Hello @amandajro and thanks for the reply! The fertility doc I'm seeing recommended another ultrasound in July/Aug to see how things are progressing, and I just went for the ultrasound yesterday with a follow-up clinic visit with the doctor. Unfortunately, my fibroid has grown quite a bit (2cm) and I now have a few more fibroids in there. It seems there is a promising treatment with an oral GnRH combination like Myfembree -- it could manage my bulk related symptoms and decrease the volume of my fibroids. This could buy me more time -- my doctor said I would still need to pursue pregnancy in the next two years because this treatment is only approved for 2 years' use. I feel comfortable working with that timeline, but I have to see whether my insurance will cover it. However, I also saw in my clinical notes from this most recent ultrasound that there may be evidence of a uterine septum. I have reached out to the doctor for confirmation, because going through this treatment in the hope of preserving a capacity to bear a child might not matter if I have a septate uterus as well as fibroids that are impacting the shape of my uterine cavity. Although I know people still carry pregnancies with a septate uterus, I know typically they set you up for a high-risk pregnancy. With the size and location of my larger fibroid, I would already be at higher risk for pregnancy complications...I suppose I just feel a bit betrayed by my body at the moment.