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Doctor insights on: Hysterectomy For Uterine Fibroids

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Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

No, not really: Adenomyosis is when the lining cells of the uterus are located just deep to the lining (but still within the uterus). It can be thought of as endometriosis of the uterus. Hysterectomy would remove this. Almost all fibroids are in the uterus also and would be removed with hysterectomy, although there are fibroids on rare occasions outside the uterus which could be missed/reoccur but very rare. ...Read more

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Dr. Abraham Jaskiel
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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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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Endometrial polyp and endometriosis related?

Endometrial polyp and endometriosis related?

Not really: They are two separate pathologies...Not uncommon for them to coexist but. As one nears menopause, endometriosis and its symptoms will recede, but endometrial polyps can still occur and warrant evaluation especially if you are having post menopausal bleeding. ...Read more

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Hysterectomy side effects compared with uterine fibroid embolization?

Hysterectomy side effects compared with uterine fibroid embolization?

Higher risk w surger: The risk of significant complications of any major abdominal surgery is generally considered to be between 5-10%. The risk of major complications of uae/ufe is below 3%. Embolization also has a faster recovery than surgery. ...Read more

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How many women get uterine fibroids?

How many women get uterine fibroids?

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 more

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Does uterine fibroid embolization affect fertility?

Does uterine fibroid embolization affect fertility?

Yes!: These procedures should only be performed for women who are done having kids or are sure they don't want kids in the future. Uterine fibroid embolization (ufe) and uterine artery embolization (uae) block off blood vessels that supply fibroids - fibroids shrink but don't go away 100%. Some of the vessel-blocking material reduces blood flow to your ovaries, lowering egg supply (ovarian reserve). ...Read more

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Are uterine fibroids cancerous?

Very rarely: Only in very rare instances can fibroids be cancerous. If there is very rapid growth in the size, these are the ones that could be a leiomyosarcomas but again very rare. ...Read more

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Pregnacy safe after uterine artery embolization for cervical pregnancy?

Pregnacy safe after uterine artery embolization for cervical pregnancy?

Pregnancy and UAE: Many studies have described successfully and, presumably, healthy pregnancies carried to term after uterine artery embolization. You will need to consult with your ob/gyn regarding your particular circumstance, especially given your history of cervical 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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Can endometriosis grow after a hysterectomy?

Can endometriosis grow after a hysterectomy?

Yes, but less common: A hysterectomy is a surgery involving the removal of the uterus, not necessarily the ovaries.The ovaries produce the hormones that can drive growth/stimulation of endometriosis. So, if ovaries are left in place, endometriosis may be more likely to grow after a hysterectomy. ...Read more

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Do uterus fibroids rupture?

Do uterus fibroids rupture?

No: But they can undergo degeneration of various forms ...Read more

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What are estrogen receptors? For someone with uterine fibroids?

What are estrogen receptors? For someone with uterine fibroids?

Receptors: Receptors are part of the cell that interact via messages or stimuli (in this case estrogen) and initiate a response due to a stimuli. Estrogen can cause fibroids to grow while in menopause, when there is lack of estrogen, the fibroids shrink Best wishes Dr M ...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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Foul smell when menstruating...diagnosed with uterine fibroids, endometriosis, and. Ovarian cysts?

Foul smell when menstruating...diagnosed with uterine fibroids, endometriosis, and. Ovarian cysts?

Infection: Fibroids, endometriosis, and ovarian cysts should not cause a foul odor during menstration. It may be that you have bacterial vaginosis. A foul odor is the most frequent symptom of BV which is the most common vaginal infection. Hope this helps. ...Read more

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Can a vaginal ultrasound see uterus and endometrial cancer?

Can a vaginal ultrasound see uterus and endometrial cancer?

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 more

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How can ovarian function be evaluated post hysterectomy uterus and cervix removed, ovaries retained?

How can ovarian function be evaluated post hysterectomy uterus and cervix removed, ovaries retained?

Ovarian function: Blood tests of ovarian hormone levels (estradiol and progesterone) are a good start. Doctors may also add FSH, LH, TSH, free T4, prolactin since these hormones can be related to menstral irregularity and ovarian dysfunction. ...Read more

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What's a supracervical hysterectomy?

What's a supracervical hysterectomy?

Leaving in cervix: Some women choose to keep their cervix. The french have done this for years because they think it helps with sex. I have asked patients with cervix and without and both groups report excellent sex life after hysterectomy. Supracervical hysterectomies can be done open, laparoscopically and robotically. ...Read more

Dr. Lynne Weixel
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