followup to mid-40's pregnancy chances and risks (with fibroid removal)

[questwo1]

Thanks to Dr for fast answer to original question on testing options for ovulation and pre-menopausal.  I realize my chances are low for getting pregnant with my own eggs but am struggling with giving up that option without trying.  Although I am mid-40's, I am healthy (other than high blood pressure), work out regularly, correct weight and may have a chance of an early-40's person (with luck and God's grace).  I have a couple followup questions about fibroid removal, options of using my own eggs and of course having a healthy baby. If I have the fibroids removed, dr will only remove the major ones (I have many) to leave my uterus in best possible shape for pregnancy.  She also mentioned getting agressive about getting pregnant in next 9 months, including putting me on LUPROZIN - I dont know what the purpose of the LUPROZIN is? (thought was to keep the remaining fibroids from gowing more and/or bleeding?). What do you believe the process would be if I try this?  If I am still ovulating, isnt it possible to use fertitiliy methods to get more of my own eggs and attempt to make me pregnant with my own egg?  If I do this, what are the risks of having a baby with health issues - is it that my egg may be unhealthy causing an unhealthy child?  At what points during a pregnancy can I have  tests (and which ones) to determine if the baby is healthy?    I am trying to meet with a High-risk pregnancy oby/gyn and a fertility specialist next week but its 5 days away and any information I can think get between now and then (searching web, you, etc) will be helpful for processing.  THANKS

[mspredator]

i am a 46 year old woman who had a tubligation 21 years ago. the problem is i think i might be pregnant. and i am wondering is it possible to get pregnant after having a tubal. i really need some answers from someone. if its possible what are the percentage chance. thanks

[RunningL8]

I am almost 45, and I too am hoping to still have a baby.  I had a fibroid the size of a large orange (plus another small one) growing into the lining of my uterus, so I had the fibroids surgically removed (by a 5-inch incision) in early March.  My doctors are now surprisingly optimistic re. my chance of conceiving with the fibroids gone, and I certinaly feel much better.  But I really underestimated how major a surgery it would be (i.e., you really can't do much for a month), and if you do have the fibroids surgically removed, you will have to wait three months before attempting a pregnancy.  Also, I was told the most accurate predictor of fertility is a 3rd-day FSH test (done on the 3rd day of your menstrual cycle).

[Machelle Seibel, MD]

A. I will try to answer your many questions.  It is typical to remove only the largest fibroids.  Leaving some of the smaller ones might be better than trying to remove all of them and risking extra blood loss and damage to the uterus. It is important to be sure the ones that might be inside the uterus affecting the uterine lining are removed.  That might require a hysteroscopy (telescope looking inside the uterus) done first.  It is important you try to conceive soon.  Probably more important to try and get pregnant than to wait 6 months taking lupron which will shrink the remaining fibroids but will also cost you time when you don