A fibroid that extends into your uterine cavity not only interferes with implantation, but also causes miscarriage if the baby runs out of room. There are numerous procedures that can be done to remove the fibroid. One option might be having a series of hysteroscopic resections. I know that they can shave down the part that's inside the cavity, but I also think they make a small incision that "delivers" the remainder of it into the cavity so that it can be removed. There are TONS of websites out there with information and detailed pictures and video. Sometimes they can't get the whole thing out at once, so it takes a couple of surgeries (which are generally about an hour long with hysteroscopic because there's no abdominal incisions).

In my case, it didn't end up being a fibroid, but they didn't know that until the pathology report came back. Talk to your gyn or RE, and ask them to recommend someone who specializes in myomectomies. If nothing else, you can have a consult with someone who will take care to preserve your fertility and then make your decision.

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DD: 09/17/98

06/14/06: First appointment with RE
07/06/06: HSG, abnormal
07/13/06: Hysteroscopy
08/02/06: Hysteroscopic Resection of adenomyoma
09/01/06: Hysteroscopy follow-up GREEN LIGHT!