Sorry, I mean the treatments can affect fertility - for me options would be:
a) surgery, following drugs to temporarily induce menopause-like state which shrinks the fibroids a bit to make removal easier
b) uterine artery embolisation (uae or ufe) where tiny particles are injected into the uterus' blood dupply and block the vessels supplying the fibroids - these vessels are larger than those supplying the uterus itself, so the fibroids should be starved of blood & die leaving the uterus healthy.
However, the surgery would involve major uterine scaring / pos hysterectomy if it all went pear shaped, added to which the drugs can cause permanent early menopause in some people, and the UAE is very new treatment for fibroids and not yet reccomended if you might want more children (I think it sounds promising technology tho, and is probably what I'd try if the issue was forced).
My fibroids are inside the wall or the uterus, tho, not outside. Do you have a consultant to advise you?
Sorry again, this prob isn't too helpful - everyone's different. I have spent a lot of time researching the options tho - am pretty sick of looking 3-6 mo pregnant.
Do you have pain all the time? Mine was just when degenerating - ended up in A&E.