32 years,went lapro cystectomy for endometrioma in 2013 and lap adhesiolysis in 2014. Concieved through ivf in 2015 and miscarried at 3 weeks and then again naturally pregnant and miscarried at 12 weeks. Scanned reports show bulky uterus 8.9*5.3*6.3 cm with posterior uterine wall myoma 38*34 MM. Cyst of 4.5*2.8cm is seen in left ovary. So due to two lapro doc has advised to go for open abdominal myomectomy. Can I concieve without surgery preventing miscarriage? Or do I require to go for surgery?
Myoma is the cause for repeated miscarriages in your case, which surely needs to be surgically cured in your case to assure successful pregnancy. In view of the parameters mentioned by you, there looks minimal chance of successful pregnancy. In our opinion, you should go ahead with the surgery.