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
Uterine fibroids is also known as Fibroid. 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
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
Going through menopause. T-vag says endo stripe is 0.4 cm, small post.Uterin fibroid 0.9cm, some benign nabothian cysts in cervix. Anything worrisome?
No worries.: A small uterine fibroid is usually asymptomatic and is not dangerous. A fibroid will usually shrink after menopause from decreasing estrogen levels. Your endometrial stripe is also normal. Nabothian cysts are also normal . None of these findings pose any risk to your health. ...Read more
3 yr post menopause, no bleeding, 5mm endo/ lining, 2 small fibroids, negative biopsy and pap but atrophy, parabasal cell type. 1 yr pap, or sooner?
Pap history: Those are normal findings. When you need another pap is based on your previous pap smears. If you have no hpv, never had an abnormal pap and have had 3 abnormal paps, you may not need another pap for 3 years. You still need to see your gyn for a physical exam and assess your ovaries. ...Read moreSee 1 more doctor answer
I am post menopausal my FSH level is 85, also had a transvaginal scan which showed pco and very small fibroids, keep having bad cramps I am 42?
Cramping postmenopau: If i understand correctly you are a 42-year-old woman in early menopause with cramping and with known fibroid tumors. This phenomenon is easily explained by the fact that these fibroids will undergo spontaneous degenerationbecause of the declining estrogen levels. I would start with an ultrasound to confirm that they are shrinking and that they are the source of the pain. ...Read more
Post menopause break through bleeding. Ultra sound .61 cm endometrial stripe. Heterogeneous uterus with 2 small fibroids. Is D and C necessary?
Not always.: Anytime their is postmenopausal bleeding then an US evaluation of the uterine lining should be performed. If the endometrial stripe is more than 3-5 mm then an endometrial sample should be taken. This can usually be done in the office and does not require a D and C. Sometimes your doctor may want to insert a thin flexible camera into the uterus to further evaluate the lining. ...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
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
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
Menopause occurs 1 year after the last time you had a period. However, when perimenopausal (the time leading up to your period stopping) you can have a # of sxs. Sxs may include waking up in the middle of the night sweating heavily; dryness of the vaginal tissue; irregularity of periods, hot flashes; mood swings & decreased interest in sex. In the us the ave age ...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
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