Our New Jersey fertility center expert treats fibroids
Fibroids (myomas) are benign (not cancerous) growths that can occur in and on the outer surface of a woman’s uterus during her reproductive life. They can cause symptoms that interfere with a woman’s quality of life.
- Heavy menstrual bleeding
- Bleeding between periods
- Pressure on the bladder which can lead to frequent urination
- Pain with intercourse
- Pelvic discomfort
On the other hand, some women who have fibroids feel nothing at all because of them. So when are they important to treat and how do they impact conception or pregnancy?
Treatment for fibroids that preserves reproductive health
At our New Jersey fertility center Dr. Jane Miller discusses these issues with all patients who have fibroids and helps them to understand if they need to be removed surgically or can just be left in place.
Fibroids can occur in the uterine muscle (interstitial), inside the uterine cavity (intrauterine or submucosal), outside the uterus but connected to it by a stalk of rich blood vessels (pedunculated), or in several locations at once.
- A fibroid in the uterine cavity may cause excess or abnormal bleeding. It can also prevent pregnancy or cause miscarriage if pregnancy does occur. This type of fibroid must be removed. The surgery is done through a hysteroscope – a telescope that goes through the cervix into the uterine cavity. A Myosure device, attached to the hysteroscope, is used to shave pieces from the fibroid and remove the pieces. The procedure takes less than 30 minutes and the patient can resume normal activities the next day.
- A fibroid in the uterine muscle but outside the uterine cavity may or may not have to be removed. After determining the exact location of a woman’s fibroid(s) our New Jersey IVF specialist, who is also a board certified obgyn, presents the pros and cons of removal. The presence of symptoms – pain, bleeding, anemia, pressure – are good reasons for surgery. Quality of life can be markedly improved once the fibroids are gone!
- A fibroid that is in the muscle but “pushes in” and distorts the cavity may prevent implantation and may cause miscarriage. This is because most fibroids grow with pregnancy and may compete for space with the growing fetus. If pregnancy is desired, Dr. Miller will discuss your options to boost your fertility.
Trust our New Jersey fertility center team for guidance and effective solutions
It is well-known that fibroids that are present during pregnancy are associated, significantly, with pregnancy and birth complications, including second trimester miscarriage, fetal growth restriction, preterm labor and postpartum hemorrhage.
Myomectomies (surgical removal of fibroids) have been shown to reduce all these complications. At our New Jersey fertility center, Dr. Miller can perform this procedure through a small incision in the lower abdomen – sometimes called a “bikini cut.”
Patients often know someone who had a known uterine fibroid while pregnant but who did just fine without any surgical intervention. Dr. Miller can determine whether a fibroid can be just “watched” or needs to be removed.
Watch and wait, or act?
At our New Jersey fertility center we take the time to discuss all options with our fibroid patients so that they can elect the treatment that is right for them. Contact us to schedule a consultation with Dr. Miller.