Hi, ***A) Based from the information, the endometrial cavity is deviated anteriorly - means the uterus is facing towards the belly which is normal position of the uterus, but it may be bit more tending downwards due to presence of excess of tissues mass . ***B) Now lets talk about FIBROID MASS - uterus is an muscular bag which is very elastic and flexible, not due to some family disposition/ reasons unknown the some portion of the muscle cells are replaced by the fibrous tissues which are tough but not elastic. So a presence of such tissue will have problems in multiple fronts as listed below 1) Due to extra mass the uterine cavity will be compressed and space will reduce 2) Lead to irregular menses 3) will make it difficult for the fertilized egg to implant, hence reducing the chances to become pregnant. 4) may cause issues during pregnancy incase implantation occurs at normal area of uterus. 5) Chances of extrauterine (implantation of embryo occurs at other area except uterus) pregnancy are bit higher. ***C) No TUBAL OPACIFICATION - blockage of fallopian tubes which helps the eggs and sperm to meet and get fertilized, that is patent/open, and no evidence of TUBAL PREGNANCY (which I think is miss spelled as patency) means no extra uterine pregnancy is found, and all other parts of reproductive system are normal except the presence of fibroid. ***D) CHANCES OF GETTING PREGNANT are bit lower then normal person and reasons are explained in section (B) Hope I have address all of your question satisfactorily. Dr. JAY PATEL