Doctor insights on:
Endometriosis: is often diagnosed by imaging including ultrasound. It is not definitive but can identify cysts associated with endometriosis, uterine tissue growing outside the uterus. Medications are generally used first including anti-inflammatories including ibuprofen/naproxen, but generally hormone therapy is more effective. Ultimately surgery to remove endometrial tissue or hysterectomy is often done. ...Read more
Patient specific: The best surgical treatment is one that is tailored to your specific findings and complaints. One surgery does not fit all patients. There is controversy about newer mesh surgery versus older methods. There is more and more robotic prolapse surgery. The best surgery is one done to your specific needs by a surgeon who does these surgeries often and has experience. ...Read moreSee 1 more doctor answer
Need urogynecologist: This problem generally involves the uterine wall which becomes weak (for example after multiple vaginal deliveries), and there is a dropping of the uterine wall beyond the vagina ( almost like turning a sleeve inside out). Usually, there are urination abnormalities invvolved--this is in realm of urology. Uterine problem--gynecology. Here, consider rx options from a uro-gynecology consultation. ...Read moreSee 2 more doctor answers
Hemorrhage: Retroperitoneal hemorrhage is an emergency and addressed either by embolization or surgery. Surgery finds and repairs the source of bleeding, as well as checking for other damage. Embolization is done under fluoro and tiny pellets are used to block the vessel(s) that are bleeding. ...Read more
Phlebotomy: Typical blood donor can give their donation, typically of 500cc of blood, about once every 8wks. A pt with new diagnosis of severe hemachomatosis may need to donate that much blood 2x/week for a while till the iron level gets down some. Then they can keep measure of the iron level, or ferritin, the nl reference is 50-150ng/ml, and a blood donation schedule is flexible to maintain. ...Read moreSee 1 more doctor answer
Subdural hematoma: If small and not causing a shift of brain structures in the skull, observation may be all that is necessary. If there is indication that the subdural hematoma is growing or causing symptoms due to increased pressure in the head, surgical drainage is the treatment. ...Read moreSee 2 more doctor answers
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
Fluid drainage: Intraventricular hemorrhage can block the flow of spinal fluid in the brain causing severe pressure build up. We put a tube into the ventricle temporarily and drain out the spinal fluid until the brain pressure goes down to normal. Occasionally there is a need to remove the hemorrhage surgically. ...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
Exercises: Arthritic changes in the neck & lower back can very challenging to the patient and physician. Generally if there are no associated neurological involvement staying active thru an diverse exercise program works. These may include biking, stretching with yoga , pilates, ect. Certain prescription & otc nsaids and steroids may be beneficial. A firm mattress and good cervical may help. You see your pcp. ...Read more
Infantile hemangioma: For growing infantile type hemangiomas in babies, the treatment of choice is oral propranolol. This is far superior in efficacy and safety to steroids or invasive surgical options. The hemangioma will always stop growing immediately and many will begin to shrink rapidly, but this medication is really only for hemangiomas in babies, generally under a year of age. ...Read more
See: http://www.mayoclinic.org/diseases-conditions/uterine-fibroids/basics/treatment/con-20037901Get a more detailed answer ›
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
Prolapse: Prolapse is generally managed surgically. This may be approached vaginally with repairs or abdominally with sacral colpopexy for apical support. In patients who are medically fragile and poor surgical candidates, can be managed with a variety of pessaries. ...Read more
Tuborous sclerosis. Which insurance covers laser treatment for angiofibromas? Best treatments for angiofibromas? Laser treatment is ineffective.
Angiofibromad: There are three main types of treatment for juvenile nasopharyngeal angiofibroma: hormone therapy, radiation therapy and surgery. Hormone therapy involves the use of a drug called flutamide, which acts by blocking testosterone receptors. The activity of this drug is further evidence for a hormonal cause for the condition. Treatment with Flutamide can shrink tumors by more than 40 percent. ...Read more
What's best treatment for recurrent corneal erosions: anterior stromal puncture or phototherapeutic keratectomy?
Meds then surgery: Usually you want to move from least to most aggressive treatment. Utilizing topical and oral anti-inflammatories as well as lubricating treatment should be tried first. Stromal puncture should only be used for small areas outside of the visual axis as scarring can occur. Laser ptk can be used for a larger area that is more anterior, especially if the cornea is steep or the pt is nearsighted. ...Read more
Depends: It depends on what the cause of the hematometra is. Cervical stenosis is a cause and can be treated with dilation of the cervix. Scarring due to infection or previous surgery of the cervix or uterus can also cause hematometra. See your gyn for evaluation. ...Read moreSee 1 more doctor answer
Is hematometra a medical emergency in pre-menopausal women? Are there Any possible complications if left untreated?
