The surgical procedure that is done to remove uterine fibroids is called myomectomy. Instead of a hysterectomy, where the entire uterus is removed, here, only the noncancerous growth is removed so that the woman can still bear kids.

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I have two fibroids about 5 to 6 cm. Could that cause preterm labor?

Query: Hello doctor, I had preterm labor, and my baby was born at 27 weeks, but unfortunately, they had a brain bleed and passed away. I have two fibroids, about 5 to 6 cm. Could that cause preterm labor?  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to Preterm labor can be the result of many reasons like intrauterine infection, cervical incompetence, fetal anomalies, intrauterine growth restriction, high blood pressure, abnormal placentation, trauma, multiple pregnancies, maternal uterine anomaly, prelabour preterm ru...  Read Full »

Is it possible to have successful IVF even after having multiple fibroids?

Query: Hi doctor, I am 36 years old, and I have a 2-year old daughter. I have been trying for another baby for more than a year. So I was told to go for IVF. I had an ultrasound recently, and there are multiple fibroids present. I am more worried regarding the submucosal fibroid measuring 1.8 × 1.7 ...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to Please send me your gynecology and obstetrics report, drug history, and your recent scan report. Women's having small multiple seedling fibroids, which is not distorting the cavity, can bear pregnancy with precautions. Women's having big fibroids distorting the cavity at ...  Read Full »

How long do I wait to conceive after having a laparoscopic myomectomy for a submucosal myoma, and what are the complications?

Query: Hello doctor, I had a laparoscopic myomectomy this month to remove a one-centimeter submucosal myoma. The other two myomas are intramural. I did not face any complications three days after the procedure. Can I face complications later? Also, since my cavity was opened, how long do I need to wait bef...  Read Full »

Dr. Manwani Saloni Dilip

Answer: Hello, Welcome to I read your query and can understand your concern. After the uterine cavity is opened during a myomectomy, the chances of a uterine rupture occurring during a subsequent pregnancy are very high. This can be decreased by ensuring that the subsequent pregnancy is delayed...  Read Full »

How long should I wait to conceive after undergoing a laparoscopic myomectomy for the removal of fibroids?

Query: Hello doctor, I am undergoing a laparoscopic myomectomy for three intramural fibroids of size 2.6 cm each, after two weeks. It is present in the anterior wall of the retroverted uterus. The doctor has not given any Lupron injection before surgery. My fibroids are not causing any symptoms. I had six...  Read Full »

Dr. Richa Agarwal

Answer: Hello, Welcome to I understand your concern. The following are the answers to your questions: 1. No, anesthesia will not be very risky for you if you do not have major fibrosis due to COVID (coronavirus disease). 2. The risk of death in laparoscopic myomectomy is very minimal. 3. ...  Read Full »

I have not been give Lupron injection before fibroid surgery. Why?

Query: Hi doctor, I have been suggested laparoscopic myomectomy for the removal of three uterine fibroids, 2 cm each. But, I have not been given any Lupron injections before surgery. So I have a few doubts. 1. Are there any risks of death after this surgery? 2. What are the chances of blood loss and loss o...  Read Full »

Dr. Richa Agarwal

Answer: Hello, Welcome to I understand your concern. Lupron injections are given to patients with huge fibroids to reduce their size. Your fibroids are small in size, and that is why an injection was not given. It is a simple procedure, and the death rate is minimal after surgery. Blood loss...  Read Full »

Scan shows endometrial polyp and post wall intramural fibroid. Please advice.

Query: Hi doctor, I am 37 years old female, anxious to conceive, with premature ovarian failure, and had my left ovary removed (for torsion). Recently, a scan found an endometrial polyp and post-wall intramural fibroid (4.9 cm) pushing the endometrium anteriorly. I request an opinion about the need for lap...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to It would be nice to have a complete menstrual, medical, drug, and gynecology history of yours. In cases of infertility and recurrent miscarriages, myomectomy is considered a last resort treatment, either hysteroscopic resection or myomectomy. In the case of endometrium ...  Read Full »

What does echogenic endometrium mean?

Query: Hello doctor, I underwent myomectomy surgery five months back for fibroid removal. I am planning for pregnancy now. Recently I did a follicular scan on the tenth day of my period and report showed that I have echogenic endometrium. What does it mean by echogenic endometrium? Does it mean my uterus i...  Read Full »

Dr. Talpe Ashwini Nanasaheb

Answer: Hi, Welcome to It would be better if you can share black images of ultrasound. It looks like a cyst in one of the ovaries (attachment removed to protect patient identity).   Read Full »

What is the treatment for submucosal fibroid?

Query: Hi doctor, I have had submucosal fibroid for over ten years. Now for the past three months, I have been facing irregular bleeding. My urine does not flow in a straight line when the volume is less. Also, I have a small cyst in the clitoris, which creates occasional itching once or twice a month. I ...  Read Full »

Dr. Purushottam Sah

Answer: Hi, Welcome to For submucosal fibroid, you can opt for hysteroscopic removal or arterial embolization, or MRI (magnetic resonance imaging) guided focused ultrasound therapy. Because at 30 years, I do not think you would like to go for open surgery. Urine may not come out in a s...  Read Full »

I had an open myomectomy two years back, and now I have been diagnosed with multiple fibroids. Kindly help.

Query: Hello doctor, I am a 34 years old woman who had an open myomectomy two years ago. And recently, I found out that I have five new ones: 2.3 X 1.7 centimeters anterior wall, 2.3 X 1.8 centimeters anterior wall, 3.18 X 1.6 centimeters anterior fundal in position, 1.3 X 1.2 centimeters fungal, and 0....  Read Full »

Dr. Sadaf Mustafa

Answer: Hello, Welcome to Another treatment for your condition is embolization of the uterine artery. Did your doctor discuss this option with you? Thank you.   Read Full »

Is it safe to try for baby three months after open myomectomy surgery?

Query: Dear doctor, My age is 29 years. I had a surgery three months ago, open myomectomy (posterior wall 4x4 cm subserosal 8x7 cm) with right endometriotic cyst (4x4 cm). Now taking Novelon. Shall I try for a baby now?  Read Full »

Dr. Gowrimeena

Answer: Hi, Welcome to As it is close to three months from the time you had surgery, you can start trying for a pregnancy now. Please take Folic acid 5 mg daily. Also, please meet the doctor who did the surgery for you to check whether healing is complete. Consult an obstetrician and gynae...  Read Full »

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