Fibroid With Primary Fertility

Question 1

What’s the percentage of reduction in the fibroid size with GnRH

Answer 1

36% reduction in size in 12 weeks
Growth of fibroid 9% within 6 months

Question 2

Risk to fetus with
fibroid in pregnancy

Answer 2

Rarely, fibroids are associated with fetal anomalies, possibly caused by compression effects from large submucosal fibroids. Structural anomalies including limb reduction defects, dolichocephaly (lateral compression of the fetal skull) and torticollis (abnormal twisting of the nec

Question 3

Pain relief in fibroid

Answer 3

NSAIDs should be avoided in the third trimester because of the risk of oligohydramnios.

Question 4

Effect of fibroid on fertility

Answer 4

Subfertility has been reported in 5–10% of women with fibroids.
2- a distortion of fallopian tubes affecting entry of spermatozoa into the uterine cavity
3- , adistortive effect on the endometrium inhibiting implantation
4- creation of a hyperestrogenic environment.