Why infertile couples need to make some tricky decisions for themselves !

I received this email from a patient My husband and I have been trying to conceive for more than a year. I have low AMH which is 0.2 ng/ml and my FSH fluctuates from a value of 7 to 18 IU. I have been through one hysteroscopy for polyp removal. We did one IUI and now we are going through Natural cycle IVF. My question is related to a lesion in my uterus. My current doctor thinks it could be a fibroid or a polyp but more likely a fibroid. It is on the fundus of the uterus and on the left side. It is 5mm in to the cavity so it is not likely to affect implantation of an embryo. She thinks that if it is a fibroid and we try to remove it then it is most likely to form scar tissue in that area and prevent implantation. I have attached saline sonogram report and HSG report. We would like your opinion whether we should remove this fibroid or not before embryo transfer?This is a tough call, because both options are equally good, and there is no evidence that removing such a small polyp will help to improve pregnancy rates. The truth is that many medical problems are not black or white - they are shades of grey, and patients need to decide for themselves.A good doctor will explain the options, but will leave the final decision to the patient, when he feels both are equally good.Yes, it's a hard spot for a patient to be in, because most patients want an authoritative doctor who will tell them what to do ! They are confused when the doctor asks them to decide for themselves ! Isn't ...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs