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Fibroids, Polyps, Adhesions and More

Fibroids, Adhesions, Polyps, Uterus.jpg

a blog by Beth Hartog, M.D., Damien Fertility Partners, May 11, 2011

As we venture down the path of summaries of my radio show, we next stumble across the issues with the uterus that can interfere with conception and/or normal pregnancy.

The top 10 things to know about the uterus:

    10. Fibroids — benign growths of the uterus, also known as myomas — are very common, but most of the time do not cause infertility.

    9. The location of the fibroid is the better predictor than size of whether or not it will cause a problem. Fibroids can be in the cavity (submucous), in the muscle (intramural) or on the outside surface (subserosal) of the uterus.

    8. Submucous fibroids cause the most problems. The intramural ones may cause problems, and the subserosal ones rarely cause problems!

    7. Fibroids can be removed surgically, many times with “minimally invasive” procedures, which means quick recovery with very little pain!

    6. Polyps — benign growths of the lining of the uterus — can interfere with implantation of an embryo and also may increase the risk of miscarriage.

    5. Polyps can be removed with hysteroscopic surgery; which means no incisions, but a telescope goes through the cervix to remove them.

    4. Scar tissue (adhesions) can develop inside the uterus from prior pregnancy, a prior surgical procedure or a prior infection.

    3. Scar tissue can be removed with a hysteroscopic surgery, which means quick recovery and very little pain.

    2. At birth (congenital) the uterus can be abnormal due to developmental issues. We call these Mullerian Abnormalities, and many of these can be corrected surgically.

    1. The uterus can develop many developmental issues, and most of the time, they can be repaired! The uterus is usually pretty resilient!

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