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Doctor insights on: Hysterectomy Vs Ablation For Fibroids

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I have been diagnosed with subserosal fibroids and adenomyosis. I am 49 yrs old. Should I do an ablation or hysterectomy?

I have been diagnosed with subserosal fibroids and adenomyosis. I am 49 yrs old. Should I do an ablation or hysterectomy?

Ablation vs. hyst: When looking at the difference between a hysterectomy or ablation, it is important to keep in mind which symptoms are needing treatment, and length of recovery. An ablation can be successful in treating abnormal or heavy bleeding, but less successful in addressing issues of pain. A hysterectomy is invasive and requires a recovery time of weeks instead of days. ...Read more

Dr. Al Hegab
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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Just found out I have Uterine fibroids. They are causing pain. Dr. has suggested tubes tied with ablation or hysterectomy. Your suggestion?

Reasonable choices: You don't provide nearly enough information to answer your question. There are a lot of variables, but in general fibroids are common and do not cause pain. A hysterectomy is major surgery but would more definitely solve the problem. However, if the pain is because your fibroids are causing heavier bleeding, then the ablation could be an excellent choice. ...Read more

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Will a uterine ablation help pain and heavy bleeding from fibroids. I have that option or a hysterectomy. 41 years old. No children. Severely anemic.

Will a uterine ablation help pain and heavy bleeding from fibroids. I have that option or a hysterectomy. 41 years old. No children. Severely anemic.

UFE: Have you consulted with an interventional radiologist regarding uterine fibroid embolization (ufe)? This procedure is usually a great option for women with symptomatic fibroids. It is minimally invasive (tiny incision in your groin) and treats fibroids in any portion of your uterus, not just ones that can be reached through the uterine cavity. ...Read more

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Can hysterectomies safely remove fibroids?

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

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Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

No: Episodic surgical management of both of these problems can include ovarian cystic resection/biopsy and myomectomy for the fibroid. At age 44 and finished with childbearing, hysterectomy is an option but not required. ...Read more

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The gyn wants me to have a hysterectomy for fibroids and I still want children. So what should I do?

The gyn wants me to have a hysterectomy for fibroids and I still want children. So what should I do?

Second opinion: Many women have small fibroids that do not interfere with their pregnancies at all. The mere presence of a fibroid does not mean you must have surgery. Ask your doctor why surgery is being suggested--are the fibroids large? Is there a history of miscarriage. You could ask an infertility expert. I have seen women carry babies to term with fibroids that were over 16 cm in size! ...Read more

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I have a fibroid tumor and need a hysterectomy because I am loosing a lot of blood. What would happen if I don't have surgery?

I have a fibroid tumor and need a hysterectomy because I am loosing a lot of blood.  What would happen if I don't have surgery?

Surgery not only opt: Surgery is not your only option. Uterine artery embolization is a minimally invasive technique that can treat heavy bleeding with ~ 90% success. Regardless of what you chose if you have heavy bleeding causing anemia you should do something. ...Read more

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Did a partial hysterectomy in January 2010 to remove fibroids. 56 y/o female. About a month ago bleeds after oral and fingering sex only. Any concern?

Did a partial hysterectomy in January 2010 to remove fibroids. 56 y/o female. About a month ago bleeds after oral and fingering sex only.  Any concern?

No: By partial hysterectomy,I trust you mean you sltl have a cervix. If you have had normal paps, the bleeding maybe from vaginal drynessif you still have a cervix and ovary it could me menstrual in origin. Your answers to this question I think would be more reassuring if it came from you gynecologist. ...Read more

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Do I have to have a hysterectomy for large fibroids?

Depends on your plan: If you want to get pregnant, myomectomy can prerserve your potential fertility. If pregnancy is out of the question now and forever, then hysterectomy is the best treatment. Other options include uterine artery embolization or focused ultrasound beam destruction. Your gyn should be able to provide you with options that suit your circumstances. ...Read more

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Should I have hysterectomy I have 5-6 fibroids with the largest at 6cm?

Fibroids: Whether to have a hysterectomy is between you and your Gynecologist. It depends on among other things whether you are having heavy periods, painful periods, irregular bleeding, bleeding with intercourse, whether you are finished with having children. Usually with this number of large fibroids the chance of a malignancy is increased and a hysterectomy would be advised. ...Read more

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What is surgery for a hysterectomy for fibroid removal like?

What is surgery for a hysterectomy for fibroid removal like?

Depends: It depends on the size of the fibroid and the skill of the surgeon. Some surgeons are very skilled at minimally invasive or robotic surgeries and are comfortable even with very large fibroids. Make sure you are evaluated by someone skilled in advanced laparoscopy/robotics for an opinion if a different doc tells you that you must have an open hysterectomy. That's not always the case! ...Read more

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Why would a woman with fibroids with no symptoms have a hysterectomy?

