IVF or Fibroid Surgery First? It’s a dance! 💃
When fertility and fibroids intersect, coordination is key. In this video, reproductive endocrinologist Dr. Lucky Sekhon and minimally invasive gynecologic surgeon Dr. Leigh Rosen walk through the careful decision-making process of when to prioritize egg retrieval versus fibroid removal.
Sometimes fibroids make it difficult to monitor the ovaries or perform a safe egg retrieval—especially when they sit low in the pelvis. Other times, IVF may need to come first to preserve eggs or embryos before surgery. The choice depends on anatomy, access, and personal goals.
By working together, we ensure your plan is not only medically sound, but also aligned with your timeline, fertility hopes, and surgical recovery.
Key points:
- Fibroids that interfere with egg retrieval may need to be removed first
- Egg freezing or IVF may be prioritized if ovaries are accessible
- Post-surgery timing varies:
- ~1 month after hysteroscopic fibroid removal
- 3–6 months after laparoscopic or open myomectomy
- The uterus must fully heal to minimize pregnancy complications
Your care should never feel like a guessing game. With coordinated expertise, we help guide your next step with confidence.
Related Article: Inside the OR: Open Hysterectomy for Uterine Fibroids and Stage 4 Endometriosis
