Doctor insights on:
Alternative Treatment For Fibroids
I have fibroids in the lower uterine segment. My md scheduled me for a tah. Any alternative treatment?
Yes! Yes! Yes!: Even with large fibroids in the lower segment, most people can have some form of minimally invasive hysterectomy such as a davinci robotically assisted or laparoscopically assisted hyst. Get a second opinion from someone skilled and experienced in minimally invasive options to see what your options are. If it's a good option for you, save yourself the large incision and harder recovery of a tah! ...Read moreSee 2 more doctor answers
Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more
Avoid phytoestrogens: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read moreSee 1 more doctor answer
Multiple choices: Fibroids are treated if they are symptomatic. Common symptoms include heavy menses, pelvic pain, and increased urinary frequency. Choices for treatment often start out with medicines (exs. tranexamic acid or birth control pills). If these are ineffective consideration should be given to Uterine Fibroid Embolization (non-surgical outpatient procedure) or surgery (exs. myomectomy, hysterectomy). ...Read more
Almost always: Symptomatic fibroids are one of the most common reasons for tor myomectomy (removing the fibroids from the uterus). Generally, these are covered if symptomatic and other simpler treatment options have been tried but failed; for example, birth control pills, an iud or birth control shot. ...Read moreSee 1 more doctor answer
Fibroids: I really need to know what your ultimate goal is and whether or not they are bothering you. If you're finished having children and causing you significant pain i recommend surgery-we've gotten really good at minimally invasive surgery. There are new techniques that might work if you're done having children. I am loving the procedures i'm doing with the new da vinci robotic device, . ...Read more
Several: Treatment is usually due to symptoms. You feel bad due to them so you treat, but if they don't bother you can watch them. You can use oral contraceptives to attempt to decrease the rapid rate of growth. You can cut them ou, or you can remove the uterus. You can do uterine embolization where you block the arteries so you soffocate or kill of hte blood suppy for them. Hope this info helps. ...Read more
Need better option: You could repeat myomectomy but this would not be the best option. The fact that it failed so soon after the surgery suggests that there are a lot more fibroids in the uterus then could be removed. Uterine fibroid embolization (ufe) is a non-surgical procedure performed by interventional radiologists that treats all of the fibroids in the uterus (much less likey to recur than myomectomy). ...Read moreSee 2 more doctor answers
1 1/2 weeks ago I had a large fibroid that calcified to a grapefruit size in uturus wall. What is the best treatment so we can have more babies?
Local consult a must: Whether or not you need to do anything depends on where this is located. If it intrudes or would intrude on the womb during pregnancy or interfere with getting pregnant will influence the need.Removal may or may not be realistic and the recovery period before considering pregnancy is also something only your local docs can decide. ...Read moreSee 1 more doctor answer
What`s the best treatment for :Exophytic Fibroid at the Fundus of the Uterus measuring 5.0 x 4.4 x 4.4??Thanks
Best: If you are 45 years old and the fibroid is not causing problems with bleeding/pressure, the best treatment is probably to do nothing. If its causing symptoms consider hysterectomy, UFE, or possibly myomectomy. If you are not 45 years old - you should always give your correct age - it would depend on whether you have wishes for pregnancy in the future. ...Read more
Depends: Depends on your symptoms & goals. Are you having pain or heavy bleeding, pelvic pressure or mass in pelvis? Are you planning pregnancy or done having kids? Was fibroid found on us and no symptoms? Options are: observation, hormones, myomectomy (surgery to remove the fibroids), uterine artery embolization, or hysterectomy (remove the uterus). ...Read moreSee 1 more doctor answer
How is endometriosis diagnosed? How do I tell if my symptoms are caused by that or by fibroids? What are treatment options for both?
Surgery: While an elevates ca 125 can be suggestive of endo only surgery can diagnose it. Treatment options include surgery for both. Multiple medical options exist for endometriosis. Since women with endo have a higher risk of ovarian cancer knowing the diagnosis can be helpful long term. ...Read more
Large subserosal fibroid seen in fundal region (11.78*11.02*9.00 CM ) vol 612 ml please suggest best treatment and how harmful it is ?
Symptoms or not?: If you are having symptoms then there are surgical, and other methods for removing or reducing the fibroid. If you are not having symptoms, and at your age of 29 then monitoring the growth is an option with more frequent GYN MD visits, especially if you have not yet been pregnant. Talk to your MD to discuss many options which are based on the above scenarios. ...Read more
Depends: The "best" treatment depends on many things..Do they bother you? Are you done having kids? Are they growing rapidly? You definitely need to discuss options with your doc, but they include doing nothing, minimally invasive surgery removing just fibroid, minimally invasive types of hysterectomy, open hysterectomy, uterine artery embolization. Find the option that best fits your needs/desires. ...Read moreSee 1 more doctor answer
Depends: On the situation. If fibroids are in the cavity of the uterus and causing heavy bleeding removing the fibroids with hysteroscopic surgery can help. Surgery to remove the fibroids or the whole uterus works for some women. Radiologists do uterine artery embolization to shrink fibroids. There are meds that can temporarily shrink fibroids. Speak to your gyn doc to figure out what's best for you. ...Read more
Nutritional Rx: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read moreSee 1 more doctor answer
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