Kya Fibroid Uterus Se Infertility Hoti Hai? Ilaj Aur Fertility Bachane Ke Tarike

"Doctor ne fibroid bataya aur kaha bachhedani nikalni padegi." Yeh sunke sabse pehle jo tension hoti hai — "phir bachcha kaise hoga?" Lekin ruko — har fibroid infertility nahi karta aur har case mein bachhedani nikalna zaruri bhi nahi. Chalo detail mein samjhte hain.

Kaunse Fibroids Fertility Ko Affect Karte Hain?

Submucosal fibroids (jo uterine cavity ke andar badhte hain) — inke fertility aur miscarriage par sabse zyada evidence hai. Yeh cavity ko distort karte hain, implantation rokate hain aur embryo ki blood supply mein dikkat karte hain. Intramural fibroids (uterus ki deewar mein) — agar bade hon ya cavity ko distort karen toh fertility affect ho sakti hai. Subserosal fibroids (bahari surface par) — generally fertility affect nahi karte jab tak bahut bade na hon.

Fibroids Pregnancy Mein Problem Kaise Karte Hain

• Uterine cavity distort hone se embryo implant nahi ho pata
• Uterus mein blood flow badal jaata hai jisse implantation success kam hota hai
• Fallopian tube ke munh (ostia) mein mechanical blockage
• Miscarriage ka risk badhta hai (khaas kar submucosal fibroids mein)
• Pregnancy mein complications: premature delivery, placenta previa, baby ki position galat hona

Ilaj Aur Fertility Bachana

Fertility bachani ho toh: Myomectomy (fibroid nikalna, uterus bachana) — fertility improve karne mein iska acha evidence hai, khaas kar submucosal fibroids ke liye. UFE se bhi fibroids ka ilaj uterus bachake ho sakta hai — lekin future fertility par iska effect myomectomy jitna well-established nahi hai. Bahut si mahilaaon ne UFE ke baad successful pregnancies ki hain, lekin jo actively conceive karna chahti hain unke liye UFE pehli choice nahi hoti.

Personalised Assessment Zaruri Hai

Har case alag hai. Fibroid-related infertility ka sahi ilaj fibroid ki jagah, size, number, mahila ki umar aur overall fertility picture par depend karta hai. Bina hysterectomy fibroid uterus ka ilaj Medanta Lucknow mein available hai. Dr. Rohit Agarwal gynaecologists ke saath milke coordinated approach dete hain.