It’s been 2 weeks since the operative Hysteroscopy & we just got the results back from the lab on the mass that was removed & sent out.
Since this “mass” never showed up on any of my SIS’s before each IVF cycle, we had pretty much ruled out a fibroid or a polyp, as an SIS is done specifically to look for these types of masses. This led the doctor and us to believe that the mass was indeed an Adenomyoma, especially since I have formally been diagnosed with Adenomyosis.
Wrong. The pathology report showed a “submucosal fibroid with no major calcification.” There are 3 major types of fibroid’s-submucosal, intramural, and subserosal. Of the 3, submucosal fibroid’s are known to cause the most problems. From the little research I have done since we got our results back, I have found that submucosal fibroid’s tend to grow in size when a pregnancy occurs, and they can cause miscarriage due to their location (looks pretty bad being right inside the cavity). Our doctor confirmed both to be true as well.
On one hand, yes, a fibroid is better than an Adenomyoma; there is less chance of recurrence, since it is not associated with the disease itself. And supposedly, statistics show that once fibroid’s are removed, there is an 85% live birth rate as compared to when one is in the uterus. Not saying I believe it or not-just sharing with you the information we received so far. On the other hand, it being a fibroid is extremely bothersome to us because none of our SIS’s ever showed it. I saw every one right there on the screen! And yes, I know what I am looking for, trust me. So, how is this possible?
The most logical explanation would be it formed after the last SIS we had done in October, before our December transfer. BUT, if this is the case, then we can’t blame our other 2 miscarriages on it, and I don’t like that. At all. We wanted to believe this is why each one happened. How can we believe that if the fibroid never showed up until the hysteroscopy? Fibroid’s are supposed to show up on SIS’s!!! And I have had 3 done…so incredibly frustrating.
Bottom line, we will never really know if it was there all along or not at this point. All we can do is choose what we want to believe now. Here are our options:
Option 1: Blame all 3 losses on this fibroid, assuming the SIS’s could not pick up on it for some odd reason.
Option 2: Only the last loss was caused from this fibroid (which must have formed after the last SIS or was just too small to be seen by it) meaning we have no idea why the other 2 losses happened-chalk them up to all the other endless possibilities-thin lining, not being on a blood thinner, genetics, stress, etc. Going with this theory would mean we believe it grew rapidly, most likely in response to all of the estrogen taken. Excessive estrogen=fibroids.
Option 3-This fibroid had nothing to do with any of the losses at all. We still have no clue why any occurred.
So, let me ask, which one would you believe?