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Myomectomy for Small Fibroids

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I think this is the hardest decision of my life. I was diagnosed

with fibroids in October 2003 ranging from 1cm to 3cm. I have four

of them. I just went in today for another sonogram. I still have

four. Silently hoping they were gone. Yeah right! The tech said the

largest looks about the size of a quarter. My dilemma is I have

tried to conceive for the past year and a half without success. I am

scheduled for a myo next month. And the size of these fibroids just

keep running through my mind. I just keep thinking I am getting cut

to remove four tumors that are only quarter size. My sonogram report

does state that the largest fibroid is distoring the uterine lining.

I just can't believe something so little is keeping me from having a

baby. Has anyone here ever had a myo for fibroids this small? Please

let me know your experience. Did removing such small fibroids help

you to conceive. I really want a baby and if removing these little

things will help I will do it. I just don't want to have this

surgery and it makes matters worse. HELP!

Dani

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Hi Dani,

I am guessing you've investigated all other possible reasons that

you might no be able to conceive, and are seeing an infertility

specialist who recommended myo?

> I think this is the hardest decision of my life. I was diagnosed

> with fibroids in October 2003 ranging from 1cm to 3cm. I have four

> of them. I just went in today for another sonogram. I still have

> four. Silently hoping they were gone. Yeah right! The tech said

the

> largest looks about the size of a quarter. My dilemma is I have

> tried to conceive for the past year and a half without success. I

am

> scheduled for a myo next month. And the size of these fibroids

just

> keep running through my mind. I just keep thinking I am getting

cut

> to remove four tumors that are only quarter size. My sonogram

report

> does state that the largest fibroid is distoring the uterine

lining.

> I just can't believe something so little is keeping me from having

a

> baby. Has anyone here ever had a myo for fibroids this small?

Please

> let me know your experience. Did removing such small fibroids help

> you to conceive. I really want a baby and if removing these little

> things will help I will do it. I just don't want to have this

> surgery and it makes matters worse. HELP!

>

> Dani

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I've only seen my OB/GYN doctor. Haven't found any other reason for

the infertility. I don't know. I am just so confused.

> I am guessing you've investigated all other possible reasons that

> you might no be able to conceive, and are seeing an infertility

> specialist who recommended myo?

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Hi,

A small fibroid in the " wrong " place can cause big problems. Fibroids get worse,

not better. If a fibroid is distorting your uterus, it can stop you from getting

preggie. Also think that if you were able to conceive, the fibroids will grow

and can interfere with having a healthy baby. Many women with fibroids have

healthy babies. It's location, location. location. Recently a woman wrote saying

she lost her baby because of fibroids. She not the first on this list to do so.

We've also heard from women who've removed their fibroids and have went to have

a baby.

If you feel you need a second opinion, get one. Feel good about this decision.

Also note, pregnancy is not easy for any woman. It has it's own trials and you

can end up with surgery (c-section). But you get a baby. It might be that you

need this surgery and you'll have a baby because of it. You'll make a family.

Is it worth this chance?

Ku

eventsbydanielle eventsbydanielle@...> wrote:

I think this is the hardest decision of my life. I was diagnosed

with fibroids in October 2003 ranging from 1cm to 3cm. I have four

of them. I just went in today for another sonogram. I still have

four. Silently hoping they were gone. Yeah right! The tech said the

largest looks about the size of a quarter. My dilemma is I have

tried to conceive for the past year and a half without success. I am

scheduled for a myo next month. And the size of these fibroids just

keep running through my mind. I just keep thinking I am getting cut

to remove four tumors that are only quarter size. My sonogram report

does state that the largest fibroid is distoring the uterine lining.

I just can't believe something so little is keeping me from having a

baby. Has anyone here ever had a myo for fibroids this small? Please

let me know your experience. Did removing such small fibroids help

you to conceive. I really want a baby and if removing these little

things will help I will do it. I just don't want to have this

surgery and it makes matters worse. HELP!

Dani

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Hi Dani,

Have you checked other factors re your fertility?

How about your hormones, sperm analysis for your partner, your tubes(HSG). I

wouldnt even get a myo with fibroids that small ..its not worth it..The scarring

may make things even worse..or more difficult for you to become preggie..

How old are you?

I would only get it removed if your RE has determined this is the only reason

you are not getting pregnant, other wise continue to try and get pregnant..you

never know..

I had 2 fibroids remved last year Sept/2004, one was around 9 and the other 7

cm, one was blocking the entrance of my left tube..

On Friday i go and get a HSG to check my tubes and uterus..

Wish me luck!

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you need to get referred to an RE.

I can guarantee ths is not the reason alone for not becoming pregnant..you have

to look @ all factors..the fibroids could be the least of your worries

eventsbydanielle eventsbydanielle@...> wrote:

I've only seen my OB/GYN doctor. Haven't found any other reason for

the infertility. I don't know. I am just so confused.

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Hi all!

