15 years and the pain of ectopic pregnancy
Ms. N.T. T, 42 years old in Hai Phong, came for examination at An Viet General Hospital with many worries and concerns. For the past 15 years, her and her husband's journey to find childhood laughter has been a series of long and tiring days. She shared that the couple had performed artificial insemination (IUI) 3 times at major hospitals, but luck has not smiled.
In 2024, when Ms. T happily discovered she was naturally pregnant, an upheaval struck again. It was a left ectopic pregnancy, forcing her to undergo laparoscopic surgery to remove the pregnancy and permanently lose her left fallopian tube. Hope, which was already fragile, became even smaller.
Barriers from multiple uterine polyps
At the Reproductive Support Center, An Viet General Hospital, test results showed that Ms. T's ovarian retention index (AMH) was only 0. 5 ng/ml - a very low number for women who want to become pregnant. Notably, through ultrasound to pump intrauterine fluid, doctors discovered that the posterior wall of the uterus had many sacrum masses, the largest of which was up to 5x9mm.
BSCK Trinh Thi Hien, Center for Reproductive Support, An Viet General Hospital diagnosed: the patient has multiple uterine polyps. This is what prevents embryos from implanting, leading to prolonged infertility.
This case is very complicated because both husband and wife are old. The wife has reduced egg count and quality, plus a history of fallopian tube removal surgery and multiple polyps in the uterine cavity, making the treatment course a major challenge for the medical team," Dr. Hien assessed.
After consultation, the doctors decided to develop a specific treatment regimen for the patient: IVF (in vitro fertilization) to perform embryo creation first to ensure the maximum use of the remaining small amount of eggs. Laparoscopic surgery, after having the embryo, the patient will have surgery to thoroughly treat the polyps in the uterine cavity. When the uterine cavity is clean and stable, the doctor proceeds to transfer the embryo for the fetus to develop.
According to Dr. Hien, uterine polyps (or endometrial polyps) often develop silently, without obvious symptoms, but are one of the leading causes of infertility in women.
Doctors recommend that women, if they experience signs such as: irregular menstruation, mid-term bleeding or difficulty conceiving, should immediately go to specialized medical facilities for examination. Early detection and proper treatment are the "key" to realizing the dream of becoming parents for infertile couples.
