Doctor insights on:
Treatment For Ovary Adherent To Uterus
Does uterus fibroid once operated can regain again ? Or is it better to remove uterus than to get the fibroid removed from uterus
Which is best for fibroids removal from uterus and help pregnancy: laproscopy removal, use or open surgery to remove the fibroids. I also have endo.
Would never being pregnant determine the method of hysterectomy surgery for removal of uterus, tubes and ovary. Reason for surgery is thick lining.
One factor: The number of pregnancies is one factor in determining the route of surgery. The patient’s size, the size of the uterus, the size of the vagina, the amount of uterine prolapse, previous surgeries, medical problems, surgeon preference, surgeon skin and experience are other a few of the other factors. Each case must be evaluated individually to determine the best surgical approach. ...Read more
Hi Doctor, can hysteroscopy surgery (to remove the uterus polyps) cause scar tissue in the uterus and cause difficulties for fertile egg to implant?
If you have only: a few polyps and the surgery is done correctly, it shouldn't contribute to future fertility. There remains significant surface area for an embryo to implant. Nonetheless, this is a very good question and one i encourage you to discuss with your gyn surgeon. Best wishes!!! ...Read more
Is an ultrasound that examines the endometrium also good for examining the ovaries?How does one get their ovaries examined to check for ovarian cancer
Pelvic Ultrasound: A standard female pelvic ultrasound evaluates the uterus (and endometrium) as well as the ovaries. Current ultrasound technology (especially when both transabdominal and transvaginal images are obtained) is a very good screening test for ovarian pathology including ovarian cancer. ...Read moreSee 1 more doctor answer
What is the treatment for adenomysis? I am 41 single and remove my uterus fibroid once and twice for ovary cyst
Hysterectomy: Adenomyosis is endometriosis in the wall of the uterus. Symptoms of adenomyosis can include heavy bleeding, severe dysmenorrhea, pain with intercourse, and uterine enlargement. Sometimes the sypmtoms of adenomyosis are treatable with oral contraceptives and over the counter pain medications, but the definitive treatment is hysterectomy. ...Read moreSee 3 more doctor answers
What are the best treatment options for endometrial stromal sarcoma grade Ib? After removing the uterus and one ovary (with one still left)
I had 8cm ovarian cyst and endometrial tissue removed. Is it necessary to take hormones such as lupron (leuprolide) to prevent a reoccurence?
No: Lupron (leuprolide) will help prevent recurrence while you are on it. However, Lupron (leuprolide) is usually used short term and it may recur after you stop it. Drugs such as birth control pills can be used long term and so may be more helpful. Still, going on hormones after surgery is not absolutely necessary. ...Read more
Ovarian cyst: Location of the cyst its not that important while treating a cyst ( not thinking from a surgical standpoint, where it can actually have some effect but for the surgeon). A cyst can be treated medically, expectant management or surgically. ...Read more
How do you know if ovaries are getting blood supply after hysterectomy (removal of uterus, cervix, tubes, and removal of cysts on each ovary but able to save the ovaries)?
Ovaries have dual: blood flow from both from the uterus and from the ovarian artery which is a branch directly off the aorta. So when you remove tubes and uterus, the ovary still gets flow from its second blood source. I wish you a speedy recovery from your surgery and hope your ovaries live a quiet, cyst-free existence from now on. ...Read more
What is the treatment for a 2 CM anterior wall uterine fibroid and will it affect you having kids in the future?
Maybe nothing: Uterine fiborids are quite common, especially in african american women. Often they don't cause much problem, but some women may experience painful and heavy menstrual periods, causing anemia etc..Progestin only birth controls may help a bit. They do shrink after menopause. If you have excessive symptoms, consult doc for treatment--few options available. Good luck. ...Read moreSee 1 more doctor answer
Is radiation be used to treat uterine cancer? After a hysterectomy, will i still need radiation treatments for uterine cancer?
Possible: You should discuss with your oncologist and gynecologist but what steps are required after hysterectomy depend on how advanced the cancer is when it is discovered. If it is confined to the uterus often a hysterectomy is all that is needed. If it is spread outside the uterus other treatments may be needed. ...Read more
A pelvic ultrasound: Done with the vaginal and abdominal probe. ...Read more
How can ovarian function be evaluated post hysterectomy uterus and cervix removed, ovaries retained?
Depends: If the entire ovary has become cystic making it impossible to find a normal ovary or when there is no way to "peal" away the ovary from the cysts. ...Read more
Depends: The "best" treatment depends on many things..Do they bother you? Are you done having kids? Are they growing rapidly? You definitely need to discuss options with your doc, but they include doing nothing, minimally invasive surgery removing just fibroid, minimally invasive types of hysterectomy, open hysterectomy, uterine artery embolization. Find the option that best fits your needs/desires. ...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
Women with complex adnexal mass need to remove the entire ovary for complete pathologic analysis?
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