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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Anterior Fundal Fibroid. HSG And Hysteroscopy Scheduled. Will Surgery Create Scar Tissue?

Hi!
I've been diagnosed with a 3.5 cm anterior fundal fibroid that "may or may not be causing a problem with implantation" we have tried for 10 months with no success and all other tests look good, aside from hsg which I haven't had done but will next week. The doctor said hysteroscopy is a good option and they could go in and shave it off, but I am uncertain that this is even the cause of the problem and don't want to get surgery if its definitely not. Also, I don't understand how this would impinge upon implantation, couldn't the embryo find somewhere else to implant? And wouldn't the surgery create scar tissue so it wouldn't implant there anyway? Thanks!
Fri, 23 Aug 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Implantation of the ovum usually occurs in the fundus region.
So, a fibroid in the fundus may interfere with implantation.
As you are trying to conceive, ensure that the time of conception coincides with the time of ovulation.
The time of ovulation can be determined by many methods- calender method, basal body temperature, cervical mucus plug test to name a few.
Try to conceive during the time of conception.
If conception does not occur despite timing the ovulation, then you can go for surgical removal of the fibroid.
However, if the fibroid is producing any complication like dysmenorrhea, you can get it removed even now.
The surgical procedure will remove the fibroid with a rim of muscle tissue.
The surgical procedure will not interfere with implantation of the zygote.

Thansk and take care
Dr Shailja P Wahal

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Diagnosed With Anterior Fundal Fibroid. HSG And Hysteroscopy Scheduled. Will Surgery Create Scar Tissue?

Hello and welcome to HCM, Implantation of the ovum usually occurs in the fundus region. So, a fibroid in the fundus may interfere with implantation. As you are trying to conceive, ensure that the time of conception coincides with the time of ovulation. The time of ovulation can be determined by many methods- calender method, basal body temperature, cervical mucus plug test to name a few. Try to conceive during the time of conception. If conception does not occur despite timing the ovulation, then you can go for surgical removal of the fibroid. However, if the fibroid is producing any complication like dysmenorrhea, you can get it removed even now. The surgical procedure will remove the fibroid with a rim of muscle tissue. The surgical procedure will not interfere with implantation of the zygote. Thansk and take care Dr Shailja P Wahal