I am 34 and my husband and I have been trying to conceive for about 9 months without success. We had a fertility work up done and the only finding was that I have a medium/large fibroid that the doctor thinks might be seriously impacting my ability to conceive. I'm thinking over various options about where to go from here and was wondering if others had had similar experiences?
For a few details: I have a 4.6 centimeter submucosal fibroid that is extending about 50% into the cavity. It has caused me to have very heavy bleeding with my periods, but not a lot of pain. I met with the surgeon yesterday and he said that he thinks he can try to remove it transvaginally with hysteroscope, but he thought there were 50/50 odds that he'd need to do the procedure twice to completely remove it (probably do the first round at the end of this month and then the second in another month or month and a half). He said if I wanted to definitely have it done with in one shot, I could go for a laparoscopic myomectomy procedure, but that has a longer recovery period (he said about two weeks).
The shorter recovery time for the hysteroscopic procedure is definitely attractive (even if I have to do it twice), but I worry about the risk of adhesions forming inside my uterine cavity and making my fertility situation even worse than with the fibroid itself. I'm leaning toward doing the laparoscopy since it doesn't actually cut inside the uterus and thus can't form adhesions (although he said that I would probably need a c-section if I go the laparoscopic route), but I want to talk to him about adhesions again before I go ahead with it.
In the mean time, I was wondering if there were others who had had a choice between procedures and how you made that decisions and if you were happy with it? Am I worrying too much about adhesions? Maybe we should try for a few more cycles before having the surgery?
(Also since I have seen a few other posts in the past asking about how much time off for ttc, the surgeon said that he thought that with either procedure I could start trying to conceive again after three cyles (the one immediately after the procedure and then two more).
Thanks for any thoughts!