How do fibroids and cysts affect family planning?

Dr Lubna is an Obstetrician and Gynaecologist that specialises in the management of a wide range of conditions involving the female reproductive system. With more than 9 years of experience, she has a keen interest in pre-invasive cervical conditions like the treatment of abnormal smears.

Last year Dr Lubna Harharah was approached by a couple at The Obstetrics & Gynaecology Centre. They were both in their twenties and were looking to start a family.

Mrs O had a history of ovarian cysts, which were initially discovered during a regular check up with her gynaecologist. While ovarian cysts are quite common in women, certain types of ovarian cysts can affect fertility. The couple was concerned that Mrs O’s ovarian cysts would stand in the way of their plans to have children. They had been trying to conceive for a few months, but had been unsuccessful up to this point.

While administering a detailed ultrasound on Mrs O, Dr Lubna could see a 2cm cyst on the left ovary. She told the couple that this was a functional cyst that had been formed during a normal menstrual cycle and usually do not cause infertility. Functional cysts are usually small (less than 3cm) and are related to the development of an egg in the ovary and ovulation. Sometimes, bigger cysts may form when a maturing egg does not rupture and the egg cell is not released – but will almost always go away over time.

However, Dr Lubna did notice that some rather large fibroids had formed on Mrs O’s uterus. 

Will the fibroids on Mrs O’s uterus put a halt to the couple’s family planning? Find out more in the next page…