I just talked with my regular OB. He was under the impress that I had a Mullerian Anomaly (such as a septate uterus) and a major contributor to my recurrent pregnancy loss. I’ve seen a Reproductive Endocrinologist recently who came up with his own recommendation. He suggested that my 1-1/2 inch fibroid was distorting my uterine cavity and causing the recurrent pregnancy loss. He said that he would be “very concerned” about that fibroid.
I double-checked my obstetric records from my 2004 pregnancy. The fibroid was discovered during a 10-11 week ultrasound (a first-time mom, I was nervous that the midwife didn’t find my baby’s heartbeat). The fibroid was roughly 4.5 cm then and is therefore about the same size now. However, I don’t believe it to be a cause of my recurrent losses. Rather, it is a symptom. It is a symptom of imbalanced hormones, usually too much estrogen.
Anyway, my OB’s nurse called me today to say that he (my OB) would NOT recommend a myomectomy for a non-symptomatic small fibroid. I don’t bleed without stopping; I don’t have unmanageable pain. Since I already have a cesarean scar, he sees no reason to add to that. Phew!
So, if anyone tells you that you definitely need a myomectomy, please do seek other opinions. Your uterus may just say “thank you.” In my case, it should be thankful that I’m saving it from at least two more uterine surgeries.