<s>[INST] I am 38 yrs old and recovering from a myomectomy to remove three submucosal fribroids with the largest at 6cm. My gyne told me she saw scar tissue and removed a small cysts from the left ovary. i had a lap done in April of this year in which and the fibriods could not be removed but a cyst was removed from the left ovary. I am now being told i have a 10 percent  chance of conceiving. My concern is after the lap I was told she used the blue dye and my tubes were clear and if I didnt want to conceive right away to use birth control. I dont understand why the change in being told that now there is an issue with conception. I still had scar tissue nothing really had changed. [/INST] Hello,Thanks for sharing your health concern with us. I have gone through your query and would like to offer some suggestions. Considering your age, the ovarian reserve is more important to plan mode of pregnancy. In addition, scarring has been noticed repeatedly and this is not a good sign. In view of all these findings, your doctor may have opined so. I would suggest ART since precious time is wasted trying for natural conception. Hope you find this information useful. Take care. </s>