Pain dictates Tx.: Hematometria is when the blood inside the uterus can't flow out vaginally, for some reason. It usually causes severe cramping and pain and this is typically what guides the timeline for intervention. It is possible for endometriosis and blood collection in the fallopian tubes to result if untreated for long periods of time. ...Read more
Maybe: Hematometra is a collection of blood in the uterine cavity that would make the endometrium appear irregular on ultrasound. If the blood will not pass, treatment such as hysteroscopy with D&C may be warranted to "clean out" the cavity and ascertain the cause of the hematometra if possible. ...Read more
I have a hematometra, what is the cause? Should I be worried as I am not able to see my gynaecologist for 2 months ?
Hematometra: Hematometra is a collection of blood in the uterus. It is usually caused by a blockage or stenosis of the cervix. It can also happen after pregnancy, d and c, other cervical surgery or infection. Sometimes it requires surgery to drain the collection. It can cause pain, and sometimes can become infected. ...Read more
Blood trapped: Hematometra refers to menstrual blood trapped inside the womb, when the cervix is obstructed. This can happen after a woman had a ionization done on her cervix for an abnormal pap smear. The cervical canal can then get obstructed from scarring of the cervix. The narrowing may need to be reopened by dilatation in the OR under anesthesia. ...Read more
I have/had(?) hematometra and had a D&C to remove the blood. My obgyn doesn't know what caused it. No visible causes, should I be worried?
Hematometra: In many cases, the d&c is enough to cure the problem. Some people just have a narrow cervical opening which can be blocked by anything from inflammation to nothing at all. The d&c opens up this canal, which is the correct treatment if this occurred. Most of the time the hematometra does not come back, especially at your age. There is usually not a visible cause, just a narrow or blocked cervix. ...Read more
Hi Dr I was diagnosed of hematometra of about 312mls. My Doctor prescribed evacuation which was done. Ultrasound after two weeks showed the same ?
Tough Case: This can be a tough case due to all the causes of hematometra. The treatment is different if you have never had periods before and are very young. If you were having periods, then another evacuation with dilate ruin of cervix and possible placement of a tube to keep cervix open for a while is needed. Also, this can be associated with other uterine defects and needs to be worked up by a skilled GYN ...Read moreSee 1 more doctor answer
I had hematometra. They did a d&c im waiting on results. Im bleeding with clots and have a lot of pain . they didn't open my tubes.what must I do?
I have recently been diagnosed with stenosis of the uterine cervix and I think I have hematometra. Can hematometra cause urinary discomfort?
I was to have my cervix dilated for a 2nd time for hematometra but ended up bleeding. I shoveled heavy snow days prior. Shoveling released blood?
Hematometra cervical stenosis postmenopausal Ultrasound no thickening Pelvic pain Should I wait 2C if it resolves w repeatUS 6wks or D & C now Scared?
Act Now.: Hi Debra, If you are in pain, this would push me to recommend acting surgically sooner rather than later. At 60, you should have no accumulation of blood and very little clear fluid or mucous. Even though the Ultrasound said no thickening, I would take the opportunity to sample the lining of the uterus just to make sure. I am sure that everything will turn out fine. ...Read more
Cervical stenosis Hematometra US no thickening fluid debris.Pelvic discomfort.Dr isn't worried says fibroids US 6wks then D&C. I'm scared please help?
Don't Worry: Hi Debra, If you are in pain, this would push me to recommend acting surgically sooner rather than later. At 60, you should have no accumulation of blood and very little clear fluid or mucous. Even though the Ultrasound said no thickening, I would take the opportunity to sample the lining of the uterus just to make sure. I am sure that everything will turn out fine. ...Read more
Cervical Stenosis Hematometra post menopausal pelvic pain Fibroids.Dr wants 2wait 6wks b4 D and C. No thickening or blood. Can this resolve by itself?
Possibly yes: If your cervix is stenotic, you can accumulate "fluid" in your endometrial cavity which may be mucus, not blood? Bleeding will usually not occur if your cervix is closed The fact that " no thickening" of your endometrium was noted on sonogram is reassuring and means you probably do not have " hematometra" and that the "fluid" may resolve spontaneously in weeks to months.Ask for an office Pipelle ...Read more