Welcome to HCM.
You have not mentioned the size of leiomyoma
. If the fibroids are small then in pregnancy
they may not create problem, but if they are large and multiple, then even after you conceive, progress of pregnancy will be hampered by these fibroids. In that case myomectomy is advisable.
You have not mentioned about the patency of the tubes. If both the tubes are blocked then natural conception is out of question.
You could go for Invitro Fertilization, where they will ripen your ovum by medicines and when mature retrieve it and mate it with your husbands sperm and introduce the fertilized egg into the uterine cavity
where the pregnancy can progress naturally.
Wish you all the best.