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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Chances Of Being Pregnant After An Myomectomy?

40 years old with one 6 year old child, just had myoectomy, try to get pregnant and all of the sudden my OB refers me to a fertility doc. i am freaking out. After a FSH TEST with a result of. 9 for the first one and 22 for the second one within 2 weeks.
He said to me fertility. Do you think i will get pregnant soon?
Wed, 26 Feb 2014
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OBGYN 's  Response
Hello
Thanks for writing to us with your health concern.
It is not possible to ascertain your fertility without knowing more details.
With age, the capacity of the ovaries to produce mature and good quality eggs declines .
This is known as declining ovarian reserve.
This is best assessed by measuring the levels of a substance called AMH, so please get that done.
Further, fibroids also further complicate the conception issue.
After a myomectomy, if the uterine cavity is breached, then the chances of implantation of the embryo decrease.
So that needs to be known.
Also, ovulation can be tracked via a cycle of follicular monitoring.
Your husband's semen analysis needs to be done.
ALso, patency of your fallopian tubes should be checked by laparoscopy.
Maintain an ideal weight and take regular folic acid supplements.
All the best.
Take care.
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What Are The Chances Of Being Pregnant After An Myomectomy?

Hello Thanks for writing to us with your health concern. It is not possible to ascertain your fertility without knowing more details. With age, the capacity of the ovaries to produce mature and good quality eggs declines . This is known as declining ovarian reserve. This is best assessed by measuring the levels of a substance called AMH, so please get that done. Further, fibroids also further complicate the conception issue. After a myomectomy, if the uterine cavity is breached, then the chances of implantation of the embryo decrease. So that needs to be known. Also, ovulation can be tracked via a cycle of follicular monitoring. Your husband s semen analysis needs to be done. ALso, patency of your fallopian tubes should be checked by laparoscopy. Maintain an ideal weight and take regular folic acid supplements. All the best. Take care.