3 Years Of Infertility in Obstetrics & Gynecology — 34yo Woman | General Gynecology | SMLE Q#18323
SMLE Question #18323
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 34-year-old woman presents with 3 years of infertility despite regular unprotected intercourse. She has had two IVF cycles with failed embryo transfers. Transvaginal ultrasound shows multiple uterine fibroids, including a 4.5-cm submucosal fibroid distorting the endometrial cavity and two intramural fibroids (3.0 cm and 2.5 cm) contacting the cavity; ovaries appear normal. Which intervention is most likely to increase her chance of achieving pregnancy?
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