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A 24-year-old female asked:

got a fibroid in cervix/ lower part of uterus. was told may need hysterectomy. also at risk for high complications if wait to have more children.true?

2 doctor answers4 doctors weighed in
Dr. Steven Pillow
Obstetrics and Gynecology 40 years experience
There are choices: A fibroid in the lower uterine segment or in the upper cervix can be a real challenge. It can lead to an obstructed labor and the need for a ceserean. Treatment prior to achieving pregnancy is highly recommended. There are options more conservative than hysterectomy, an operation called a myomectomy, to remove the fibroid alone can be considered. Another option is called uae.
Dr. Aaron Shiloh
Aesthetic Medicine 28 years experience
No hysterectomy: You have several options before you should ever consider a hysterectomy. There's a myomectomy to remove isolated fibroids, hifu (high frequency ultrasound), uterine fibroid embolization. You should definitely ask your doctor about these options. You only need treatment now if you are symptomatic.

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What might cause a thickened uterine lining in a woman with premature ovarian failure vs. One in natural menopause?

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Dr. Michael Swor
Obstetrics and Gynecology 40 years experience
Estrogen excess: Endometrial thickening is usually due to excess estrogen effect on the uterine lining or infrequent ovulation. A polyp, submucus fibroid or (less commonly) an endometrial cancer can cause an abnormally thickened endometrial lining.

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Last updated Dec 28, 2013
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