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  • Q&A with Australian Health Practitioners

    What are the chances of conception after myomectomy?

    Related Topic
    Trying To Conceive
    I underwent a myomectomy on 02/07/2014 that is about 09 months ago. The intraoperative findings were: uterus enlarged with 2 large interior wall fibroids. on ein midline 10 into 10 cm in size an desecond more towards the left side 4 into 5 cm in size. Both fibroids shelled out using diathermy. It is now 09 months passed but me and my husband trying to conceive but still not successful. I am not understanding where the porblem is. I visited a doctor she recommended me ultra sound and some blood tests. I am married with my husband since two years and trying to conceive but unsuccessful. I went under myomectomy as the fibroid was causing pains in my lower abdomen. Kindly help me and give me some advice. my periods are regular, like last few dates are: 06-02-2015 till 12-02-2015, then 12-03-2015 till 18-03-2015 and then 16-04-2015 till 21-04-2015. And I do not have any kids. Regards paras
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    • Dr Shian Miller
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  • Dr Shian Miller

    Gynaecologist, Obstetrician

    Dr Shian Miller is a Brisbane Obstetrician Gynaecologist who has rooms on Wickham Tce in Brisbane city and admitting rights at Greenslopes Private Hospital. She … View Profile

    Hi, Sorry to hear you are having trouble falling pregnant. Those were indeed quite sizeable fibroids!

    Generally speaking, many people fall pregnant after a myomectomy. But it depends on what was done in the surgery, whether the uterine cavity was entered during the surgery, and what the remaining uterus is like and whether it affected the tubes or ovaries. There are also other factors such as age, period problems, and other medical conditions that can make it less likely to fall pregnant. Of course, we can't forget the male side too (sperm quality).

    The best thing to do is see a gynaecologist or fertility specialist for a full history, examination and investigation. Conception is complex: eggs need to be released properly, the tubes need to transport the eggs, fertilisation needs to occur at the right moment, implantation needs to be just right, and growth of the embryo is a delicate process.

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