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Re: fibroid adviceFrom: Betty Rommel, MD, PhD (brommel@mindspring.com)Tue Jul 9 15:20:42 2002
At Tue, 9 Jul 2002, freda wrote: > >42 year old P0, desires fertility, seen for preconceptual counselling. >hysterosaplinogram, US and MRI all demonstrate large right posterior >fibroid (round)8.5 cm avg dimensions, completely filling retrouterine >space in pelvis with a broad attachment in myometrium (subsersosal). > >1) is laproscopic surgery possible > >(2) which procedure is best for (a) maintaining fertility > (b) vaginal birth A pedunculated fibroid can be removed by any method without concern for weakening the uterine wall. Laparoscopy requires morcellation for specimen removal. Fertility is unrelated to this fibroid, but her age may be a cause for inadequate ovarian reserve. She would benefit from myomectomy and a clomid challenge test. Nobody except a midwife cares about of mode delivery.
-- Betty Rommel, MD, PhD
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