In a recent video, Dr. Gulati, a renowned IVF specialist, discusses fibroids, a common concern for women undergoing fertility treatment. He breaks down what fibroids are, how they can affect fertility, and clears up some common misconceptions about their treatment.
What are Fibroids?
Fibroids, also known as leiomyomas, are non-cancerous growths that develop from the muscle tissue of the uterus. These are quite common among women of reproductive age. They come in different sizes and can grow in various locations within the uterus—inside the uterine wall, on its surface, or inside the uterine cavity.
Fibroids in Fertile vs. Infertile Women
Interestingly, many women who have fibroids don’t even know they have them because fibroids are often symptomless. For women who aren’t facing fertility challenges, fibroids usually don’t cause any issues, so there’s often no need for treatment.
However, for women dealing with infertility, fibroids are sometimes discovered during routine evaluations, often through ultrasounds. Dr. Gulati emphasizes that just having fibroids doesn’t always mean they’re causing infertility. In fact, many fibroids don’t impact fertility at all, and unnecessary worry or intervention can be avoided with proper understanding.
Misconceptions About Fibroids and Infertility
A common misconception Dr. Gulati highlights is that some doctors may rush to conclude that fibroids are the cause of infertility and recommend surgery to remove them. However, this approach is often unnecessary, especially when the fibroids aren’t affecting fertility.
Fibroids within the uterine wall (intramural) or on the surface (subserosal) generally don’t interfere with fertility. Removing these can sometimes lead to complications, such as scarring, which may actually reduce fertility chances.
When Should Fibroids Be Addressed?
The type of fibroids that do need attention are submucosal fibroids, which grow inside the uterine cavity. These fibroids can prevent embryo implantation and, as a result, hinder fertility. Thankfully, submucosal fibroids are less common and can be treated effectively with a minimally invasive procedure called operative hysteroscopy. This procedure removes the fibroid without damaging the surrounding tissue, helping preserve fertility.
Making Informed Choices
Dr. Gulati stresses the importance of being well-informed when making decisions about fibroids and fertility. He advises patients to be cautious about unnecessary surgeries and to always get a second opinion if surgery is recommended without a clear reason. Knowing the type and location of the fibroid is key to deciding the best course of action.
By educating themselves about fibroids and their real impact on fertility, women can make empowered choices that ensure they receive the right care for their situation.
Conclusion
Fibroids are common, but their effect on fertility is often misunderstood. Dr. Gulati’s expert advice helps dispel myths around fibroids and infertility, clarifying that not all fibroids need to be surgically removed. Submucosal fibroids, which can interfere with implantation, are an exception, but they can be treated with minimally invasive techniques. Staying informed allows women to navigate their fertility journey with confidence and avoid unnecessary procedures.
For more information on fibroids, male infertility, and fertility treatments, visit Dr. Gulati’s website at www.eggdonors4all.com. You can also request a free second opinion or schedule a video consultation with Dr. Gulati for personalized guidance.