The robotics surgery hype- laparoscopy + hysteroscopy

My Fairy Godmother told me in March 2014 that I have polyps. If I remember it right, she said it measures 1 cm. Based on her experience, patients easily get pregnant after polypectomy. Where is my polyp located? In the uterine cavity. Where again? In the uterine cavity. It affects the implantation success. After 5th IUI, she will have to remove the polyp.  I was conditioned to believe that I need polypectomy the sooner the better. After my 6th failed IUI, she asked me to have laparoscopy + hysteroscopy guided polypectomy.

I asked My Fairy Godmother what is her indication for laparoscopy? Is it endometriosis? If I am asymptomatic and I never feel pelvic pain, what is her basis for suspecting that I have endometriosis? She said I have polyp and adenomyosis. Polyp, adenomyosis and endometriosis are correlated. These three are related to my autoimmune problem as well. I can skip laparoscopy for the meantime. I just scheduled the hysteroscopy. After all, there is no basis for me to refuse hysteroscopy. Hysteroscopy is the gold standard for polyp detection and polypectomy.

But why did OBGYNE1 never mention to me that I have polyp? In the span of two months, my polyp had became bigger? It was not noticeable in ultrasound before and now it is visible? Where is my polyp again? Sorry, I really have poor skills in visualization. Should I go back to OBGYNE1? Yes, I should satisfy my curiosity! Ooops, should I do that? It is an irony. I seek second opinion from my first doctor! Whatever!

I went to see OBGYNE1. I asked whether I have polyp or not. She said I have polyp. I asked what is the measurement of my polyp? She replied: "What is the indication for removing my polyp? Do I experience spotting between periods?" The reality is my polyp cannot be seen with transvaginal ultrasound. She explained she needed to infuse a saline solution for a better contrast. The procedure is called SIS- saline infusion sonography. My polyp measures 0.3cm.

Join the robotics surgery hype? Prior to robotics surgery era, how do doctors detect polyps? Is SIS obsolete? SIS became obsolete for some reasons? Should I or should I not? I cancelled my hysteroscopy.  Robotics surgery ... ai.. no comment. On other perspective, D&C is cheap. Why is there a need to do the hysteroscopy? Only time can tell. I keep my big mouth shut for now!

If I don't believe in immunology, what is next? We need to think out of the box possibilities. If I believe in immunology, I need to have LIT. I will put aside the polyp polyp issue! Wait and see!

Location of polyp may effect pregnancy rate after removal
http://www.ncbi.nlm.nih.gov/pubmed/17889854

Polyps <2cm do not decrease pregnancy rate, but may increase miscarriage http://www.ncbi.nlm.nih.gov/pubmed/10478319

https://sites.google.com/site/miscarriageresearch/polyps-and-fertility