CAN FIBROIDS REALLY CAUSE INFERTILITY?
Hi Friend,
There is this client I know, she is now in her forties and seeking a child in her 10 years marriage. She told me that when she was young and unmarried she had been pregnant thrice , but like many young ladies in her age had done abortions. By the time she got married in her mid thirties she discovered that she now have fibroids and unable to get pregnant. She believed it was due to the many fibroids that are now in her womb that is causing her infertility.
She is just one client, but I assure you there are hundreds more in this situation. I have noticed that once a lady discovers that she definitely have fibroids, she just presume that it will cause her infertility. This will lead me to try and answer the question “Can Fibroids Really Cause Infertility?”
The answer is Yes and No. To briefly explain my answers I will go about it this way
In Nigeria and Africa, it has been proven that about 40 to 50% of ladies have fibroids.
Imagine that, that is half of all women in Nigeria, Now among those half with fibroid 90% of them are fertile and able to have as many children as they want.
Just about 10% of women with fibroids are infertile, if you also check the other half of women without fibroids 90% of them are able to have as many children as they desire, so also only 10% of them are also infertile. So approximately only 10% of the women population in Nigeria are infertile, whether with or without fibroid. so you can see that in the 90% with fibroids, the fibroids did not stop them from having children, they were as fertile as these without fibroids, so in that I will conclude that fibroids are not a major cause of infertility.
You will want to remind me that I also answered “Yes”, of course I did, among the 10% that are infertile and have fibroids, it is possible that in some of them (not all) fibroids could be a cause of their infertility. Fibroids can easily cause infertility if it is located abnormally in the womb. if the mass is located in the center of the womb it could act as a contraceptive devise stopping the implantation of pregnancy in the womb, if it is located near the fallopian tubes it could block the sperms from meeting the eggs so it cause infertility. if it is too large it could lead to miscarriages causing infertility.
Fibroid also make the womb large, so making the sperm cells travel for too long to meet the egg in the fallopian tube, so most of them die before they could meet the egg, and so fertilization will not take place, causing infertility.
In these cases, Fibroids could be a cause of infertility
Whenever a client comes to see me in cases of infertility and complained of fibroids, I always tell them to ignore the fibroids for now and concentrate on solving the infertility issues first. In most cases I usually recommend tests like
(1) SIS (Saline Infusion Scan) to really check the endometrium where implantation take place
(2) HSG (Hysterosalpingography) to check out the fallopian tubes and rule out blockages.
(3) Hormonal Profile to check her hormone states.
(4) Folliculometry to monitor her ovulation and see the size and quality of her eggs.
(5) Chlamydia test and HVS for infections
(6) and finally to check the husband sperms for volume, count, quality and motility.
In some cases, I recommend assisted pregnancy techniques like sperm washing & IUI, especially where the womb is enlarged so that the husband’s sperm cells can be placed near the fallopian tubes, so that the sperm cells can meet the egg quickly without going through the long wilderness journey that leads to their death.
One reason why I believe that husbands should check themselves early in marriage is that male factor infertility is about 40% of all cases of infertility in the world, the reason for the increase in low sperm count cases worldwide are not known , it is believed that environmental factors and modern life style are the major causes. A man that impregnates his wife or girlfriends just one year ago may just have low sperm count and infertility the next year. So the ego thing should be removed and let all married men submit themselves for sperm tests whenever their is a delay in conception.
Recently I had this client who informed me that earlier in their marriage about 4 years ago, she had done many scans that showed she had no fibroid, but the husband was diagnosed with low sperm count. After 4 years she have now developed very wickedly located fibroids that lead to herself been infertile even worse than the husband’s case. Her case is just one, I have seen hundred of these cases where the husband was the initial cause of infertility, now the wife is advanced in age and now the major cause. What I now advise men with long standing low sperm count, not to continue waiting but go ahead and try the superior sperm washing treatment. I believe that it is cheaper in the long run to try 2 or 3 trials of sperm washing and IUI to try and get pregnant, than to continue using all the many orthodox and non-orthodox drugs that have not shown any improvement .The truth must be told, very few drugs can really improve sperm count all they do is improve sperm motility.
So do not wait forever, try something new and adventurous, it may just do it, and save the ladies the torture of developing dangerously placed fibroids and becoming infertile.
For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.
For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact
JOAS MEDICAL DIAGNOSTIX
JOAS MEDICAL DIAGNOSTIX-------WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.
We are located at
JOAS HOUSE, 2, Okesuna Street,
Opposite The Synagogue Church Busstop,
Bolorunpelu, Ikotun, Lagos
Postcode: 100265
Nigeria.
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