in Toronto for fibroids
Toronto and GTA fertility clinics with published fibroid experience — where surgical judgment and hysteroscopic capability matter more than anything else.
Fibroids are extremely common — a large share of women have at least one by their forties — and most never affect fertility. Whether yours do depends almost entirely on geography: submucosal fibroids that push into the uterine cavity clearly reduce implantation and pregnancy rates and generally should be removed before IVF; intramural fibroids in the muscle wall are debated territory where size and cavity distortion drive the call; subserosal fibroids on the outer surface rarely matter at all. That's why the fibroid-fertility question is really a surgical-judgment question, and why clinic choice matters. Six Toronto and GTA clinics in our directory publish experience treating fibroids, and the meaningful differentiator is surgical capability: whether the clinic properly maps your fibroids before recommending anything, whether it has physicians with published reproductive-surgery and hysteroscopy focus, and whether hysteroscopic myomectomy happens in-house or through a well-worn referral path. Hannam Fertility Centre lists a physician whose focus areas include advanced hysteroscopy and laparoscopy; Mount Sinai Fertility, as a hospital-based academic program, has physicians whose published focus areas include reproductive surgery. Ask every clinic who would actually operate — and, just as importantly, what they would leave alone.
Inclusion: clinic publishes treatment of fibroids (or uterine fibroids) in its 'conditions treated' or sub-specialty information. Last verified May 2026.
Fibroid-experienced fertility clinics in Toronto
6 clinics in our directory. Ranked by Google rating, then review count.
- Oakville, ON L6M 1M1 · 3075 Hospital Gate, Suite 417OFP-fundedLGBTQ+ welcoming
Why they fit: Dr. Ade-Conde's bio names particular interest in unexplained infertility, PCOS, male factor infertility, and women with low ovarian reserve.
- Astra Fertility Group4.1(63)Mississauga · 4303 Village Centre CrtOFP-fundedVirtual consults
Why they fit: Dr. Essam Michael's bio specifically names Asherman's Syndrome, severe uterine anomalies, and recurrent pregnancy loss as areas of focus. Multiple Google reviews describe patients being referred to Astra after other clinics couldn't…
- Hannam Fertility Centre4.0(223)Toronto · 160 Bloor Street East, 15th Floor, Toronto, ON, M4W 3R2OFP-fundedNo waitlistLGBTQ+ welcomingVirtual consultsTransparent pricing
Why they fit: Site language explicitly serves patients who have switched from other clinics ('Can I switch clinics if I'm on another Clinic's Waitlist? Yes'). Dr. Robb specializes in recurrent pregnancy loss and fertility preservation.…
- NewLife Fertility Centre3.4(25)Mississauga · 4250 Sherwoodtowne Blvd, Mississauga, ON L4Z 2G6OFP-fundedLGBTQ+ welcomingVirtual consults
Why they fit: Explicit on the success rates page: 'At NewLife there are no selection criteria for patients. Our specialty is treating difficult and complex cases.' Dedicated Recurrent Pregnancy Loss (RPL) service page. Beautifi clinic…
- CReATe Fertility Centre3.3(289)Toronto · 790 Bay Street, Suite 1100OFP-fundedLGBTQ+ welcomingVirtual consultsTransparent pricing
Why they fit: Largest cancer fertility preservation program in Canada (oncofertility); largest in-house genetics program for PGT-A/M/SR; in-house surgical hysteroscopy for polyps, septums, scarring, and fibroids; large research arm. Reviews consistently describe patients arriving after…
- First Steps Fertility Clinic3.1(37)Toronto (North York) · 4025 Yonge Street, Suite 215, Toronto, ON M2P 2E3OFP-fundedLGBTQ+ welcoming
Why they fit: IVF, IUI, egg freezing and PGT in Toronto (North York). OFP-funded.
