Everything You Need to Know About Fibroids and Fertility with Dr. Banafsheh Kashani
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In this episode of The Egg Whisperer Show, host Dr. Amy welcomes Dr. Banafsheh Kashani, a board-certified reproductive endocrinologist and infertility specialist, to discuss fibroids and their impact on fertility. Dr. Kashani explains that fibroids are benign uterine tumors influenced by hormones like estrogen and progesterone, with higher prevalence among African-American women. She details how fibroid location—particularly those intruding into the uterine cavity—can disrupt implantation and pregnancy, making surgical removal a key consideration for fertility patients. The conversation covers medical and surgical management options, including hysteroscopy, laparoscopy, and open myomectomy, with emphasis on recovery timelines and recurrence risks. Dr. Kashani stresses the importance of proactive care, early diagnosis via pelvic ultrasound or MRI, and the strategic use of egg or embryo freezing to preserve fertility while addressing fibroids. She also highlights the value of second opinions and choosing a surgeon with high procedural volume for optimal outcomes.
Fibroids are hormonally responsive, benign uterine tumors that can impair fertility when they distort the uterine cavity.
Surgical removal (myomectomy) is often recommended for symptomatic fibroids or those affecting fertility, with recovery time typically 6 months after major surgery.
Egg or embryo freezing is a powerful option for patients with fibroids who want to preserve fertility and avoid delays from surgery.
A pre-transfer uterine evaluation—such as a saline-infused sonogram or hysteroscopy—is critical to ensure the uterine cavity is optimal for implantation.
Proactivity is key: women should seek evaluation from an OBGYN or fertility specialist if experiencing heavy bleeding, pelvic pressure, or fertility challenges.
Introduction to Fibroids and Fertility
“Fibroids are benign tumors... they're annoying things that are there that cause so many problems.”
Understanding Fibroids: Types, Causes, and Symptoms
Dr. Kashani explains the different types of fibroids based on location, their hormonal dependence, and common symptoms such as heavy menstrual bleeding, pelvic pressure, and bowel issues.
Risk Factors and Medical Management
The discussion covers key risk factors like race, family history, and vitamin D deficiency, and explores medical treatments including birth control, hormone injections, and newer medications like Eula crystal fosthety.
Surgical Options and Recurrence Risks
“The worst procedures you do, that's the person that's willing to be able to do your fibroid surgery.”
Fertility Preservation and Proactive Care
“Be proactive with your fertility. It's so prescient. Age is so important, and you just don't want to take time to lose out on a window.”
“The worst procedures you do, that's the person that's willing to be able to do your fibroid surgery.”
“Be proactive with your fertility. It's so prescient. Age is so important, and you just don't want to take time to lose out on a window.”
“Fibroids are benign tumors... they're annoying things that are there that cause so many problems.”
Host
Guest
Dr. Banafsheh Kashani
person
Dr. Amy
person
The Egg Whisperer Show
media
IVF
other
Hysteroscopy
other
MRI
other
Pelvic ultrasound
other
Laparoscopy
other
Open myomectomy
other
Saline-infused sonogram
other
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