Understanding Uterine Masses and Fertility: What to Do Next

Question
Hi I just got a pelvic ultrasound and the results were multiple ulterine masses the largest measuring 2.6 cm, endometrium mesuring 9 mm in thickness. left ovary mesures greater than 6 cm with 2 complex ovarian cyst mesuring 2.7cm and 2,4cm...does this mean i need to heva surgery, is this not allowing me to get pregnant? what should i do? Thank you.

Answer
Dear Lara,

Multiple uterine masses could definitely impede implantation of a fertilized egg into the uterine lining, not to mention possibly threaten a pregnancy if one was able to implant appropriately. And the ovarian cysts may be impairing ovarian function in the function of normal ovulation. Therefore, yes, your ultrasound findings could definitely be affecting your fertility.

Usually this type of situation can be taken care of with a laparoscopic procedure and/or a laparotomy. The typical pelvic laparoscopy involves a small (1/2" to 3/4") incision in the belly button or lower abdomen. The abdominal cavity is filled with carbon dioxide. Carbon dioxide causes the abdomen to swell which lifts the abdominal wall away from the internal organs, so the doctor has more room to work. A laparoscope (a one-half inch fiber-optic rod with a light source and video camera) is inserted through the belly button. Depending on the reason for the laparoscopy, the doctor may perform surgery through the laparoscope by inserting various instruments into the laparoscope while using the video monitor as a guide. The video camera also allows the surgeon to take pictures of any problem areas he discovers. In some cases, the doctor may discover that he is unable to accomplish the goal of surgery through the laparoscope and an abdominal incision (laparotomy) will be made. However, if this is a possibility in your case your doctor will discuss this with you prior to surgery, and the surgical consent form will include this possibility. Laparoscopy results in relatively little pain, and a quick recovery for most patients. Patients sometimes experience aches in the shoulders or chest following laparoscopy--this is from the carbon dioxide that was used to fill the abdominal cavity. Barring complications, most patients are fully recovered and ready to return to full activity one week after laparoscopy.

I would suggest having a consultation with your doctor about the findings and discussing your options for treatment.

I hope this has helped you and answered your question. I wish you well.

Brenda