Discussion in 'All Categories' started by Reshma Khatoon - Dec 2nd, 2011 2:08 pm. | |
Reshma Khatoon
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Dear Doctors, Thank you for the great work you are doing in saving lives. I live in Uganda, I was diagnosed with fibroids in 2006, however, I was recently examined and a scan was done and it was found out that i have multiple Intramural fibroids (largest measuring 25mm-48mm in diameter) displacing and indenting the endometrial stripe. Ovaries are of normal size (RTO = 41 x 26mm, LTO = 42 x 29mm) with a dorminant follicle (20 mm in diameter). and also that my faloppian tubes are blocked, but the rest of the abdorminal organs appear normal. I want very much to conceive and have a baby, please help me. How can I be supported. Can my tubes be opened and after operations can i have a baby? Can you give me a Doctor who is an expert in this field? How will I know that this doctor is an expert in Sergery? I am running away from Uganda because of poor medical services and poor hospital facilities. Please help me. Is there sperm donation done from your hospital? I am very desparate Lady seeking urgent medical attention I will be the most happy woman if my operation is successful and if i carry a baby. Thank you. Josephine |
re: Multiple Firboids and Blockage of fallopian tubes
by Dr M.K. Gupta -
Dec 2nd, 2011
5:43 pm
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Dr M.K. Gupta
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Dear Madam Fibroid is not responsible for infertility in most of the patient. It may cause infertility in many different ways. A fibroid may cause compression around the fallopian tubes producing a blockage of the passage of sperm or eggs. A large fibroid may distort the pelvic anatomy sufficiently to make it a hardship on the fallopian tube to capture an egg at the time of ovulation. If a fibroid protrudes into the uterine cavity or causes distortion from the uterine cavity, it may present an analog barrier to implantation. Some studies have suggested that fibroids in the muscle area of the uterus may cause an alteration or decrease in blood circulation towards the uterine lining which makes it harder for an implanted embryo to grow and develop. Another theory suggests that even small fibroids that grow inside of the uterine cavity may behave as an overseas body and lead to a degeneration which makes the uterine environment hostile to have an embryo to implant. We can perform surgery for you but please keep in mind that first we will do diagnostic laparoscopy to do tubal patancy test. We will do myomectomy if only we see that your myoma is responsible for infertility. With regards M.K. Gupta |