Doctor insights on:
Post Menopausal Fibroids
Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?
Likely, no: CA 125 is not recommended as a screening tool for ovarian cancer when used in risk-based stratification. Meaning, assuming that your mom or sister didn't get diagnosed with ovarian cancer. Normal for women with endometriosis to have elevated CA-125. It sounds like your doctor has done Ultrasound to evaluate ovaries as well. Your MD knows your history and risk, likely this CA-125 level is normal ...Read moreSee 1 more doctor answer
Menopause is defined as the absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...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
They slow down...: Fibroids - benign growths of the uterus - tend to grow unil a woman reaches menopause. At menopause, fibroids tend to stop growing. And depending on their size, they may disappear altogether. Talk with your doctor for specific answers about your body, though! lgromkomd. ...Read more
Variable: Reduction in size for fibroids is desirable although that is not the basis for treatment. Symptoms are why someone with fibroids is treated. The most common symptoms with fibroids are heavy bleeding, pelvic pain, and increased urinary frequency. If you're post-menopausal, bleeding no longer an issue. Other 2 should start to go away over time; if not you could consider uterine fibroid embolization. ...Read more
Should fibroid be removed? I have had a large fibroid for 10 + years which i didn't have removed because it didn't cause symptoms.It has stabilized since going through menopause 2 years ago. Does it have to be removed?
Asymptomatic : Asymptomatic fibroids do not need surgery with few exceptions. 1. Growing after menopause. Remove because of risk of sarcoma. Sarcomas are very rare and grow rapidly. Pre-existing fibroids do not develop into sarcoma. 2. Blockage of the kidneys. This can occur without symptoms, and is detected by ultrasound of the kidneys, which can easily be done during pelvic ultrasound. 3. Blockage of blood low from the legs, usually if not always a symptom, since one leg will swell. 4. Patients at risk of ovarian cancer when the ovaries cannot be palpated on exam or seen on ultrasound. This is a soft call since it is not clear that pelvic exam or ultrasound detects ovarian cancer without symptoms, but I have saved a few women from advanced cancer by sticking to this rule. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Opinions on using bhrt after 2 x art tries, causing severe fibroid & cyst issues. Peri-menopausal and dealing with fertility issue. Is it recommended?
BIoHRT: You are a bit young to be peri menopausal. There are many forms of hrt. Biologically identical simply means that te compound is the same as what you body makes. I think these are safe. I think topical is better than oral. A good resource is the north american menopause society (nams) 2012 position statement on hormone replacement. A new review shows women with hysterectomies lived longer on hrt. ...Read more
i'm a 49 year old going through menopause with fibroids. What should I expect to happen to the fibroids without blood being supplied?
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
Uterine fibroids are the most common pelvic tumor in women. They occur in 1 of every 3 women regardless of race and up to 80 % of african-american women of child bearing age. They are often asymptomatic but they can cause significant symptoms (exe. Heavy menstrual bleeding, pelvic pain, increased urinary frequency). They ...Read more
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