WOMENS-HEALTH Messages for June, 2000: Re: uterine fibroids - which treatment offers best chance of pregnancy

Re: uterine fibroids - which treatment offers best chance of pregnancy

From: Nicola (anonymous@obgyn.net)
Fri, 30 Jun 2000 04:16:40 -0500 (CDT)

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Reply: R. Daniel Braun, MD: "Re: uterine fibroids - which treatment offers best chance of pregnancy"

At Thu, 29 Jun 2000, R. Daniel Braun, MD wrote: >
>At Thu, 29 Jun 2000, Nicola wrote:
>>
>>I am a 32 year old women here in the UK. I am currently being treated
>>with Zoladex prior to a myectomy to remove my one large fibroid (7cm
>>diameter).
>>
>>I want to become pregnant as soon as possible. I am being advised to
>>have a myectomy and then have IVF treatment.
>>
>>What are the statistics for my becoming pregnant naturally after the
>>myectomy? I know that scarring/adhesions are a problem.
>>
>>Would I be better to have the UEA or myolysis treatment? Is it available
>>in the UK? I am unaware of any hospitals offering this treatment.
>>
>>I am very upset about this whole situation and ever being able to become
>>pregnant and I am having difficulty in getting independant advice.
>>
>>Thank you very much in advance.
>>
>>--
>>Nicola
>>UK
>>
>In general, myomectomy is pretty much the standard of treatment the
>world around. The UEA and myolysis procedures should be considered to
>be experimental at this time as there is too little experience with them
>to know the long term outcomes. It would be best to ask the
>Reproductive Endocrinologist who is doing your surgery what his results
>are with myomectomy and IVF. These results differ in different
>institutions.
>
>RDB
>
>--
>R. Daniel Braun, MD FACOG FOG
>
>This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional. Due to time constraints, private e-mails cannot be answered.
>Thank you for responding so quickly, I am very impressed by the service!

Am I right in thinking that it is not standard procedure to need IVF after a myomectomy?

Do you have any statistics on the chances of conceiving after this operation? I read in a book by our leading fertility expert that in someone under 35 years of age (I am 32) the chances are approx 65%, my book is quite old, does anyone have anymore up todate data on this?

Having someone to answer questions about this is very reassuring. Thanks again for this brilliant website! Nicola UK

Next message: R. Daniel Braun, MD: "Re: Orgasm"
Previous message: KGM: "Semen analysis"
In reply to: R. Daniel Braun, MD: "Re: uterine fibroids - which treatment offers best chance of pregnancy"
Next in thread: R. Daniel Braun, MD: "Re: uterine fibroids - which treatment offers best chance of pregnancy"
Reply: R. Daniel Braun, MD: "Re: uterine fibroids - which treatment offers best chance of pregnancy"

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