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What are the treatment options if a woman wants to preserve her fertility?
For women of child-bearing age with uterine fibroids who want to consider future pregnancy, the most common option is myomectomy. This requires several days of hospital stay and extended recovery .
Why might MRgFUS be an alternative for women wishing to preserve childbearing capability?
Since MRgFUS does not involve incisions, the uterine wall/myometrium remains intact and there is no scarring, meaning little risk of placental abruption, no impairment of the blood supply to myometrium .
What is the experience with pregnancies after MRgFUS?
Over 100 patients have reported becoming pregnant after treatment.
How long after the procedure can conception take place?
Published case reports have shown that conception can occur within several months after the procedure.
Does a pregnancy that occurs after the procedure put the woman at risk of obstetric complications?
Conception following the procedure does not automatically put a woman at risk of obstetric complications. Clearly, the condition of each patient will determine their level of risk.
Does the procedure affect the type of birth – C-section or vaginal?
Pregnancies following MRgFUS treatments have been shown to result in a higher number of vaginal deliveries than births following myomectomy . More importantly, most of the babies were delivered at term, and full birth weight.
What are the risks to pregnancy for a woman who undergoes myomectomy?
The risks include adhesions, difficulty conceiving, malplacentation and spontaneous abortion. For this reason, it is often recommended that deliveries after myomectomy should be by Caesarean section.
What about women who are at the upper limit of childbearing age?
As more and more women are postponing childbearing, the incidence of infertility in this group of women is increasing . MRgFUS has been shown to be effective in resolving fertility issues resulting from fibroids/adenomyosis in women in their late 30s and early 40s .