A member asked:

Im 42 and have an enlarged uterus with 4 large fibroids. i want to keep my uterus and not have a hysteracomy. there goes my hopes for trying for kid.

2 doctors weighed in across 2 answers

Worrisome problem: Fibroids are bundled muscle fibers in the wall of the uterus. They can impinge on the uterine space and force a fetus into a distorted position and make delivery difficult.Removing fibroids,depending on the size, can weaken the wall and make pregnancy risky.If removal occurs you could consider using a fertility center to harvest /fertilize your egg and hire a surrogate to carry the baby.

Answered 7/18/2016

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Dr. Herb Coussons answered

Specializes in Obstetrics and Gynecology

Consider myomectomy: A myomectomy removes the fibroids and spares the uterus. Depending on the location of the fibroids and their size, it may be possible to do this procedure as an outpatient with a scope or robotically. Their are other fertility considerations at 42 that are unrelated to the fibroids and almost always you will need a cesarean if you do conceive after a myomectomy.

Answered 3/22/2020

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