Our expert says:
I would strongly recommend that the fibroid be removed as this may have an impact on your blood flow in the womb as well as to some extent contribute o the partial blockage of your tube if it is in close proximity to your tube. If the primary objective of the operation is to unblock the tubes then this may not always be successful and may in fact contribute to ectopic pregnancies. The option of in-vitro fertilization (IVF) will in most case provide you with a higher success rate than tubal surgery by itself. However in your case the large size of the fibroid is sufficient to warrant an operation and it is common practice if possible to attempt unblocking the tubes at the same time. Should no pregnancy ensue after a period of 9 months after the procedure then I would recommend that you move onto IVF.
Answered by: Dr M.I. Cassim
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