34 years old female, married since 18 years, abortion 1, came with the complaint of secondary infertility.
Patient has no history of menorrhagia, dysmenorrhea, irregular menses.
On history of previous abortion: it was an IUI conception with incomplete spontaneous abortion at 1.5 months gestational age. D & C was done. (Feb 2010)
Patient was diagnosed with genital TB on hysteroscopy in Oct 2010, was treated accordingly.
Diagnostic D & C was done in reference of secondary infertility in 2016, histopathology examination revealed secretory phase endometrium.
On P/A- Large mass felt, firm in consistency, arising from pelvis deviated to right side reaching about 2-3 cm below the umbilicus. (?) uterine fibroid.
On P/S- Os pinpoint with small cervical polyp.
On P/V- Uterus irregularly enlarged, anteverted, firm in consistency, about 16 weeks in size. B/L fissures free.
Patient was advised USG-Genito-Urinary-Tract and hysterosalpingography.
On USG examination- Anteverted, bulky uterus showing a large, right lateral wall fibroid was detected. A complete report has been attached with the post.
Pre-op investigations like CBC, Hb, Thyroid profile were Normal.
Surgery- LAPAROSCOPIC MYOMECTOMY was done. The specimen was removed by morcellation.