Doctor insights on:
Laparoscopy For Fibroids
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
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
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 moreSee 3 more doctor answers
Endometriosis: Surgery is the gold standard, and reduces the amount/extent of disease. The most effective medical treatment is the drug lupron(r). It is costly with some side effects, but is safe and often as good for pain as surgery. The injectible contraceptive depo-provera gives mixed results. A much older drug, danazol, is mostly no longer used. ...Read more
I have endometriosis and fibroid tumors (occasionally ovarian cysts). OB recommend hysterectomy. Read about Acessa. Wondering: procedure any good?
Perhaps not for you: Acessa is a novel, fairly good and very promising procedure for treating uterine fibroids and preserve the uterus. Its success depends often on the size, location and number of fibroids in a uterus. It is not a treatment for endometriosis. Hysterectomy laparoscopic, transabdominal or transvaginal at this point in your life may not be a bad recommendation, particularly if you are very symptomatic ...Read more
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 moreSee 1 more doctor answer
Largefundal fibroid with ovarian cyst and endometrial thickenng lots of pain bleeding and dysuria nd swelling query laparosopic myomectomy recommeded?
Maybe: Since I am unaware of your total history and physical, I am loathed to "recommend" any procedure without it. It sounds like you have multiple problems that need resolution. ...Read more
What causes abnormal heavy bleeding for 20days so far after laparoscopic surgery for endometriosis and ovarian cysts and having prostap injection?
Bleeding: If you had surgery for endometriosis, that could cause your bleeding postoperatively. If you got any medications to reduce future endometriosis growth, this may cause continued bleeding as well. If you did get lupron, (leuprolide) the bleeding should diminish after 2-3 weeks and you may not have a period for 2 - 3 months. You should follow up with your doctor to discuss these symptoms. ...Read more
How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?
Hysteroscopic resection of fibroids removal for pregnancy. Does it improve fertility after removal of small or large uterine fiborids? in all women.
Depends on location: if the fibroids is significantly distorting the endometrial cavity, it will be of benefit (assuming all other factors are normal). Fibroids outside of the endometrial cavity or that are pedunculated, may not reduce your chances of getting pregnant and may not be neccessary to remove them. Speak to your GYN who can discuss this further with you . Best wishes ...Read more
Possible pelvic mass had total hyst with removal of fallopian tubes, uterus, cervix and ovaries. Should i be worried?
Nutritional Rx: 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 moreSee 1 more doctor answer
It can: In many cases yes. If the primary issue is centrally located pain with the menstrual cycle, a hysterectomy is likely to be very helpful. There are also surgical treatments short of a hysterectomy, including resection of endometriosis and pre sacral neurectomy. You need to see a good pelvic pain doctor to help you work out the best option for you. ...Read more
Laparoscopy involves placement of a small camera-scope into the abdominal cavity, most often at the belly button. This allows us to see and surgically rx many abdominal and pelvic diseases. This is combined with distinction of the abd cavity with co2 gas to create more space to work. This usually requires a general anesthetic, yet most people can go ...Read more
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