Dr. Uzma Arqam
Obstetrics and Gynecology
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Patient's 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 (1.9 inches) pushing the endometrium anteriorly. I request an opinion about the need for laparoscopic myomectomy before IVF.
Hi,
Welcome to icliniq.com.
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 pushing fibroid and polyps better to remove them before IVF (in vitro fertilization). Radiologically controlled uterine artery embolization is also an option for symptomatic fibroids in those who do not want to have a pregnancy. Rarely are complications observed in simple myomectomy and polypectomy. As age and multiple factors can be the cause of infertility and favorable planning for IVF, it is better to have a myomectomy and polypectomy to increase the chances of success of IVF.
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Obstetrics and Gynecology
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