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: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 30 Jun 2000 06:55:59 -0500 (CDT)

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In reply to: Nicola: "Re: uterine fibroids - which treatment offers best chance of pregnancy"

At Fri, 30 Jun 2000, Nicola wrote: >
>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?

You are correct, it is not. Fibroids usually lead to miscarriage nad not infertiltiy, but in some cases they can and then it might be indicated.

>
>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?

As I said above they don't usually cause infertility. I think the statistics you quote are for having a term delivery after the surgery.

RDB

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

You're Welcome, Nicola..

RDB

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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