Q. What is the treatment for fibroids in my uterine wall?

Answered by Dr. R Balakrishnan Menon and medically reviewed by Dr. Nithila A

 

New
Do you have a question on Uterine Fibroid or Ivf? We have medical experts to help you right away. Ask a Doctor Now »
 

Hello doctor,

I am 36 years old with 5'8" in height and weight 143 lbs. Started my period when I was 13. My husband and I want to start trying to conceive. We had some tests done to know where we stand since I am not young, and I had a hysteroscopic myomectomy three years ago. Back then my doctor told me I had a couple of other fibroids inside the uterine walls, but his concern was only the one inside the uterine cavity which he removed.

I got two different doctor opinions on my recent tests. Both agree I have two fibroids about 4 cm each inside my uterine wall, that my hormone levels are normal, my husband's sperm looks perfect, and they want to do surgery to remove the fibroids. However, on my HSG test, the lab stated that my right fallopian tube is good, did not mention the left, but on the X-ray, it seems to be blocked. No liquid went through. '

The first doctor was not concerned about the health of my tubes, only the fibroids. The second doctor said the right tube does not look fine, she saw it as distorted upwards and the ovary far away from it, plus one fibroid on each side of it. She thinks the fibroids are to blame for the distortion. My questions are, do fibroids affect the position of the fallopian tubes? Could this be corrected by removing them? Would it make sense to see unblocking options for the left tube? If my fallopian tubes are indeed damaged. Is there any point in having the surgery? Fibroids do not cause me any trouble otherwise.


Related Questions:
I am having IVF failure even though there are good stimulation and embryo production. Why?
In Vitro Fertilization (IVF)
Fourth ultrasound after IVF has no signs of fetal pole. Please help.
 

Dr. R Balakrishnan Menon
MBBS., DGO., DNB- OBG., MNAMS
Infertility, Obstetrics And Gynaecology

Hello,

Welcome to icliniq .com.

36 years is not old. Of course, pregnancy chances are higher before 35yrs, but ladies do get pregnant after that too. Fibroids distorting the uterine cavity or tube needs to be removed, also those which are near the implantation site of the embryo, they can cause the inadequate blood supply to the fetus.If fibroids are stretching the tubes thereby blocking the free flow of dye, they need to b removed.

Another option, instead of going for removal is IVF. If fibroids are close to the sides of the uterus, removal may interfere with the blood flow to ovaries, thereby reducing the egg number. Surgery will need cauterization of bleeders, which will reduce the blood flow. So at 36 years, you will not want to reduce eggs number further. If the cavity of the uterus is normal, IVF would be good.Do not worry about the fibroids pulling away tubes from ovaries. Even if you ovulate on the blocker side, the egg will swim or will b pulled to the opposite side. I hope I have clarified your query, do write back if any more questions.

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


How will a 7 mm uterine fibroid impact my life?
Query: Hello doctor, I am a 28 year old female, and today I went for an ultrasound scan of the abdomen, as advised by my family physician. My test report shows small hypoechoic lesion of 7 mm in the fundus myometrium. It is indicative of a fibroid, and my endometrial thickness is 7 mm. What is the meanin...  Read Full »
Dr. R Balakrishnan Menon
Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. How are you doing? If I may suggest, just forget the report, let me explain why. Fibroids or myomas are harmless masses in the uterus, which are hormone dependent. It keeps growing as long as you have estrogen, so once your hormones stop after menopause, it will ceas...  Read Full »
 
I have submucosal uterine fibroid. Will it affect my pregnancy?
Query: Hi doctor, I am a 30 year old woman. I was healthy and normal. But before two months, I was detected with a 2 cm x 1.8 cm x 2 cm submucosal fibroid in the uterus due to which I am feeling very dejected now. Please guide me.  Read Full »
Dr. Seikhoo Bishnoi
Psychiatrist

Answer: Hi, Welcome to icliniq.com. I can understand your concern. A lot of females are diagnosed with incidental fibroids and in most cases these can be resected easily. These does not pose serious risk to fertility and do not worry about it. The feeling of dejection can occur due to mild depression o...  Read Full »
 
For uterine fibroid, how quickly should I get surgery?
Query: Hi doctor, I am 46 and a mother of three children. I have been diagnosed with multiple fibroids a few in the anterior wall intramural and a few on the posterior wall and a bulky 134 x 74 x 87 mm uterus. The endometrium is displaced posteriorly. The symptom is mainly heavy menstrual bleeding that las...  Read Full »
Dr. Abiodun A
Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. You are having symptomatic uterine fibroid. Since it is symptomatic and you have had children, then the best for you is to go for a hysterectomy. This will make you to have peace of mind. If you do not get surgery, then there is a tendency of recurrent heavy menstrua...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Sepsis - Causes|Symptoms|Risk Factors|Diagnoses|Treatments|Prevention
Sepsis is a medical emergency, as it causes multiple organ failure. When the body's response to infection in the blood s...  Read more »
I have on and off acid reflux as well as mild dysphagia. Is this esophageal cancer?
Hello doctor,I am a 26-year-old male. I have been experiencing on and off acid reflux for a few weeks as well as mild dy...  Read more »
There is a hard lump under the nipple. I am afraid of breast cancer. How to proceed further?
Hi doctor, I am a 25-year-old female. I found a quarter-sized hard nonmobile lump under my nipple a day ago. Is that an...  Read more »
 
 

Also Read Answers From