At-a-glance: Top 5 compared
The five highest-rated clinics in this list, side-by-side. Tap any row to open the full profile.
| Clinic | Area | Rating | OFP-funded | Pricing |
|---|---|---|---|---|
| Halton Fertility & Women's Health Centre | Oakville, ON L6M 1M1 | 4.4 (110) | Yes | On request |
| Astra Fertility Group | Mississauga | 4.1 (63) | Yes | recommend phone verification) |
| Hannam Fertility Centre | Toronto | 4 (223) | Yes | $14,650+ (excludes medications and PGT) |
| NewLife Fertility Centre | Mississauga | 3.4 (25) | Yes | (no dollar figures published on the public-facing pricing page) |
| CReATe Fertility Centre | Toronto | 3.3 (289) | Yes | $9,000 base cycle (excludes medications, ICSI, PGT, FET) |
How to pick a Toronto fertility clinic when you have fibroids
Mapping comes before everything. No one should recommend surgery — or reassure you that surgery is unnecessary — without knowing exactly where each fibroid sits relative to the uterine cavity. That means a saline sonogram (sonohysterogram) or 3D ultrasound at minimum, and MRI when there are multiple fibroids or the anatomy is ambiguous. Ask the clinic which imaging they'd order and whether they classify fibroids by FIGO type; a clinic that can tell you 'this one matters, these two don't' is demonstrating the judgment you're paying for.
Then ask about the surgical pathway. Submucosal fibroids are typically removed by hysteroscopic myomectomy — a cavity-restoring procedure that meaningfully improves implantation odds — while intramural fibroids that warrant removal need laparoscopic or open surgery, which carries longer recovery and a delay before embryo transfer. Find out whether the clinic's physicians operate themselves or refer out, who the named surgeon would be, and how the surgical and IVF calendars coordinate. Medically necessary myomectomy is covered under OHIP; the IVF cycle is funded or private-pay on the usual terms.
Finally, value restraint. Fibroid surgery is not free of fertility cost — it can create adhesions, weaken the uterine wall, and push your timeline back months — so the right clinics stratify: operate on cavity-distorting fibroids, watch the rest. A clinic that recommends clearing every fibroid before IVF is over-operating; a clinic that explains why your particular fibroids can stay is usually practicing better medicine. If two consults disagree, that's a genuine judgment call — get the imaging into both sets of hands and ask each to justify the plan.
- What imaging do you use to map fibroids before deciding on treatment — saline sonogram, 3D ultrasound, MRI?
- What FIGO type are my fibroids, and which ones actually affect my fertility?
- Do your physicians perform hysteroscopic myomectomy themselves, or who do you refer to?
- How long after a myomectomy would you wait before an embryo transfer?
- Would you recommend proceeding to IVF without surgery in my case — and why or why not?
- How would my fibroids affect embryo transfer technique or pregnancy monitoring afterward?
Frequently asked questions
Which Toronto fertility clinics treat fibroids?
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Six Toronto and GTA clinics in our directory publish fibroid experience. The differentiator is surgical capability — Hannam lists a physician focused on advanced hysteroscopy, and hospital-based Mount Sinai has physicians with reproductive-surgery focus areas. The list below filters our directory to clinics with published fibroid experience.
Do fibroids need to be removed before IVF?
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It depends on location. Submucosal fibroids that distort the uterine cavity generally should be removed before IVF — this measurably improves implantation odds. Subserosal fibroids on the outer surface rarely need treatment. Intramural fibroids are case-by-case, driven by size and cavity effect. Insist on proper imaging before anyone recommends surgery.
Is fibroid surgery covered by OHIP in Ontario?
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Yes — medically necessary myomectomy, including hysteroscopic removal of cavity-distorting fibroids, is covered under OHIP as a surgical procedure. The IVF cycle itself is separate: funded through the Ontario Fertility Program if you're eligible, or private-pay on the usual terms.
How long after fibroid surgery until I can do an embryo transfer?
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It varies by procedure. Hysteroscopic myomectomy usually requires only a short recovery before transfer; laparoscopic or open myomectomy typically means several months of uterine healing first. Your surgeon and your REI should set this timeline together — ask how the two calendars coordinate before you book anything.
Can I get pregnant naturally with fibroids?
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Very often, yes. Most fibroids — particularly subserosal and small intramural ones — don't prevent conception or pregnancy. Location matters far more than size or number. If you've been trying without success and have fibroids, a cavity evaluation is the logical first step before assuming they're the cause.