Myo improve fertility - 50/50 chance at best (maybe worse)

[Guest guest]

If you read What Your Doctor May Not Tell You About Fibroids, in it

they discuss they mention that anectdotal evidence of increased

fertility from individual doctors is not a good indicator of actual

successes since some people give up trying to have a kid (divorce,

life plans change, etc.) and also because some patients switch

doctors after their treatment and the surgeons don't always see the

full picture. They cite in that book a review of a study of post-myo

fertility which the study authors said was 50% chance of improved

fertiility. The book authors break it down into all the ways in which

the study subjects were disqualified or dropped out of the study and

the end total was actually 25% of study participants (give or take

anyone who left the study but might have had treatment and gotten

pregnant on their own).

Here's more on the topic:

" Myomectomy carried out in a context of infertility can be the origin

of adverse effects on the reproductive function: post operative

adnexal adhesions; uterine rupture after myomectomy carried out by

laparotomy, by laparoscopy, or by hysteroscopy. Systematic use of

myomectomy for infertility is a subject of debate, in particular in

case of intramural or sub serous myoma, those of medium size or

without symptoms. Some authors recommend it should be carried out

when no other infertility factor has been found but do not state

which characteristics of the myomas (size, number, depth of

penetration into the myometrium) justify operation. When there are

infertility factors associated with the presence of myomas the

benefit observed after myomectomy remains unclear. Knowledge of the

prognostic factors which influence the rate of conception after

myomectomy could be helpful for the decision. These factors are

unknown at present. "

(from http://www.obgyn.net/displayarticle.asp?

page=/infertility/articles/myomectomy_infert)

Fibroids can be caused by hormonal imbalances and these same

imbalances can interfere with fertility regardless of whether or not

the fibroid is removed. There are also other factors like age, stress

and other conditions which can also add to the infertility mix.

I would love it if they could say that myo really was the correct

course of action but they just don't know that absolutely, not even

close really. I don't want to pursue IVF if I can at all help it and

we have really poor sperm morphology we are dealing with so I'm

holding off for now -- I don't want to risk blocked tubes.

Do go to the polls area and let us know if you have been able to

conceive post myo.

--Ann

My Dr did tell me most women often get pregnant after myo;s if there

are not any other infertility factors..