Re: fibroid advice

From: Efrain Ramirez (eramirezt@coqui.net)
Tue Jul 9 18:40:31 2002


Sperm count - consider Clomid - allow vaginal trial -- if there is no pregnancy in 6 months consider myomectomy - C/S if pregnancy occurs after procedure -

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
>
>MRI images on CD ROM, with assistance I can post them-please post off-list
>
>--
>Freda Seddon, RN, RM
>Community Midwife
>37 Chelwood Rd., Toronto,
>Ontario M1K 2K5
>(416) 750-3100 fax 757-1562
>

--
"Life is neither the notes nor the silence between the notes, but the music that
 arises out of sound and silence felt as a living whole. Stop choosing...between
 chaos and order, and live at the boundary between them, where rest and action
  move together..." David Whyte




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