I had a hysteroscopy, laparoscopy and a mini laparotomy(myo) for

many small fibroids and one large 3cm (not very large compared to

others on the board) just a week and a half ago.

I lost my son at 21 weeks due to fibroids. The ob/gyns who saw me

in the emergency room really put a scare in me saying I had so many

fibroids and that I may not be able to conceive. I took it into my

own hands to research and found (FROM THIS WONDERFUL BOARD) that I

should see an RE. I went to a RE who was very informed. His sole

purpose for the operation was to allow me to carry a child to full

term.

I would recommend (if possible) finding a RE and have them do a

thorough check up. It appears that all is well. I went to see the

Dr. last week and will see him again next week.

I would also recommend maybe reading some of the posts on the

TTCMyomectomy board. Others might be able to help...I know that

there are more of us out there trying to get PG : )

Best of luck to you! Please feel free to email with any questions.

My dilemma is I have tried to conceive for the past year and a half without

success. I am scheduled for a myo next month.

I just can't believe something so little is keeping me from having

a baby.

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No, we didn't check hormones or sperm because I got pregnant last

summer but miscarried. We think it is the fibroid that is displacing

my endometrial lining that caused the baby not to implant properly.

I really like my doctor. With the surgery scheduled for next month,

I don't know if I should try another doctor. I have been trying to

get pregnant for a year and a half and we haven't found anything

wrong but these stupid fibroids. I am 27. I find such conflicting

information. Some say have the surgery, some say don't. Then I find

this article online, which makes me think I need to get these things

out. I have heard too many stories of people with small fibroids

that quadrupled during pregnancy and they lose their babies due to

preterm labor. I am terrified of that! Then I do think about the

scarring, but then I think about all of the women who have had three

and four C sections and conceive just fine. I just don't know!!! You

are damned if you do, damned if you don't. But I only have a few

weeks to decide.

Article I found online about small fibroids:

Newswise — Early results from a pioneering study at the University

of North Carolina at Chapel Hill indicate that small uterine

fibroids are associated with an increased risk of miscarriage.

Fibroids, benign muscle tumors of the uterus, are estimated to

affect more than one in five women of reproductive age. But little

is known about the influence of these growths on pregnancy outcomes,

including miscarriage, premature birth and fetal growth restriction.

" No studies have prospectively investigated these risks in a large

cohort of women early in pregnancy where presence of fibroids was

uniformly assessed using ultrasound imaging. This is the first large-

scale prospective study to do that, " said Dr. Hartmann,

the study's principal investigator. Hartmann also is assistant

professor of obstetrics and gynecology as well as epidemiology in

UNC's schools of medicine and public health.

read the rest here:

http://www.newswise.com/p/articles/view/504229/

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One miscarriage could mean any number of things or it might just be a

fluke. The fact that you aren't easily getting pregnant points out

that something is going on, provided you are having well-timed

intercourse. Still before you undergo myo you really should do less

invasive evaluations of you and your partner's fertility. What if you

partner doesn't have a great sperm count and you don't find out until

after your surgery?

As for this study, I'm not discounting it but I would like to point

out that they are only observing the fibroids and that fibroids don't

appear to happen in a vacuum. What would be more useful is to know if

they had any hormonal issues in their early pregnancy AND had

fibroids. I think of it as a chicken and egg kind of thing -- which

came first the fibroid or the hormonal problem?

Note as well that this article says that " little is known " -- one

more study just adds to the pool of information to draw on. There are

lots of women who have successful pregnancies with fibroids -- they

tend to be ones without symptomatic fibroids and therefore aren't

looking for support and don't hang out in our forum. I know of two

women in town who both fit into this category.

--Ann

>

> Article I found online about small fibroids:

>

> Newswise — Early results from a pioneering study at the University

> of North Carolina at Chapel Hill indicate that small uterine

> fibroids are associated with an increased risk of miscarriage.

>

> Fibroids, benign muscle tumors of the uterus, are estimated to

> affect more than one in five women of reproductive age. But little

> is known about the influence of these growths on pregnancy

outcomes,

> including miscarriage, premature birth and fetal growth

restriction.

>

>

> read the rest here:

> http://www.newswise.com/p/articles/view/504229/

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Thanks for the advice. I called a fertility center here in my area.

They can see me tomorrow. :) They asked my doctor's name, and said

she was awesome and referred other patients there before. That made

me feel great. I really have lots of confidence in my doctor. I have

only had rave reviews of her. I am still happy I am going in for

this appt though. They can also give my husband a semen analysis. I

can't wait to see what they have to say.

Thanks

Dani

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Thanks for the advice. I called a fertility center here in my area.

They can see me tomorrow. :) They asked my doctor's name, and said

she was awesome and referred other patients there before. That made

me feel great. I really have lots of confidence in my doctor. I have

only had rave reviews of her. I am still happy I am going in for

this appt though. They can also give my husband a semen analysis. I

can't wait to see what they have to say.

Thanks

Dani

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