Doctor insights on:
Best Uterine Fibroids Program
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
No: I would highly recommend removing them laparoscopically (minimally invasive approach). Although this method is more difficult to perform, for the patients, there will be great benefit (cosmetically small pleasing scars, 2 week recovery, less pain, quicker return to work). Please do your homework and find a skilled laparoscopic surgeon. The differences are night and day! ...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
Try to find an experienced doctor treating uterus fibroid (submucosal) with focused ultrasound. one fibroid about 4cmx4cm submucosal type I. ?
Assess your symptoms: More common symptoms of uterine fibroids are: bleeding between periods; heavy menstrual bleeding (menorrhagia); menstrual periods that may last longer than normal; need to urinate more often; pelvic cramping or pain with periods; sensation of fullness or pressure in lower abdomen; pain during intercourse. Pelvic exam may be revealing. Pelvic imaging may be done. ...Read moreSee 3 more doctor answers
Uterine Fibroids: The fibroid is creating an environment structurally similar to carrying a 5 month pregnancy! as the uterus enlarges, the bladder loses its' capacity and this leads to frequency of urination, leakage of urine, and indirectly more frequent urinary tract infections. ...Read moreSee 1 more doctor answer
Depends... D&C?: well, it depends on how much it is causing.. most of the time over 40 I recommend a uterine biopsy (called a EMB done in office) that is not 100% but pretty good to be sure not really a cancer. then if ok can try medical things to shed it or may need a D and C ( if u dont want more kids, ask possible ablation at same time0... hope this helps ...Read moreSee 1 more doctor answer
As many as 40%: At autopsy, as many as 40% of women have evidence of fibroids. Fibroids are usually benign tumors of the uterus that are not symptomatic. Sometimes fibroids can be painful, cause heavy bleeding, miscarriage, preterm labor, problems voiding or constipation. Fast growing fibroids need to be monitored closely and may necessitate surgery. Certain ethnicities have higher prevalence of fibroids. ...Read moreSee 1 more doctor answer
TransVaginalUltraso: You mean Transvaginal Ultrasoundthat uses high frequency sound waves to create images of your internal organs.This will detect abnormalities in uterus,fallopian tubes,ovaries and vagina.Transvaginal means through the vagina.It can see images of uterus and detect Endometrial Cancer ...Read moreSee 1 more doctor answer
43yo with a posterior intramural fibroid 5x5x4cm. Endo stripe is 3mm. Uterus 10x6.5x6.2cm. Doc advised TVH. any input about size of uterus for TVH.
Increase risk: Fibroids most commonly do not affect pregnancy. However if they are large or on the inside lining of the uterus, they can cause complications such as miscarriage, preterm labor and preterm birth. Sometimes they increase the likelihood of a cesarean section. ...Read moreSee 1 more doctor answer
Is a hysterectomy after menopause the best answer for hormone therapy if you have uterine fibroids?
It depends: Most fibroids shrink in menopause, even if you are treated with low-dose hormone therapy. If, however, fibroids grow during menopause, that is a red flag for possible trouble. Hysterectomy will be your best bet to rule out the possibility of a cancerous growth, and to prevent further fibroid growth. Furthermore, you can then use estrogen alone which may be safer than estrogen plus progesterone. ...Read moreSee 3 more doctor answers
Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?
Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...Read more
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