Uterine fibroids block pregnancy by creating hormonal imbalance, uterine distortion, poor blood flow and inflammation. Ayurveda sees them as Kapha-Vata granthis obstructing Apana Vayu, while Tantra explains them as energy knots in the Swadhisthana chakra. Astrology links fibroids to Moon–Venus affliction, Saturn and Rahu influence. An integrated approach restores fertility holistically.