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RE: Digest Number 2439

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Jodie wrote:

Dh and I have been

ttc for 14 months and I supposedly ovulate and his sperm are okay.

I'm only 28 and had an HSG Monday. The doc (not my regular OB) said I

had at least one fibroid, which was blocking both tubes, and is large

enough to change the shape of my uterus and cause it to swell. ......

One question I have is should my OB have found this

sooner during a pelvic exam?

********

Jodie, when you ask shouldn't your OB have found out sooner that your

fibroid was blocking your fallopian tubes...how long were you trying to

conceive before your OB referred you for an HSG? I believe that an doctor

really can't tell exactly where a fibroid is in the uterus from a manual

exam, and even an ultrasound is reducing a 3-dimensional object to a

2-dimensional film so it probably would not show clearly that the fibroid is

blocking both fallopian tubes.

If the HSG clearly shows that your fibroid is blocking your fallopian tubes,

I would think that the best course is to remove the fibroid. If the sperm

can't get up the fallopian tubes, and the fertilized egg get down them,

you're not going to have a pregnancy. I wouldn't bother waiting any further

at this point -- this test result sounds definitive. A myomectomy is

probably your best bet to remove the fibroid. Many women become pregnant

following a myomectomy.

Best of luck to you.

Leonie

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