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What are the treatment options for an intramural fibroid?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

We are trying for IVF to conceive. We have frozen our embryos and have planned for embryo transfer this month, that is on the 14th day of my wife's menstrual cycle. In the scan, everything looks normal, the endometrial thickness was 9.7 mm and had good blood flow. Today when we went for a follow-up, the doctor told us that the lining has dropped to 7.8 and conceiving would be difficult, so they have canceled the embryo transfer. She informed us that this could be due to the fibroid, which was discovered today. To confirm that, I got a scan done in two different centers, and they also confirmed that she has an intramural fibroid of 0.5 inch. What are the complications that could happen due to this? How to overcome this problem? What are the treatment options? We do not know how the thickness of the lining dropped all of a sudden. She was on Progynova tablet, and the doctor asked us to stop it for the time being. Please help us recover from this. I have attached the reports.

Answered by Dr. Purushottam Sah

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have reviewed both the reports (attachment removed to protect patient identity). The fibroid is small, and it can be controlled by medicines. To reduce the size, apart from medicines, other procedures like radiological embolization or hysteroscopic removal are also available. Depending on the expertise of the doctors, it can be done. Talk to the IVF (in vitro fertilization) specialist about the possibilities.

Medically reviewed by Dr. K. Shobana
Published At October 8, 2017
Reviewed At February 14, 2024

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

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