Need Fibroid/IVF Advice - Please!!

mel23b22 · September 2017

Hello,

I have never posted on any forums before. I have had 3 fresh cycles, which consisted of 3 fresh and 1 frozen transfers. All were failed except for my last fresh transfer this past June. It resulted in a miscarraige at around 5.5/6 weeks. I went to my follow up and my Dr. had me do an MRI...I have fibroids. All though he can not be sure why I miscarried, one of his theories is that the fibroid (about the size of a quarter) cut off blood flow to the embryo. He recommended surgery comparable to a c-section and then another transfer in 6 months after I am healed. I wanted to go the more natural route and do acupuncture, which helps blood flow, and go ahead with the transfer. Is there anyone out there has been through a similar situation? I just keep going back and forth with this very tough decision.

dragonette505 · September 2017

Hi, I've had two fibroid removal surgeries called myomectomies. Neither was like a c section. Neither required more than 3 cycles to recover from. I would ask where the fibroid is located that makes him/her think they need to cut into your abdomen through the uterus to remove it. Then I'd go get a second opinion from another surgeon. It may be that you DO require that kind of surgery, but I would see if perhaps a less invasive way is possible.
acupuncture is great and I recommend it, but while it can improve blood flow, it can't relocate a fibroid. If the baby implants in your fibroid, no amount of acupuncture will help. I hope all works out for you, but I recommend a second opinion.

sarcasticowl · September 2017

Hi @mel23b22 I second Dragonette505's advice. I've also had two myomectomies, and while not simple or "easy" to recover from, it is far preferable to an "open" myomectomy where they make a large horizontal cut in your abdomen. That is not the preferred surgical method for most fibroids unless they are huge.

A fibroid the size of a quarter would very easily come out via laparoscopy, where they cut four small incisions in your abdomen and put instruments in through them rather than a large incision. The healing time is significantly less, the blood loss is significantly less, and you have far less chance of infection with laparoscopic surgery. I needed three months to heal after mine, and it was not just a fibroid removal but also removal of scar tissue and adenomyosis, as well as to repair a thinned out "uterine window" from my previous surgery. Please do consider someone who can do laparoscopic surgery! Both of the REs I work with consider 'manual' laparoscopy to be the gold standard, even more so than robotic. You definitely owe it to yourself to get a second opinion or inquire about less invasive measures. Depending on where the fibroid is located, they may not even need to do any incisions and could do everything vaginally.

Keep us posted on what you decide, and best of luck to you. You're definitely not alone in this!

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