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Fibroid in uterus and conception - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   hi
Doctor :  
please proceed with your health query
User :   previuosly i have one fibroid in my uterus
Doctor :  
ok
User :   and i went for a surgery for that
User :   i am 28 yerss old and recently married
Doctor :  
ok
User :   will it create any complication in my future i.e. for kids
Doctor :  
ok
Doctor :  
i will help you in this
Doctor :  
i will need to ask a few more questions. can i proceed?
User :   ya sure
Doctor :  
when was the surgery done for you?
User :   in March 2008
Doctor :  
was the fibroid in the uterus, inside uterus or in the surface of uterus?
Doctor :  
and what surgery was performed on you?
User :   it was major operation
User :   i think fibroid was on surface
Doctor :   was it myomectomy? or Laparascopic myomectomy

User :   not sure about this
User :   i don't know about these technical terms
Doctor :   do you have the scan report and th operation note with you?
User :   not right now
Doctor :  
ok
User :   i have submitted all the originals for insurance coverage
User :   and i don't have any other copy
Doctor :  
that is not a problem if you are having a xerox of them
User :   i don't have that
Doctor :  
i just need to know the kind of operation that was done for you to answer your query
User :   ok
Doctor :  
as the fertility issue will depend on the kind of fibroid you had, chances of developing further
User :   how will it impact?
Doctor :  
and also the operation done for it
Doctor :  
if it was intrauterine fibroid, that is if it was in the walls of uterus, it may develop again
User :   ok
Doctor :  
to help you better , let me give a overview of fibroids
User :   ok
Doctor :  
shall i proceed?
User :   ya sure
Doctor :  
Uterine fibroids are tumours which grow from cells forming the muscle of the uterus (womb)
User :   ok
Doctor :   They can grow within the uterine wall, or even project from the wall of the uterus on a narrow stalk into the uterine cavity. or row on the uterine wall and push out into the bladder, bowel or intestine.
Doctor :   in the first two cases, fertility becomes an issue
User :   ok
Doctor :  
as the ferlized ovum, gets problems in implantation in the uterus
User :   ok
Doctor :  
and also if the fibroids are in the wall, the uterine contractions are affected later during delivery, leading to complications of uterine rupture, death of baby and mother
Doctor :  
so it is important to know what was the type of it
Doctor :   the fibroids in the uterus wall, are known to recur
Doctor :  
Fibroids can be as small as a pea or as large as a football and are almost always benign, no matter how large they get. Having uterine fibroids does not increase your risk of cancer.
User :   how much time will it take tore-occur
Doctor :   but if large or numerous, it can force uterus to grow in abnormal shape
Doctor :  
it cannot be said
Doctor :  
as changing oestrogen levels seem to play a part in their growth.
Doctor :  
When oestrogen levels are high, as a result of pregnancy or contraceptive pills, for example, the rate of fibroid growth also increases.
Doctor :   so if you are planning for pregnancy, get a thorough checkup done before you could concieve
Doctor :  
are your periods regular? are they very painful?
User :   since March 2008, i went for ultrasound 2 times. It was normal.
User :   yes, periods are regular
User :   and not painful
User :   but after marriage, they ended in just 3 days.
User :   before that, it was usually 5 days.
Doctor :  
ok
Doctor :  
have you checked urine pregnancy test?
User :   no, because we haven't tried for pregnancy yet.
Doctor :  
when was your last menstrual period?
User :   24th Oct
User :   we are planning from Jan
Doctor :  
since it is more than a year now that you underwent operation, you should again get a thorough check up done
Doctor :  
and then plan accordingly
User :   ok
User :   what should be in check-up
User :   only ultrasound
Doctor :  
avoid taking birth control pills, as it will increase your problem
User :   or something else
User :   i m not taking anything
User :   my husband had used only
User :   if i'll go for full abdomen ultrasound, is that fine?
Doctor :  
you will need ultrasound and also hormonal levels to be checked
User :   please specify the test to be done
Doctor :  
FSH, TSH, LH, PROLACTIN, complete blood count, and a abdomino-pelvic ultrasound should be fine
User :   ok
User :   any other precaution needs to be done
User :   for good fertility
Doctor :  
just maintain a good healthy diet
Doctor :  
avoid sesame seeds/oil use for yourself, as it is known to incresae estrogen levels
User :   ok
User :   ater these tests, how can i contact same doctor thru live chat
Doctor :  
yes you can contact me thru live chats
User :   can i contact you directly or can i mention you name in live chat
Doctor :  
i am Dr AAAAAAA here
Doctor :  
you can mention that
User :   ok
User :   i'll try to go for these tests in coming week
Doctor :  
and also you can send me the scanned copy of your reports at YYYY@YYYY and address it to my name
Doctor :  
i will reply back to you
User :   ok
User :   that will be nice
Doctor :  
is there anything else i can help you with?
User :   no, thanks
User :   this is my only problem
User :   one more thing, these tests can be performed in my pathology lab
User :   or some specific labs
Doctor :  
it is better to go to standard recognised labs
Doctor :  
as they will give accurate results
User :   ok...
Doctor :  
and the process will be standard
User :   Thanks a lot
User :   ya
Doctor :  
Can you please share your mobile number and e-mail id so that we may update our records. This information will be useful to us in case we need to send you additional information through mail or sms.
User :   my number is 0000
User :   and id is YYYY@YYYY
User :   office id is YYYY@YYYY
User :   please don't reveal it to anybody
Doctor :  
yes, surely
Doctor :  
thanks, your details will be updated in our records
Doctor :  
Please fill the feedback form say done when done.
User :   Bye
User :   Have a nice day ahead
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries.
Doctor :   wish you the same. thank you.
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