Nadezhda Hospital and Medspa When Fertility Care Becomes Financial Exploitation: The Risks of Skipping Post-Myomectomy Checks

 

Nadezhda Hospital and Medspa When Fertility Care Becomes Financial Exploitation: The Risks of Skipping Post-Myomectomy Checks

Fertility treatments can be emotionally and financially taxing. Many women invest not only thousands of dollars, but also years of hope and energy into donor egg IVF and other assisted reproductive technologies. Unfortunately, not all fertility care is provided ethically — and some patients experience financial exploitation disguised as medical treatment.

Consent, Misrepresentation, and Unnecessary Surgery 

In addition to the issues above, I was persuaded to agree to surgery under false pretenses. The doctor told me that the procedure was necessary to place the embryo in a specific location. However, in the medical records, he documented ongoing bleeding and estrogen therapy for a myoma — none of which was true. I had no bleeding from the myoma and the hormone therapy was not related to any fibroid. This misrepresentation directly influenced my consent and led me to undergo and pay for surgery that was unnecessary, exposing me to financial and medical risk.

During my surgery, I was placed in the lithotomy position for a prolonged period. The operating room staff did not assist me properly onto the table, did not remove obstacles, and did not reposition me during the procedure. As a result, I experienced nerve damage, which was preventable and constitutes a deviation from standard surgical care.

In my case, a pre-operative diagnostic hysteroscopy was not performed. The documentation of bleeding allowed him to justify the surgery without doing it. A post-operative second-look hysteroscopy was not performed, so there is no documented confirmation of uterine healing or adhesion formation. The doctor then went onto recommend PRP aid the surgical area without checking if there were adhesions. 

During the embryo transfer, the surgical area was manipulated without visualization, which could worsen adhesions and reduce implantation potential. This combination represents a deviation from standard care and exposed me to preventable harm.

By not doing a second look after the surgery the doctor has plausible deniability concerning recommending the PRP and manipulating the inner uterus which can make the adhesions denser and prevent implant failure. 

There appears to be a common thread with this hospital. They do not provide all relevant information to get the patient to accept treatment. 

I was charged €1,000 for an operative hysteroscopy, while the hospital’s listed price of €2,700 includes a post-operative second-look hysteroscopy to check for adhesions before embryo transfer. Adhesions are a known risk of this surgery and should have been disclosed. By not informing me of this risk and not providing the required follow-up, the treatment was effectively stopped before it was complete. Ending care at embryo transfer without the necessary post-operative evaluation constitutes medical abandonment. 

The Medical Oversight: Adhesions After Myomectomy

A hysteroscopic myomectomy is a surgery to remove fibroids from the uterus. While the procedure is generally safe and effective, it carries a risk: adhesions (scar tissue) forming inside the uterine cavity during healing.

Why this matters:

  • Adhesions can block implantation or reduce the likelihood of pregnancy.

  • A healthy, smooth uterine cavity is essential for embryo transfer, especially with donor eggs.

Standard practice after a myomectomy includes:

  1. Allowing time for the uterus to heal (weeks to months).

  2. Performing a post-operative evaluation (hysteroscopy or sonohysterography) to detect and remove any adhesions.

  3. Proceeding with embryo transfer only after confirming the uterus is healthy.

Skipping this step — going straight to embryo transfer — is not just poor medical practice, it directly reduces the patient’s chances of success.

When Money Drives Decisions

Some fertility clinics or practitioners may prioritize revenue over patient outcomes:

  • Embryo transfers, medications, and additional procedures generate income, while careful follow-up (like a cavity check) may take extra time and not be billable.

  • Patients may be pressured to proceed with transfers without knowing the risks of skipped evaluations.

  • Lack of informed consent — not being told adhesions can form, or that another procedure may be needed — is a red flag for exploitation.

The result? Patients pay thousands of dollars for treatments that may have lower chances of success due to preventable issues.

How to Protect Yourself

If you are undergoing fertility treatment, consider these steps:

  1. Insist on proper post-surgical evaluation before any embryo transfer.

  2. Ask about all risks, including adhesions, thin endometrium, and the need for possible follow-up procedures.

  3. Get a second opinion at a reputable fertility center before proceeding.

  4. Document everything — ultrasound reports, consent forms, emails, and communications with staff.

  5. Be cautious of clinics that push procedures or transfers without explaining risks or verifying uterine readiness.

Conclusion

Fertility care should be guided by evidence, patient safety, and informed consent, not revenue. Skipping critical post-myomectomy checks — like evaluating for adhesions — compromises success rates and can feel like financial exploitation.

Patients deserve transparent care, proper follow-up, and ethical practices. If you or someone you know is facing unexplained delays, unnecessary procedures, or rushed transfers, it’s crucial to ask questions, demand proper evaluation, and seek a second opinion. Your health, time, and emotional well-being are valuable — and no clinic should profit at the expense of these.

  • Learn more about IVF and donor egg programs at Nadezhda Women’s Health Hospital in Bulgaria here.

  • Explore options for assisted reproduction and infertility treatment in Bulgaria on MedSpa’s official page here.

  • Check out all-inclusive IVF packages and fertility travel services in Bulgaria here.

  • Find detailed information about egg donation IVF and donor sperm IVF at Nadezhda Women’s Health Hospital here.

  • Learn how fertility treatment for single women, couples, and advanced maternal age patients is offered in Bulgaria here.

  • Discover assisted reproduction techniques like ICSI, IMSI, blastocyst transfer, and PGD in Bulgaria here.


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