Episode 10.9 Fibroids, Facts, False Beliefs, and More!

We challenge long-held beliefs about fibroids, highlight new ectopic pregnancy nuances, and dig into real-world dermoid cyst outcomes. We also unpack the evidence and ethics of 39-week induction after IVF and ICSI, balancing small absolute risks with maternal tradeoffs.• Evidence overturning links between fibroids and miscarriage, PROM and abruption• Distinguishing spontaneous versus iatrogenic preterm birth in fibroid pregnancies• Why myomectomy can raise early delivery and cesarean rates in some patients• Ectopic care updates: tube-sparing choices, HCG thresholds, two-dose methotrexate• Experimental adjuncts to methotrexate remain unproven• Dermoid data supporting laparoscopy, irrigation, and specimen bags over open surgery• Surgical decision making during pregnancy and avoiding uterine manipulators• IVF and ICSI timing: late stillbirth risk signals, limits of testing, 39-week logic• Shared decision making when absolute risks are low but values differBe sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram1:33 Fibroids And Miscarriage Myths5:53 Preterm Birth, PROM, And Hemorrhage9:31 Myomectomy: Risks, Scars, And Outcomes13:25 Ectopic Pregnancy: What’s New18:37 Surgery Versus Methotrexate Nuances22:05 Experimental Add-Ons To Medical Therapy27:47 Dermoid Cysts: Real-World Data32:48 Laparoscopy, Spillage, And Pregnancy36:06 When Open Surgery Makes Things Worse40:34 IVF, ICSI, And 39-Week Induction48:05 Stillbirth Risk: What The Data Shows55:20 Testing, Timing, And Shared Decisions1:04:10 Practical Counseling And TradeoffsFollow us on Instagram @thinkingaboutobgyn.