Fibroids are benign uterine growths. They are very common, especially in older women. Fibroids may be:
In the uterine wall (intramural fibroids),
On the outer surface of the uterus (subserosal fibroids),
Protruding into the cavity of the uterus (submucosal fibroids).
How do you treat fibroids?
Fibroids may interfere with implantation, and your specialist would usually discuss surgical removal with you. The treatment of large fibroids depends on many factors, and would need to be discussed with your fertility specialist.
Endometriosis
What is Endometriosis?
The presence of the normal lining of the uterus called the endometrium found in abnormal locations in the body such as the fallopian tubes, ovaries and peritoneal cavity. Endometrial cells line the uterus, and when they grow outside the uterus (almost always in the pelvis, including the ovaries) this is known as endometriosis.
It is quite a common condition, especially in women over 30 who have not had children. Mild endometriosis is often associated with infertility, and more severe degrees of endometriosis will have a greater impact on your fertility.
Recent research has shown that in women with endometriosis, the eggs and subsequently the embryos created from those eggs are of poor quality.
How do I know if I have endometriosis?
Symptoms of endometriosis include pelvic pain, painful periods, pain during intercourse and premenstrual spotting. If you experience these symptoms and are also having trouble conceiving naturally, you should see your GP.
How do you treat endometriosis with western medicine?
Treatment for endometriosis may simply consist of medication in the form of tablets, nasal sprays or injections. Medication for endometriosis however can suppress ovulation, delaying the chance of pregnancy.
Surgical treatment by laparoscopy is the treatment of choice. This removes the disease and restores normal pelvic anatomy. This is a keyhole operation where the surgeon inspects the abdominal cavity through a small incision in the navel to confirm the diagnosis, and treats it at the same time.
In many cases you may conceive naturally after surgery, and may not need IVF. Laparoscopic surgery could also increase your chance of success with reproductive treatments.
