Patinet : My husband and I have been trying to conceive for more than a year. I have low AMH which is 0.2 ng/ml and my FSH fluctuates from a value of 7 to 18 IU. I have been through one hysteroscopy for polyp removal. We did one IUI and now we are going through Natural cycle IVF. My question is related to a lesion in my uterus. My current doctor thinks it could be a fibroid or a polyp but more likely a fibroid. It is on the fundus of the uterus and on the left side. It is 5mm in to the cavity so it is not likely to affect implantation of an embryo. She thinks that if it is a fibroid and we try to remove it then it is most likely to form scar tissue in that area and prevent implantation. I have attached saline sonogram report and HSG report. We would like your opinion whether we should remove this fibroid or not before embryo transfer?
Dr Malpani : Many medical problems are not black or white – they are shades of grey, and patients need to decide for themselves.
A good doctor will explain the options, but will leave the final decision to the patient, when he feels both are equally good
Yes, it’s a hard spot to be in, and a useful rule to follow is to take the path of least regret.
Think of the following scenarios.
- Suppose you transfer an embryo and don’t get pregnant, how much will you kick yourself for not insisting on having the fibroid removed ?
- Suppose you do the hysteroscopy and find the cavity is normal, how much will you regret wasting the money on an unnecessary intervention ?
You might encounter various such questions , instead wasting your money of paid consultations you can ask Dr Malpani directly and get answers instantly at https://www.drmalpani.com/chat-w-chatbot/index.html