Hi 32 years of age, went lapro cystectomy for endometrioma in 2013 and lap adhesiolysis in 2014. conceived through ivf in 2015 and miss carried at 3 weeks and then again naturally pregnant and miscarried at 12 weeks. Scanned reports show bulky uterus 8.9*5.3*6.3 cm with posterior uterine wall myoma 38*34 MM. Cyst of 4.5*2.8 cm is seen in left ovary. So due to two lapro doc has advised to go for open abdominal myomectomy. Can I conceive without surgery preventing miscarriage? Or do I require to go for surgery? Please opine. Thanks.