A scan report may give the size of a fibroid in centimetres. At a fertility consultation, another detail often matters just as much. Does the fibroid change the shape of the space inside the uterus? The answer can influence whether your specialist discusses further imaging, treatment or proceeding with your fertility plan. ASRM guideline on fibroids and fertility
Find the location on your report
A submucosal fibroid projects towards the uterine cavity. An intramural fibroid grows in the muscular wall, and its effect on the cavity depends on its position. A subserosal fibroid grows towards the outside of the uterus. If the report gives a size but leaves the location unclear, ask the specialist to show you where the fibroid sits on the scan.
Does a fibroid need to be removed before IVF?
Surgery may be considered when a fibroid distorts the uterine cavity. For someone without symptoms whose fibroid leaves the cavity undistorted, surgery solely to improve fertility is generally not advised. Your specialist can weigh the scan findings alongside symptoms such as heavy bleeding, your fertility history and the effect of surgery and recovery on your treatment timeline. ASRM guideline on fibroids and fertility
Bring the scan images as well as the report
If you’ve had more than one scan, bring earlier reports too. Ask whether the cavity is clearly visible, whether another test would change the plan and what benefit your specialist expects if treatment is recommended. If you’re planning IVF, ask how each option would affect the timing of egg retrieval and embryo transfer.
You can take your ultrasound reports to a fertility consultation in Raipur and ask for a plan based on your findings. Doctor and consultation information at Ashoka Advanced IVF Hospital