How do Fibroids affect fertility?
If a fibroid grows near the entrance of the tube, it may cause tube blockage. The size, location and number of fibroids also can affect fertility and in cases of infertile women it is an important factor that should be discussed with the attending physician. Submucosal fibroids hold the major negative factor, entering the uterine cavity, disrupting its architecture, causing bleeding and altering the hormonal and secretory environment in which the embryo is implanted. All these result in difficulties in achieving pregnancy and increased incidence of abortions and / or complications during pregnancy.
Treatment of Fibroids
Fibroids can be removed surgically or laparoscopically.The open method (laparotomy) is called myomectomy. The process involves a small abdominal incision where the uterus is opened carefully and the fibroid is removed. Special care is needed to avoid injuring the fallopian tubes or other nearby organs and also caution during surgical suture so as not to form scar tissue.Laparoscopic removal is a process in which two or three small incisions are made on the lower part of the abdomen, to enter the laparoscopic instruments. The following surgical steps are similar to the open surgery, but with considerable advantages such as milder treatments, less traumatic, milder anatomical distortion of the pelvis and of course reduced postoperative pain and faster recovery time. Although various processes have been tried for the treatment of fibroids (e.g. drugs and vaccination), surgical removal remains the first choice especially in large symptomatic fibroids.
Do they re-appear even after treatment?
A significant number of women will still present fibroids even after having removed the existing ones. Therefore, after a removal surgery, a frequent medical check is important in case that any new fibroids appear. Limited chance of development or recurrence of fibroids have the women who are in menopause.
Is it necessary to remove all fibroids?
Removing fibroids is not always necessary and mainly depends on their size, their number, their location and the symptoms they cause (if and when they do). Moreover, a woman’s age and the degree of infertility are two other crucial factors that should be evaluated by the gynaecologist or the fertility specialist, together with the advantages and possible complications of a surgery.