These benign tumors, which Dr. Abaé may call myomas, develop in the muscles of the uterine wall. They are not cancerous but can continue to grow. If they grow large enough, they can push into the uterus and interfere with pregnancy.
Polyps within the uterus may also interfere with pregnancy. Polyps are a non-cancerous overgrowth of tissue in the lining (endometrium) of the uterus. They are normal tissue, but growing in an abnormal formation. Many polyps are small and do not compromise reproductive capabilities. However, large or multiple polyps can interfere by causing infertility or increasing risks for miscarriage.
Many women have fibroids without even knowing it, but the size and location of the fibroids are important factors. Most fibroids are very small or are in an area of the uterus that limits their impact on reproductive function. Some, however, become quite problematic and may cause:
A fibroid that pushes the uterine wall out of shape can prevent a fertilized egg from implanting in the uterus. This may make it difficult for in vitro fertilization to be successful as well because the embryo won’t implant after being transferred to the uterus.
When fibroids or polyps are preventing pregnancy, surgical removal via myomectomy or polypectomy often improves your chance of having a baby. Both procedures successfully remove the growths, while leaving the uterus intact and increasing the odds of maintaining a pregnancy.
Dr. Abaé may recommend hysteroscopy to remove your fibroids or polyps. During hysteroscopy, a lighted viewing instrument called a hysteroscope is inserted through the vagina and cervix and into the uterus. Specialized instruments are used to remove the polyps or fibroids. Recovery after hysteroscopy is typically brief.
A myomectomy may be performed laparoscopically. Laparoscopy requires one, two, or three tiny incisions in the abdomen, through which Dr. Abaé inserts a laparoscope and specialized surgical instruments. A laparoscope is a thin tube fitted with a light and camera that allows Dr. Abaé to see the abdominal organs and make repairs without the need for a large incision.
Very large fibroids may require open myomectomy, which is a major surgical procedure that requires an incision through the skin on the lower abdomen so that the fibroids can be removed from the wall of the uterus.
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