Head of the Division of Gynecology and Obstetrics. and IVF Middle Director Prof. Dr. Cem Fıçıcıoğlu gave vital details about myoma operations carried out earlier than IVF Remedy.
Myomas are benign tumoral formations which might be fashioned by the expansion of muscle cells that type the uterine wall, which we name myometrium, which could be seen in 30 – 50 p.c of girls of reproductive age. Though most fibroids are asymptomatic, some could trigger complaints corresponding to extreme bleeding, bloating within the stomach, pelvic space, frequent urination and constipation. Prof. Dr. Cem Fıçıcıoğlu talked in regards to the vital purposes that ought to be carried out for fibroids earlier than IVF remedy.
There is no such thing as a doubt that fibroids negatively have an effect on the success of IVF remedy. Fıçıcıoğlu acknowledged that even when myoma is way from the uterus as a consequence of its location, if it has a dimension of 5 cm and above, the success charges of IVF could also be negatively affected, and in addition acknowledged that in research performed for the reason for infertility, fibroids have an impact of 5-10 p.c in ladies.
Stating that though there are some medical (drug) remedy choices, the efficient remedy of fibroids is surgical removing of the mass. Dr. Cem Fıçıcıoğlu,
“Myomas positioned within the uterine muscle tissue or on the floor of the uterus could be eliminated by laparoscopic and / or belly surgical procedures. We select laparoscopic or mini-laparotomy methods with much less adhesion threat within the operations we carry out as a consequence of infertility, and we use specifically produced gel-fluids to forestall adhesions, which we name adhesion obstacles.
“Medical (drug) remedy choices and / or interventional radiological strategies to shut the vessels feeding myomas could be thought of for sufferers who will not be deliberate to endure post-operative infertility remedy,” he stated.
We are able to summarize the unfavorable results of fibroids on in vitro fertilization as follows.
- By disrupting the anatomical place of the cervix (cervix), they will scale back sperm passage.
- They will additionally negatively have an effect on sperm passage by inflicting progress and / or deformity within the type of an emdometry cavity (intrauterine house),
- They could trigger obstruction and dysfunction within the tubes by compressing the realm the place the tubes come out of the uterus,
- They will disrupt the anatomical relationship between the tubes and ovaries, which is vital for operate,
- Myometrium, the uterine wall, can disrupt the contraction sample of the sleek muscle tissue and delay the migration of the sperm and / or the embryo.
- They could stop the embryo from adhering by inflicting malformations and dietary problems within the endometrium, ie the intrauterine tissue.
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