Ultrasound Findings at CD2

[atomic sagebrush]

AT this point in time though we don't even know that your not getting pregnant has anything to do with the fibroid. I will feel a LOT better once hubby has that sperm analysis and I also would still like to see an AMH test done.

Here is my concern - you hold off on TTC, have the fibroid removed, and in the meantime months out of your fertile window have passed. Then you still don't get pregnant and it turns out it was actually some other issue all together (such as poor egg quality or sperm health). The way TTC works is that sometimes when it isn't happening, it's just because you have to wait for "Goldie the Golden Egg" to show up. Some women get a Goldie every month, others of us have to wait 3 or 9 or 6 or 12 months for one shot at a good egg. I just hate to see people missing months without having a pretty darn good idea that the fibroid is really THE issue instead of ONE issue.

Again, I'm not saying that you can't benefit from having it removed, because that may very well be playing some part or be the entire issue. But when a doctor takes a look at a fibroid and without doing a sperm analysis or AMH tells you to take X number of months off to have it removed, I just feel a little wary about it just in case they are not seeing the forest for the trees. That's all.

RE taking up your womb - well, the nice thing about the room is, it grows as the baby does so there usually ends up being plenty of room. But I am not a doctor and I just want to be sure you're getting the best advice possible before making the decision.

[fefecooks]

Just got word that my AMH level is 1.2
Second opinion is suggesting robotic laproscopic surgery and hysterscopic for polyps. He will also check my endometrial lining while inside to make an assessment. He says once he gets in there he'll be able to assess all the possible reasons why it's not happening for me because it may not be the fibroid. He won't know until he gets in. He's the second best in Michigan.

[atomic sagebrush]

I feel much better about pursuing that course of action with two docs advising it.

That AMH level is not great either. :/

[fefecooks]

Ok. The doc said AMH was normal for my age. Semen is normal and surgery is scheduled for August 31st.

[atomic sagebrush]

It is normal for your age. Sorry I was writing that quickly. Point being, it's not what a 22 year old would have, you know??

Great that they can get you in so soon and FX for speedy recovery.

[fefecooks]

Had a 2nd ultrasound done and this one found an ovarian cyst. So there's a large fibroid, a cyst and and a potential endometrial disorder. Wow! This is so overwhelming. Anyone else out there with this story? Need some encouragement.

[atomic sagebrush]

Cysts aren't unusual and many of us have had them before. I had one between my 2nd and 3rd pregnancies and never again.

[fefecooks]

Ok. The doc that found the cyst is saying that I don't need a myommectomy because the fibroid is fundal (top of uterus/not inside) and i don't have irregular bleeding . However, I'm reading that fundal fibroids tend to block tubes, which is probably why the other doc said only 1 was open. She's recommending a d&c polypectomy and clomid. I thought clomid was only if you're not ovulating? So confused now. Laparascopic Myomectomy is still scheduled for Aug 31st. Left a message for myommectomy surgeon to shed some light. Any other advice?

[atomic sagebrush]

There are other reasons why a tube could be blocked and not necessarily from the fibroid.

As you probably discerned from my prev. statements I am not the hugest supporter of having fibroids removed unless there is a clear and pressing need to do so. I honestly don't know, I"m not a doctor, I just know that there hs been a huge sea change in the way that fibroids are being treated (or not as the case may be) and I just don't want you to have surgery you don't necessarily need.

Many docs use Clomid to up odds of conception. It's not unusual to be given the Clomid. Femara may be better for you though so if you do end up going that route, ask about it. Please update us on what the surgeon says.

[fefecooks]

Met with surgeon last night and he asked me if I wanted him to be blunt or blow smoke. He says my gyn is being too passive at my age. He says at this point I need to take active measures. Taking polyps out with a laparascope and giving me clomid and hoping for the best is too passive right now. He doesn't want me to lose out with timing. He wants to get in there with a laparascope not hysterscope because you can see more and fix it now. He may even leave the fibroid alone if its not bothering anything as I told him that I'd be disappointed if I gave up my chance for natural childbirth. The fibroid is not filling up my womb (submucosal), its subserosal fundal and appears to be out of the way and on top. He says if its not too deep, vaginal birth is still possible. He wants to look at the lining to assess endometriosis sooner rather than later just hoping for the best with passive measures. I'm at ease again and still scheduled for the 31st.