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Doctor insights on: Cephalopelvic Disproportion Fibroids

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U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. LargestFibroids@uterine fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?

U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. LargestFibroids@uterine fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?

Fibroids: Are relatively common, and if you are not having any symptoms related to them, probably nothing needs to be done. It sounds like you had a transabdominal ultrasound and your ovaries could not be seen due to bowel gas. This happens occasionally. If your doctor wants to check your ovaries, you need to have a transvaginal ultrasound. If the ovaries are still difficult to see, MRI might be useful. ...Read more

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Dr. Robert Kent
9 doctors shared insights

Fibroids (Definition)

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


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Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

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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Can MRI of pelvis detect uterine fibroids?

Yes: Mri is very good for detection of uterine fibroids. It can determine the size & locations of the fibroids. It can show if the fibroid is degenerated or active, particularly if used with contrast. Mri can be used to guide fibroids treatment, particularly with regards to uterine fibroid embolization which is less invasive than surgery. ...Read more

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Uterus 11.4x7.8x7.1 4 fibroids fundus fibroid 3.8x3.6cm, mid fundus 1.6x1.2cm, posterior fundus 2.1x2cm body anteriorly 2.8x3cm endometrial 4.4x3.8x3.9?

Fibroids: It sounds like you have at least 5 fibroids in your uterus. Are they causing symptoms? The treatment options depend on your symptoms, and also on your desire for future childbearing. This is a good conversation to have with your gynecologist in person. ...Read more

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Meaning of subserous fibroid?

Subserous fibroid: Fibroids are benign tumors of the uterus. Subserosal fibroids are on the outside covering of the uterus. ...Read more

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Can uterine fibroids grow in size?

Yes: Fibroids grow all the time, in part due to female hormones. They stop growing from menopause or stopping your hormones with a Lupron (leuprolide) shot. Some fibroids grow slowly; fibroids in some women grow quickly. ...Read more

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Subserosal myoma of 25*23 mm in anterior wall fundus of uterus and bilateral polycystic overies can effect in pregnancy.

Subserosal myoma of 25*23 mm in anterior wall fundus of uterus and bilateral polycystic overies can effect in pregnancy.

Depends: If already pregnant not very likely that a small myoma on the outside of the uterus will cause problems. The polycystic ovaries may contribute to infertility or problems with ovulation but unless the cysts are large they should not cause a problem in pregnancy. ...Read more

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Can anterior subserous fibroid affect pregnancy?

Can anterior subserous fibroid affect pregnancy?

Yes: This depends on fibroid size and location and especially if the fibroid extends or protrudes into the uterine cavity. Fibroids respond to estrogen (high in pregnancy) by increasing in size. They may revert to normal size after pregnancy. They can also interfere with normal labor. Most obstetricians measure them with ultrasound monthly or so during pregnancy. ...Read more

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Is uterine fibroid due to abortion?

Is uterine fibroid due to abortion?

No: Neither abortions nor miscarriages cause uterine fibroids. They are tumors of the smooth muscle of the uterus that develop in some women for unknown reasons. ...Read more

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Pelvic Scan report:Bulky retroverted uterus with AP diameter 5.2cm.Endometrum thickness -18.6mm.No fibrod,cysts &Cysies.Abdominal pain still severe?

Pelvic Scan report:Bulky retroverted uterus with AP diameter 5.2cm.Endometrum thickness -18.6mm.No fibrod,cysts &Cysies.Abdominal pain still severe?

Pelvic pain: May be endometriosis or adhesions which are not readily noted on scans. Ultrasound may note larger endometriosis lesions; laparoscopy is the gold standard Adhesions are diagnosed when obstruction or at laparoscopy. Endometrium is thick - mid cycle? if not discuss w/doc. Also check disc disease. pelvic floor tension,pelvic venous congestion , interstitial cystitis/renal f/u/doc ...Read more

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Dr. John Kirk Dr. Kirk
2 doctors agreed:
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Anteriror midsegment myoma 4.7x4.6cm.Anterior fundal myoma 6.6x6.5cm.Posterior midsegment myoma 4.0x3.0cm and 3.4x3.1cm can be treated by myomectomy?

Dr. John Kirk Dr. Kirk
2 doctors agreed:
Anteriror midsegment myoma 4.7x4.6cm.Anterior fundal myoma 6.6x6.5cm.Posterior midsegment myoma 4.0x3.0cm and 3.4x3.1cm can be treated by myomectomy?

Sure: Certainly the description you have left of the uterine fibroids can be treated by myomectomy. The approach for a myomectomy can be a traditional open or large scar laparotomy. But, even with the multiple fibroids you describe, a laparoscopic or robotic assisted myomectomy may be a better choice for you. ...Read more

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Uterine wall- non secretory surface endometrium over myometrium. Uterine nodule - leiomyoma of uterus without cellular atypia. Uterine cervix- chro?

Uterine wall- non secretory surface endometrium over myometrium.   Uterine nodule -  leiomyoma of uterus without cellular atypia. Uterine cervix- chro?

Path report: Is this a biopsy? Are you bleeding? Results of a hysteroscopic procedure? Go to the post procedure follow up and discuss the next step with your gyn physician. ...Read more

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Is submuscosal fibroid and subserosal fibroid harmful?

Not necessarily.: Many, many women have fibroids as they get older. Most don't even know they have them. If you are having symptoms due to them, like heavy periods, etc., then they may be worth treating. Discuss your options with your doctor. Very very rarely, a fibroid can become cancerous. See http://womenshealth.gov/publications/our-publications/fact-sheet/uterine-fibroids.html#g ...Read more

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U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?

U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?

Hysterectomy: Your gynecologist must discuss this with you as soon as possible. There are many ways to determine if things are OK or not and the gynecologist will help you. Please let me know what develops. ...Read more

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4 very early m/c. 3 intramural fibroids, largest 3.4cm. Can intramural fibroids smaller than 5cm cause very early recurrent miscarriages?

4 very early m/c. 3 intramural fibroids, largest 3.4cm. Can intramural fibroids smaller than 5cm cause very early recurrent miscarriages?

Yes: Yes, but only if they distort the endometrial cavity. A sonohysterogram or hsg could help figure this out, and if affecting the uterus a myomectomy is very effective restoring you anatomy and reducing your risk for miscarriage. ...Read more

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Dr. Wendy Askew
3 doctors shared insights

Fibroid (Definition)

A leiomyomata(fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain( aka "fireball tumor") as ...Read more


Baby Too Large For Mother's Pelvis (Definition)

Cephalopelvic disproportion is a condition where the baby's head or body is too big to fit through the mother's pelvis. This often leads to "failure to progress" in labor, and is a common indication for ...Read more