COVID19 Safety Alert

Woman With High FSH & Fibroids Trying To Conceive

Question:

Hello Dr. Ramirez,

I am 37 years old with multiple fibroids. My gynecologist gave me Clomid and asked me to test FSH simultaneously and my result came out  22.9, I did ultrasound today and to his surprise there was an egg. He said that I have 3 factors that hinder pregnancy, age, high FSH and the fibroids, the biggest one is 4 cm.  He suggested considering removing my fibroids. I am worried I dont know what to do.

Regards, M. from Jordan

Answer:

Hello M. from Jordan,

Removing a 4 cm fibroid is not indicated unless it is impinging into the uterine cavity.  I would think that to be a needless surgery.

I presume that he did what is called a “Clomid challenge test”, in which case the FSH level is taken on cycle day # 3 and then day #11.  If that was the case, then your FSH is almost menopausal levels, but since you created a follicle, you are probably “peri-menopausal”.  At 37 years old, IVF is the treatment of choice, and more ideally would be to use donor eggs.  IVF is more effective than trying naturally, but your chances may still not be great.  The only way to overcome the age factor, which causes eggs to deteriorate in quality, it to be able to get lots of eggs.  An elevated FSH means that your ovaries probably will not respond much.  But, it is worth a try.

After all, it only takes one perfect egg to have a baby.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG

You Might Also Enjoy...

Tips for Living With Menopause

During the time before you’re permanently finished menstruating, you may have to deal with a range of uncomfortable and potentially life-disrupting symptoms. Here are a few tips to help you manage these symptoms.

What You Should Know Before Considering IVF

Have you tried everything to get pregnant? If you’ve had a thorough evaluation, tried other approaches, and still been unable to conceive, you may want to try in vitro fertilization. In fact, sometimes, IVF is the only viable path to conception.

Is There a Way to Prevent Infertility?

Infertility is a more common problem than you may realize, but it’s often treatable. Both men and women can experience issues that lead to infertility, so if you’re trying to become pregnant and struggling, you should see a professional.

My Pap Smear Was Abnormal - Now What?

A Pap smear, or Pap test, is a screening test recommended for women ages 21-65 to detect early signs of cervical cancer. Abnormal results can be scary, but there are a few things you need to know.

5 Common Myths About Infertility

Infertility can send you on a search for answers. Unfortunately, there are a lot of wrong answers out there. This post sets the record straight regarding five common myths about infertility.

Is Preimplantation Genetic Testing?

Couples who have chosen in vitro fertilization are taking a big step toward becoming parents. Preimplantation genetic testing is an important part of the process and can ensure your embryo is healthy before being transferred to the uterus.