Next steps?

[Anonymous]

I have a large fibroid (the size of a baseball) in the back wall of my uterus. Doctors don’t *think* it’s infringing on the uterine cavity from saline sonogram and ultrasounds, but I also just had a pregnancy (that later ended in miscarriage) that implanted low in my uterus.

On the one hand, I have horribly horribly heavy periods and maybe the fibroid affected where the embryo implanted. On the other hand, doctor’s have said if I have the myomectomy, I’ll need to wait at least six months before trying again and all future pregnancies will be a csection. As someone who already bleeds a LOT, that really worries me.

Fertility specialists have continued to say keep trying. OBGYN is a bit more 50/50 on if I should have the surgery or keep trying. Hematologist is 80/20 on having the surgery first. I should also mention this large fibroid appeared literally out of nowhere in about three weeks time (and so we’ve already gone down the “is it cancer” MRI route)

Have you been in a similar scenario? If so, what did you do? If not, what would you do?

[Anonymous]

How old are you?

[Anonymous]

Anonymous wrote:How old are you?

37

[Anonymous]

I have not been in your shoes other than trying to get pregnant at 37. I would not wait, especially given how quickly the mass appeared. If it gets any larger it could interfere with the uterine wall, blood supply, and the like. Plus, how do we really know that it will not impact my pregnancy? I would have it removed ASAP, recover, and begin trying to conceive as soon as you get the greenlight. Wishing you luck!

[Anonymous]

Anonymous wrote:I have a large fibroid (the size of a baseball) in the back wall of my uterus. Doctors don’t *think* it’s infringing on the uterine cavity from saline sonogram and ultrasounds, but I also just had a pregnancy (that later ended in miscarriage) that implanted low in my uterus.

On the one hand, I have horribly horribly heavy periods and maybe the fibroid affected where the embryo implanted. On the other hand, doctor’s have said if I have the myomectomy, I’ll need to wait at least six months before trying again and all future pregnancies will be a csection. As someone who already bleeds a LOT, that really worries me.

Fertility specialists have continued to say keep trying. OBGYN is a bit more 50/50 on if I should have the surgery or keep trying. Hematologist is 80/20 on having the surgery first. I should also mention this large fibroid appeared literally out of nowhere in about three weeks time (and so we’ve already gone down the “is it cancer” MRI route)

Have you been in a similar scenario? If so, what did you do? If not, what would you do?

Have you discussed hysteroscopic myomectomy? I had a couple and that did not interfere with pregnancy or vaginal delivery. The sudden (three week timeframe) appearance of the fibroid seems to be a whole different issue.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I have a large fibroid (the size of a baseball) in the back wall of my uterus. Doctors don’t *think* it’s infringing on the uterine cavity from saline sonogram and ultrasounds, but I also just had a pregnancy (that later ended in miscarriage) that implanted low in my uterus.

On the one hand, I have horribly horribly heavy periods and maybe the fibroid affected where the embryo implanted. On the other hand, doctor’s have said if I have the myomectomy, I’ll need to wait at least six months before trying again and all future pregnancies will be a csection. As someone who already bleeds a LOT, that really worries me.

Fertility specialists have continued to say keep trying. OBGYN is a bit more 50/50 on if I should have the surgery or keep trying. Hematologist is 80/20 on having the surgery first. I should also mention this large fibroid appeared literally out of nowhere in about three weeks time (and so we’ve already gone down the “is it cancer” MRI route)

Have you been in a similar scenario? If so, what did you do? If not, what would you do?

Have you discussed hysteroscopic myomectomy? I had a couple and that did not interfere with pregnancy or vaginal delivery. The sudden (three week timeframe) appearance of the fibroid seems to be a whole different issue.

Unfortunately, because of its size, location (back wall of my uterus) and that it’s intermural (as of last sonogram), that’s not an option. Because it’s intermural (or however you spell that), it in theory shouldn’t be causing this ridiculous bleeding and/or miscarriage. That’s a big reason why I’m hesitant- would surgery actually change my “odds” of another successful pregnancy at all? Can I just deal with the heavy bleeding?

[Anonymous]

I would absolutely 100% have it removed.

I personally would not believe that a fibroid that is so large that it is causing such heavy and irregular cycles, on top of you just experiencing a miscarriage, is not impacting your ability to sustain a pregnancy. You want to be in as good health as possible when getting pregnant, that includes removing a gigantic fibroid. Regardless of whether you are pregnant again, it is clearly impacting your health. Get it removed. The longer you are waiting, the longer your recovery and the longer it will take before you can try to conceive again!

[Anonymous]

Yeah, have it removed now. You are 37 and if it could impact fertility do it now.