Doctor insights on:
Treatment For Bulky Uterus With Adenomyosis
Bulky uterus with large posterior intramural fibroid which treatment is suitable surgery or laparoscope plz suggest me?
Depends: Treatment for large fibroid depends on a few factors. If you have completed child bearing, a hysterectomy done by laparoscopy (robotically) or open is appropriate depending on size and availability of technology. On the contrary, you can preserve the uterus by doing a myomectomy (scope or open). Minimally invasive is the preferable way to achieve either procedure. ...Read moreSee 1 more doctor answer
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
For uterus over 10cm with heavier bleeding and cramping would you recommend endometrial ablation or hysterectomy?
A friend has intramural uterine fibroids with frequent urination and pelvic discomfort. She is unmarried. Can fibroids be cured with homeopathy or aur?
Can try homeopathy: Pelvic pain and increased urinary frequency are classic bulk symptoms from fibroids. There are some homeopathic medicines that can help but in my experience often the symptoms progress until something more definitive is needed. Depending the age, number of fibroids, desire for future fertility, she may need either myomectomy (surgical removal of the fibroids) or uterine artery embolization (uae). ...Read moreSee 2 more doctor answers
Is resonance guided focused ultrasound a good treatment for adenomyosis?Suffering from adenomyosis n hope could retain uterus. Tq.
43yo with a posterior intramural fibroid 5x5x4cm. Endo stripe is 3mm. Uterus 10x6.5x6.2cm. Doc advised TVH. any input about size of uterus for TVH.
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 moreSee 1 more doctor answer
If I have endometriosis, multiple fibroids, an ovarian cyst, and uterine and rectocele prolapse what would the recommended treatment(s) be?
My usg report is bulky uterus with thickened endometrium and pap report sever inflammatory smear dr please say about treatment, is it cancer of uterus ?
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 are the treatment options for postmenopausal bleeding? I had a biopsy and ultrasound. No cancer but uterine walls are thicker than gyn likes.
Why would an endometrial ablation and megace (megestrol) be better than hysterectomy in someone with endometrial cancer?
At what mm of uterine lining would a doctor order a uterine biopsy? Premenopausal, recent diagnosis breast cancer with periods stopped for 3 months.
Depends: If a woman over the age of 40 comes in with abnormal bleeding or any abnormality of the uterine lining, then they deserve an endometrial biopsy. Breast cancer is often treated with tamoxifen which is associated with pre-cancerous and cancerous changes in the uterus. It sounds like they must have good reason to recommend this test. ...Read more
Is fibroid curable with medicine..Or need surgery?I have 64mm posterior wall fibroid.Which is better for me?
Does it bother you?: At 6cm, the question is, does the fibroid bother you? Cause you pain? Affect your menstrual cycle? If it's not bothering you, then you don't need surgery at all. If it's bothering you, then likely yes. If it encroaches on inside of lining, then hysteroscopy is best, otherwise, consider laparoscopic myomectomy. Medicines help, but only for awhile, typically grows back. Hope that helps! ...Read more
Try to find an experienced doctor treating uterus fibroid (submucosal) with focused ultrasound. one fibroid about 4cmx4cm submucosal type I. ?
Depends... D&C?: well, it depends on how much it is causing.. most of the time over 40 I recommend a uterine biopsy (called a EMB done in office) that is not 100% but pretty good to be sure not really a cancer. then if ok can try medical things to shed it or may need a D and C ( if u dont want more kids, ask possible ablation at same time0... hope this helps ...Read moreSee 1 more doctor answer
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