Submucosal Fibroids

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I have been TTC for the last 1.75 years without success. About 3.5 years ago I was able to conceive but the pregnancy was lost at about 10 weeks. At that time, the dr. discovered that I had uterine fibroids but I was never told.

About 2 years I went to a gynecologist who advised me of the fibroids saying the largest was 4.3cm but he didn't feel it would be cause for concern with conception (even though I was already about 8 months into trying). I should mention that i had terribly painful, heavy periods that were lasting 10-13 days (mostly spotting).

I have since been seeing a reproductive endocrinologist. Last August I had a hysteroscopy which revealed a polyp that was removed but it did not appear that any fibroids were bulging the uterine lining. The endometrium was uneven but that was attributed to the polyp. Since that procedure, my periods have been a lot better. I barely need pain meds and the flow is much lighter, clots way smaller. Still not pregnant though.

Just had a sonohystogram/HSG earlier this week. The dr. felt that my largest fibroid is a 2cm posterior submucosal variety but that's all she would tell me. My tubes and ovaries were perfect.

Here are my questions:

If the fibroid was not visible during hysteroscopy, is it possible that it is not affecting my infertility? There have been no other tests to date with the exception of semen analysis.

Is it possible that it's not really a submucosal fibroid? Possible misdiagnosis?

What is considered a large fibroid?

How successful is surgical removal in terms of increasing my fertility? Is there a large risk of c-section as a result?

Thanks

--
Tamara

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