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Integrative Fertility  (Expert Forum)
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Fibroid shrinkage or removal to become pregnant
Answered by
John H. Kim, M.D. - Women's Health, Gynecology, Acupuncture, Integrative Medicine, REI, Mind/Body Medicine, ReproductiveMedicine, IntegrativeFertility, Herbal Medicine, infertility, menopause
John H. Kim, M.D. Los Altos - CA
This forum is for questions and support regarding an integrative approach to healing that combines the best practices in complementary and conventional medicine. Topics include: Acupuncture, Herbal Therapy, Mind/Body Medicine, Traditional Chinese Medicine, Fertility, Stress and Fertility, Body Weight and Fertility, Environmental Contaminants and Fertility, Polycystic Ovarian Syndrome, Recurrent Pregnancy Loss, Fibroids, Endometriosis, Hormone Imbalances, Menopause.

Fibroid shrinkage or removal to become pregnant

by VanessaC, Jun 17, 2009 03:48PM
Hi, I just went through my first assisted reproductive attempt and it didn't work. At first we were going to do IVF and midway our Doctor switched to IUI because my fibroid was so large that the follicles were completely obscured.I have about 5 fibroids and one is tremendously large. I am not a candidate for myectomy because the one C-Section (4 years ago) I did have ravaged my Uterus with a classical cut. I am desperate to find a way to temporary shrink or permanently remove my large fibroid (it is approximately 14 cm) in order to become pregnant. Can you please guide me to some help? Thank you so very much....

by John H. Kim, M.D., Jun 25, 2009 07:02PM
To: VanessaC
I am sorry Vanessa but I do not know why having a previous classical c-section would prohibit you from having a myomectomy. You would definitely need another c-section and would not be able to labor and so why would having a myomectomy affect that?  If you uterus is so damaged then perhaps you may have to consider surrogacy as a last resort.  Uterine artery embolization is an option but may cause infertility in about 4% of the cases.
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