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Chances of conceiving with Ovarian cyst and retroverted uterus - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Getting Pregnant
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello I have asked another DR on the Live chat some questions but he was not able to answer them. I hope you can help me. Here is a little back story about my situation.
I am 26 years old and newly married. My Husband and I really really want to start a family. For the last 6-8 months I have had some issues with Ovarian Cysts which have been very painful and annoying. A few weeks ago I went to the OB because I was having ovarian pain again. She ordered an ultrasound and no abnormal cysts just follicles. But she noticed something in my uterus. She thought it could have been a polyp. I have had no symptoms of polyp, no irregular bleeding. Yesterday, I was given a synohytorgram ( Saline Ultrasound) This was very Very painful. I have a very very tilted uterus (retro facing) so they had a very hard time getting the XXXXXXXX in. After the procedure they said I either have a polyp or blood clot that is around 1 cm. Either way it needs to be removed. I had to make an appointment with the head DR who would be talking about my options. I know the only real option I have is to do a D &C. This is makes me very anxious. Due to my tilted uterus, I am worried that they will damage, or scar my uterus, or cause an infection. Since D&C is a blind operation, how will they ensure they wont damage anything? Does having a tilted uterus make this procedure more difficult or dangerous? Will it make it harder to conceive? I have heard that I can still conceive with a tilted uterus and should not interfere, is that true? What are the chances that this polyp could be cancer? I know I have a lot of questions but I am so desperate to become pregnant and all of this has been so emotionally and physcially exhausting. What is the recovery time for a D&C? When can we start trying again. I have only really started trying about 4 months ago, but with all this other stuff I maybe had one or two good
User :   months of trying. I know its not long but I am feeling hopeless. What advice can you give me?
Doctor :   Hi
User :   hi
Doctor :   Let me read your query.
User :   yeah its a long one
Doctor :   D&C is one of the commonest procedures done be a gynaecologist.
Doctor :   I agree with you that retroverted uterus will pose a problem to the gynaecologist during the procedure,
Doctor :   but an expert who has good experience with D&C can get the procedure done with no major complications.
Doctor :   Its absolutely necessary to remove what ever the content is (either the polyp or the blood clot) to increase the chances of pregnancy.
Doctor :   Further more, only a histopathological examination of the sample (that is obtained during the procedure) can identify its exact nature(benign or malignant).
Doctor :   Simple polyps which are small are more likely to be benign.
Doctor :   Hence you need not worry.
Doctor :   My suggestions are,
Doctor :   Discuss with your gynaecologist who can perform a pelvic examination, and the D&C
Doctor :   Plan for the histopathological examination of the content obtained.
Doctor :   You will have better chances of getting pregnant then.
Doctor :   D&C is a minor procedure which will last for 30-45 minutes.
Doctor :   You can have some bleeding following the procedure and then spotting for a week or two.
Doctor :   Chances of infection and other complications will be reduced by use of antibiotics.
Doctor :   Have you followed what I have suggested?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.

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