Rapid growth: If the fibroid is growing rapidly it should be removed as that can cause/mean there are other complications. ...Read more

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I'm having a hysterectomy for fibroids soon. Will this cause menopause?

I'm having a hysterectomy for fibroids soon. Will this cause menopause?

No: Hysterectomy refers only to the uterus so a total hysterectomy removes the uterus & cervix. If the ovaries are not removed this should not cause menopause although the reduction in blood flow to the ovaries can lead to ovarian dysfunction which might result in menopausal symptoms. ...Read more

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What causes fibroids to reappear after a total hysterectomy and how are they treated?

What causes fibroids to reappear after a total hysterectomy and how are they treated?

It shouldnt: Fibroids are generally seen in the uterus and once you go through the hysterectomy you shouldn't have recurrence. The fibroids are part of the uterus, and once the uterus is removed; you no longer have the source. ...Read more

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Does a woman with very large fibroids always have to get a hysterectomy and will it affect fertility?

Options: Just removing the fibroids is called a myomectomy. If you have large fibroids, you may want to have them removed before pregnancy. If you have a hysterectomy, that means removing your uterus, so you would not be able to carry a child. Fibroids can be removed with a larger abdominal incision or you may be a candidate for a robotic surgery which usually has a quicker recovery. ...Read more

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Do you need to treat a large calcified fibroid in uturus wall if we want more children. Can I avoid a hysterectomy?

Hard to say: The best information must come from someone who has all the information about your case. Fibroids come in various sizes and locations and the approach to their treatment and or removal may or may not interfere with your ability to carry another successful pregnancy. Get a second or third opinion if needed and try to understand your options. ...Read more

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Found I have fibroids. Waiting for a hysterectomy. Getting slight stinging and a feeling of something dragging down up inside after weeing.?

Found I have fibroids. Waiting for a hysterectomy. Getting slight stinging and a feeling of something dragging down up inside after weeing.?

Why hysterectomy?: Knowing nothing about your fibroids i just would ask if you have considered a uterine fibroid embolization (ufe) treatment. It is a minimally invasive treatment for fibroids that is good for many women. Hysterectomy is a surgical option in some women but this is a discussion that you should have with your gyn and an interventional radiologist (for the ufe) to present all the options. ...Read more

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I have been diagnosed with very large fibroids and need to schedule hysterectomy surgery. What happens to fibroids if you don't remove them?

Large fibroid: Any tumor can get large enough and bleed due to tissue necrosis as the blood supply is not adequate for its growth rate. Large benign tumors, in general, can also degenerate into cancerous lesions. It is best to follow the recommendation of your gynecologist and have it removed, as has been recommended. ...Read more

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Due to fibroids I am having a hysterectomy. I have been given the option to have my cervix removed or not. Is it necessary to remove the cervix?

UFE?: Is uterine fibroid embolization (ufe) not available to you in britain? In many instances this can be a great alternative to hysterectomy for fibroid disease. ...Read more

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I had my third & final injection to shrink my fibroids on april 30. I had a hysterectomy may 29 & kept my ovaries. Why do I still have hot flashes?

I've noticed: There could be a temporary drop in estrogen immediately after a hysterectomy, even when the ovaries remain. This is usually temporary. If it lasts more than 2 months check with your doctor for further evaluation. ...Read more

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What are changes in lifestyle post hysterectomy for fibroids in 40s?

It depends: On if they took out your ovaries or not. If they left your ovaries in and just took out your uterus then you will just stop your periods!. You will still have your hormones and you will not have the side effects of menopause and that is the best of both worlds! Make sure you know exactly what they did in your surgery. ...Read more

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What are natural ways of curing fibroid aside from hysterectomy or embolization?

What are natural ways of curing fibroid aside from hysterectomy or embolization?

Avoid phytoestrogens: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read more

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I had emergency hysterectomy in 2011 due to fibroid tumors. Do I have to worry about follow-ups?

Yes: You no longer need pap-smears if your pap-smears were all normal prior to the hysterectomy. If you had abnormal pap-smears prior to the hysterectomy, pap-smears are still recommended in some cases. You still need to see your Gyn every year for breast care, mammograms and an exam to check on your ovaries. Best wishes! ...Read more

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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

Dr. Suzanne Galli
2 doctors shared insights

Ablation (Definition)

Cardiac ablation involves destruction of tissue aimed at elimination of sources of origin or propagation of arrhythmias. It may also be used to destroy part of the heart in hypertrophic cardiomyopathy. Typically it is done with a catheter inserted through a ...Read more


Dr. Barbara Lavi
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