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Doctor insights on: Dx Code For Uterine Fibroids

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Nursing diagnosis for dysfunctional uterine bleeding?

Nursing diagnosis for dysfunctional uterine bleeding?

Do your homework: The site is not a shortcut for you to get your nursing homework answered for you. Apply yourself & acquire the answers from the texts & sources in your curriculum. To be successful as a nurse you need to do the work & gain the skills or you will be neither happy or successful. ...Read more

Dr. Warren Foster
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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At what mm of uterine lining would a doctor order a uterine biopsy? Premenopausal, recent diagnosis breast cancer with periods stopped for 3 months.

At what mm of uterine lining would a doctor order a uterine biopsy? Premenopausal, recent diagnosis breast cancer with periods stopped for 3 months.

Depends: If a woman over the age of 40 comes in with abnormal bleeding or any abnormality of the uterine lining, then they deserve an endometrial biopsy. Breast cancer is often treated with tamoxifen which is associated with pre-cancerous and cancerous changes in the uterus. It sounds like they must have good reason to recommend this test. ...Read more

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How do I tell if I have uterine fibroids?

How do I tell if I have uterine fibroids?

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 more

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Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

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

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TTC..had 2 D&C..2013 for endometrial polyp w/ posterior wall adenomyosis 4cm.2016 for simple endo hyper w/o atypia, adenomyoma now at 6cm. Wat to do?

TTC..had 2 D&C..2013 for endometrial polyp w/ posterior wall adenomyosis 4cm.2016 for simple endo hyper w/o atypia, adenomyoma now at 6cm. Wat to do?

Change diet: Eating high carb foods like grains, lentils, potatoes, milk protein (yogurt, cheese, milk, kefir) causes inflammation, insulin resistance, and tissue growth (such as overgrowth of uterine tissue in your case). Consume flesh foods, eggs, butter, olive oil, vegetables. For detailed list of what to eat/avoid, go to https://kaushikmd.com/2016/11/03/get-started/ Symptoms should improve in 1-3 months ...Read more

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How does a gynocologist choose between rec for endo biopsy vs d&c? For pt w/cancer hx, thickened endo wall, fibroid, cervical bump, shall i go4 d&c?

How does a gynocologist choose between rec for endo biopsy vs d&c? For pt w/cancer hx, thickened endo wall, fibroid, cervical bump, shall i go4 d&c?

Purpose will be same: D&c kept the gold standard for a century , where cervix is dilated and plenty of endometrium is scraped for biopsy, is quick and needs anesthesia. Where endometrial biopsy a catheter is inserted and suction biopsy is done most of the time with sedation in the office , both will get endometrium for biopsy , ask gyn doc will tell which will be better for a reason. ...Read more

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9mm polyp in uterine cavity. No symptoms.Removal necessary for future pregnancy?

9mm polyp in uterine cavity. No symptoms.Removal necessary for future pregnancy?

Remove it.: I would recommend removing it before conception, as it could interfere with implantation or cause bleeding during pregnancy. ...Read more

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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.

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.

Should go well: The overall size of your uterus seems fine to try for a vaginal approach. A much larger uterus can still even be removed vaginally if other conditions are favorable, such as an adequate size of pelvis, a mobile uterus, and lack of scarring in the pelvis. ...Read more

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How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?

How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?

Depends: Cysts and fibroids are easy to see. Endometriosis is not diagnosed by ultrasound. Pcos is diagnosed by medical history and lab work using an ultrasound as supplemental evidence. ...Read more

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Need 2nd opinion re whether uterine biopsy is needed for post meno period. U/S results: Enlarged uterus, 9.0x4.5x6.3 cm w/ heterogeneous appearing myometrium, possible adenomyosis is considered in right clinical setting. Endometrium normal 3 mm. ?

Need 2nd opinion re whether uterine biopsy is needed for post meno period. U/S results: Enlarged uterus, 9.0x4.5x6.3 cm w/ heterogeneous appearing myometrium, possible adenomyosis is considered in right clinical setting.  Endometrium normal 3 mm. ?

Biopsy good idea: Just because there is concern for Adenomyosis and the endometrium is 3 mm's, Endometrial or Tubal CA can easily cause post menopausal bleeding. The endometrial biopsy will tell the MD and you what NOT to consider as to the cause of the bleeding which is far more important right now then what IS causing the bleeding. ...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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Would disordered proliferative endometrium with a strong family h/o ovarian and uterine ca, lynch synd. Warrant a hysterectomy ?

Would disordered proliferative endometrium with a strong family h/o ovarian and uterine ca, lynch synd. Warrant a hysterectomy ?

Absolutely not: Disordered proliferative endometrium solely describes endometrium that is in different phases of development of secretory glands at the same time. And it is definitely not a pre-cancerous diagnosis based on your biopsy. The strong family history, however, could be. Consider speaking with your gynecologist about prophylactic hysterectomy in your specific setting/family history. Good luck. ...Read more

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Petrified last 4 yrs had 3 hysteroscopies w/ DNC biopsy ALL BENIGN 1 pap with endometrial cells 4 uterine polyps how likely missing cancer diagnosis?

Petrified last 4 yrs had 3 hysteroscopies w/ DNC  biopsy ALL BENIGN 1 pap with endometrial cells  4 uterine polyps how likely missing cancer diagnosis?

All biopsies negativ: That's great news to be celebrated! Do you have a family history of breast or uterine cancer? Are you BRCA positive? Have you had mammograms or colonoscopies done? Why are you petrified? Speak to your doc about your fears and address them. You seem to be partly doing that already. ...Read more

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Frozen section biopsy for ovarian neoplasms is accurate?

Frozen section biopsy for ovarian neoplasms is accurate?

Frozen section: It's right about whether there is cancer in 98% of cases although the exact diagnosis gets adjusted fairly often in the final reports with further analysis. ...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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Hysteroscopy 9/13 biopsy all nrml taking progesterone now have 2cm uterine polyp unlikely cancer or no?

Hysteroscopy 9/13 biopsy all nrml taking progesterone now have 2cm uterine polyp unlikely cancer or no?

Unlikely: all endometrial polyps should be sent to a pathologist for after ascertainment of whether or not there is a cancer in the polyp. This is highly unlikely if you are on progesterone, however the risk of cancer does increase with age. My suggestion would be to have the polyps removed. The procedure is low risk, would be happy to discuss further. ...Read more

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My mom s gyn. Removed a 6mm uterus polyp. The uterus and ovaris normal. He sent polyp for pathology. Gyn view was that polyp is benign. Shall we wait?

My mom s gyn. Removed a 6mm uterus polyp. The uterus and ovaris normal. He sent polyp for pathology.  Gyn view was that polyp is benign. Shall we wait?

Wait for the report: The gyne sent the polyp to be analyzed by a pathologist to rule out cancer. The clinical impression at the time of surgery is very often right, but would wait for the final pathology report to make sure there is no microscopic abnormality. ...Read more

Dr. Mark Ingerman
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


Uterus (Definition)

The uterus is a muscular organ in a woman's pelvis where the the fertilized egg attaches ...Read more