Uterus Is Non Gravid, Bulky And Distorted In Shape. Have Fibroids And Ovarian Cyst. Fertility At Risk?
Age 32 No kids.
1.is my fertility at risk.can I get kids(have not started trying will start this November).im not on any family planning.
2. Do I need to do surgery to remove cyst and fibroids.
MYOMECTOMY ADVISED, CYST CAN BE OBSERVED.
Detailed Answer:
Hello,
Thanks for writing to us.
Addressing your two questions specifically -
1. Generally fibroids do not interfere with fertility. However in your case , the fibroids are quite large, and they have distorted the uterine cavity and the endometrium. Such fibroids CAN cause difficulty in conception and implantation of the fertilized egg, predisposing to infertility, abortions, preterm labor etc. Also, if you further have symptoms like increased menstrual bleeding, pain etc, then removal of the fibroids is recommended before planning a family.
2. The complex ovarian cyst does not mandate removal right away. Complex ovarian cysts can be haemorrhagic, due to infections, due to a condition called endometriosis etc. For a 4 cm cyst, a wait and watch approach can be tried, and if the cyst does not resolve after antibiotics or increases in size, or causes pain and other symptoms, then removal can be done. If you are planning myomectomy ( removal of fibroids ), then the cyst also can be dealt with at the same sitting.
Take care, and please feel free to discuss further.
Regards,