Question 1

I have a 10.48.2 cm fibroid on the posterior wall of my uterus and my doctor recommended surgery. I'm 25, married, and planning for a baby this year. Will the surgery affect my chances of getting pregnant? Is there any way to treat this without surgery?

Accepted Answer

A fibroid of that size on the posterior uterine wall can affect pregnancy, depending on its location and symptoms. Surgery (myomectomy) can improve your chances of conceiving by removing the fibroid, but recovery time is needed before trying. Some smaller fibroids can be managed medically or with less invasive procedures, but at your size, surgery is often recommended. Discuss fertility-preserving options with your doctor before deciding.

Question 2

I'm a bit worried and need some advice. I'm 16, and a couple of days ago, I lost my virginity with my boyfriend. We used a condom, and it didn't break or slip, and he didn't cum in it, so I thought pregnancy wasn't a possibility. Still, I'm feeling stressed and anxious because since the day after, I've been having stomach pains. I haven't told my parents because of my age, and they don't know about the pains I'm having. Is it normal to experience stomach aches after having sex for the first time? I've been taking paracetamol because they seem to help with the pain. My period usually starts at the beginning of every month, and I only sometimes get cramps a week beforehand. Could these pains be related?

Accepted Answer

It is not uncommon to experience stomach pains after your first sexual experience, as it can be a new and sometimes uncomfortable sensation for your body. However, if the pain persists or becomes severe, it is important to seek medical advice. In the meantime, continue taking paracetamol for pain relief. Considering your concerns about pregnancy, since you used a condom correctly and it did not break, the chances of pregnancy are low. To further ease your worries, you can consider taking a pregnancy test for confirmation. For the stomach pains, you can also try taking antispasmodic medication like Buscopan to help with any cramping. If the pain continues or worsens, it is advisable to consult with a healthcare professional for further evaluation and management.

Question 3

I'm 23 weeks pregnant and recently had my level 2 scan which showed an echogenic focus in the left ventricle. They found another echogenic focus measuring 3.5mm during a fetal echo. I've been trying to conceive for 5 years and finally succeeded with IVF, so I'm really stressed about this. Is this something serious? Can you help me understand what this means?

Accepted Answer

An echogenic focus in the fetal heart is a common finding during pregnancy ultrasounds. In most cases, it is considered a normal variant and not a cause for concern, especially if all other parameters are normal. However, given your history of IVF conception and the size of the echogenic focus at 3.5mm, it is important to monitor it closely. I recommend discussing this finding with your obstetrician. They may suggest further follow-up ultrasounds to track the size and appearance of the echogenic focus. In most cases, no treatment is needed, and it often resolves on its own. Just continue with your regular prenatal care and follow your doctor's recommendations for a healthy pregnancy.

surgery is option only.

More Obstetrics & Gynaecology Health Queries

I have a 10.48.2 cm fibroid on the posterior wall of my uterus and my doctor recommended surgery. I'm 25, married, and planning for a baby this year. Will the surgery affect my chances of getting pregnant? Is there any way to treat this without surgery?

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