Doctor insights on:
Best Way To Remove Submucosal Fibroids
Is surgery the best way to remove 5cm fibroid if its inside uterus/submucous&causes kind of water discharge before period. Is that normal with fibroid?
Most likely: Although non surgical intervention have been in use for some time, see image, surgical removal may be a better option for some, after you consult your OB/Gyn physician. The issue is that these fibroids grow back frequently. If that happens, you can try the non surgical option. Good luck ...Read more
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
What is the best way to get fibroids removed? Heard someone had her removed through surgery and ended up with a scar that led to infertility.
Avoid surgery: In general, if you are trying to conceive it is best to avoid surgery for fibroids unless they are submucous (located inside the uterine cavity) or extremely large. A myomectomy carries a high risk for pelvic adhesions which can cause infertility. Get more than one opinion and make sure that at least one opinion is from a reputable reproductive endocrinologist before you consider surgery. ...Read more
Depends: The best management of a fibroid depends greatly on it's size, location and symptoms present. Small fibroids in the muscle or surface that aren't causing symptoms don't need to be removed. Fibroid that are large, causing bleeding or pressure symptoms or possibly contributing to pregnancy concerns can be removed by a variety of ways depending on size and location. ...Read more
Maybe nothing: Uterine fiborids are quite common, especially in african american women. Often they don't cause much problem, but some women may experience painful and heavy menstrual periods, causing anemia etc. Progestin only birth controls may help a bit. They can be surgically removed, selectively embolized (cut off blood supply), or hormone suppression. Consult your doc. Good luck. ...Read more
What is the best method to address a calcified fibroid tumor that is causing frequent urination and bowel movement issues?
Hysterectomy: I'm going to assume this is a common calcified leiomyoma / fibroid of the uterus and that it's falling forward onto the bladder causing urinary urgency and pushing backward onto the bowel and causing constipation. These calcified tumors are unlikely to regress at menopause and elective hysterectomy might be a reasonable option if your physician is good with it. ...Read more
Which is best for fibroids removal from uterus and help pregnancy: laproscopy removal, use or open surgery to remove the fibroids. I also have endo.
Is surgery the only way to remove fibroids? Is there any danger if one decides not to have it removed
Diet, exercise: Diet and exercise (with subsequent loss of body fat) is the best medicine for fibroids. Fibroids are stimulated by estrogen/progesterone. That is why they tend to grow in pregnancy and while they are usually not an issue in menopause. Avoiding red meat, dairy and caffeine has shown benefits. Be careful with soy products as some have phytoestrogens. ...Read more
Some women have fibroids removed with the specific goal of improving their fertility. In some patients with small numbers of fibroids in good locations, this works well.
Women who have lots and lots of fibroids probably have only modest chances of improving their fertility by having the fibroids removed. ...Read more
When can I get a fibroid removed? I've had it for awhile and it isn't shrinking and causing a lot of pain.
Needs evaluation: You don't necessarily need it removed. If indeed it is the cause of your symptoms, you could have it removed surgically (myomectomy) or treated completely without any surgery (uterine fibroid embolization, ufe). Myomectomy done by gynecologist, ufe performed by interventional radiologist. Seek both opinions. ...Read more
I have a fibroid the size of a pingpong ball is that considered big enough to have removed if its causing pain?
Maybe: It is always difficult to decide when to remove fibroids as they are so common. Most are not causing symptoms and have been reported to be present in up to 75% of all women. They may interfere with pregnancy, labor and delivery, cause increased bleeding and/or pain and it is at that point that a decision to remove the fibroid (myomectomy) is made. Is it painful enough to risk surgery? ...Read more
What to do if I'm 47 and I had fibroid earlier 7 yrs back but it came back they told to get surgery and remove the fibroid.?
Consider UFE first: If you're having significant symptoms from fibroids (exs. Heavy periods, pelvic pain, increased urinary frequency) and want to avoid surgery, and keep your uterus (why wouldn't you?) consider Uterine Fibroid Embolization. It is non-surgical, outpatient procedure performed by Interventional Radiologist. Patients discharged same day with just a bandaid, 5-7 day recovery. Learn more at atlii. Com. ...Read more
I am 47 and I had fibroid earlier 7 yrs back but it came back they told to get surgery and remove the fibroid. Need opinions?
Options: Options for fibroids now include vascular ablation by an interventional radiologist in addition to surgical procedures. Surgical options are also many, and include removing the fibroid only, or the entire uterus with or without the ovaries. These can be done transvaginally, laparoscopically, or open. Talk to a gynecologist that is experienced with these options to get an opinion about your case. ...Read more
Would you recommend to remove an 0.8cm anterior intramural fibroid now I am 22 years of age before it gets bigger I have no children?
I was diagnosed with a large fibroid. I can feel it and move it around. Does the face that it is moveable make it easier to remove or harder?
Mixed: The fact that it is moveable would suggest it may be easier to remove; however, sheer size may make it more difficult. ...Read more
Should fibroid be removed? I have had a large fibroid for 10 + years which I didn't have removed because it didn't cause symptoms. It has stabilized since going through menopause 2 years ago. Does it have to be removed?
Asymptomatic fibroids do not need surgery with few exceptions.
1. Growing after menopause. Remove because of risk of sarcoma. Sarcomas are very rare and grow rapidly. Pre-existing fibroids do not develop into sarcoma.
2. Blockage of the kidneys. This can occur without symptoms, and is detected by ultrasound of the kidneys, which can easily be done during pelvic ultrasound.
3. Blockage of blood low from the legs, usually if not always a symptom, since one leg will swell.
4. Patients at risk of ovarian cancer when the ovaries cannot be palpated on exam or seen on ultrasound. This is a soft call since it is not clear that pelvic exam or ultrasound detects ovarian cancer without symptoms, but I have saved a few women from advanced cancer by sticking to this rule. ...Read more
Yes: Most of the time fibroids are managed by hysterectomy (removal of the uterus) for two main reasons. First, fibroids are often too numerous to remove individually without irreparable damage to the uterus. Secondly, most fibroids tend to grow back and removal of only the fibroids can be futile. The most definitive treatment is hysterectomy. Speak with your obgyn about the risks of surgery. ...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 more
Depends: Treatment of fibroids depends on the symptoms they are causing, the location of the fibroids, and the goals of treatment, including desire for fertility. A small fibroid in the cavity may cause very heavy bleeding and be treatable with hysteroscopic removal. Large bulky fibroids causing bladder and bowel pressure may require uterine artery embolization or hysterectomy. Discuss with your doctor. ...Read more
Anytime: Fibroids can be removed at any time. However is not indicated to removed fibroids at the time of delivery because the increase blood supple to the uterus and the increase risk of complications. ...Read more
Fibroids: Uterine fibroids are a common problem. There are several surgical options available to remove them, depending their location. The difficulty it that large fibroids are able to be removed, but often their are smaller ones that aren't. Overtime, the smaller fibroids may grow in response to estrogen. Often they may be suppressed with hormone therapy. The only definitive treatment is a hysterectomy. ...Read more
Depends: Fibroid usually refers to a leiomyoma (benign tumor of smooth muscle) of the uterus. Fibroids are not necessarily associated with weight loss or weight gain themselves, but sometimes the tumors can be large in which case removal might result in a noticeable difference. Also, any type of surgery can have some impact on weight, depending on appetite and retaining fluid during recovery. ...Read more
Possibly: There's always a chance for recurrence.Get a more detailed answer ›