Doctor insights on:
Uterine Fibroid Hysterectomy
Assess your symptoms: More common symptoms of uterine fibroids are: bleeding between periods; heavy menstrual bleeding (menorrhagia); menstrual periods that may last longer than normal; need to urinate more often; pelvic cramping or pain with periods; sensation of fullness or pressure in lower abdomen; pain during intercourse. Pelvic exam may be revealing. Pelvic imaging may be done. ...Read moreSee 3 more doctor answers
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
Yes: Uterine fibroid embolization (ufe) allows a woman to not only avoid all of surgical risks associated with hysterectomy but also risks of what happens to these women without their uterus. Having a hysterectomy particularly before age 50 and despite leaving in the ovaries increases their risk for osteoporosis and heart disease. It also affects many women psychologically & sexually. Ufe avoids this. ...Read moreSee 1 more doctor answer
No: If you have significant symptoms from fibroids you can keep your uterus and instead treat the fibroids with uterine fibroid embolization (ufe). There are many reasons to keep uterus in patients who have completed childbearing. Uterus important in sexual health, cardiovascular health, bone health. For ufe you would need to consult an interventional radiologist. ...Read moreSee 2 more doctor answers
Do I need hysterectomy : I have Abnormal vaginal bleeding for 4 months, I am diagnosed with uterine fibroids; then I had D&C cleaning.
No: Hysterectomy may be an option but it should be the option of last resort. There are less invasive options to treat the heavy bleeding and allow to you to keep your uterus which is important even in women who are not interested in fertility. Uterine Fibroid Embolization (UFE or UAE) is an outpatient, nonsurgical solution performed by Interventional Radiologists. Find an experienced IR and see. ...Read moreSee 1 more doctor answer
Can you still get uterine fibroids if you get a hysterectomy, even if they occur outside the uterus?
NO: Fibroids are a growth of the muscular wall of the uterus. Once the uterus is gone they can no longer form. The exception is if the cervix was left in place, and then occasionally a fibroid can growth from the cervix. The ovary can occasionally grow a solid growth called a fibroma, but this is not the same as a uterine fibroid. ...Read moreSee 1 more doctor answer
Just found out I have Uterine fibroids. They are causing pain. Dr. has suggested tubes tied with ablation or hysterectomy. your suggestion?
Reasonable choices: You don't provide nearly enough information to answer your question. There are a lot of variables, but in general fibroids are common and do not cause pain. A hysterectomy is major surgery but would more definitely solve the problem. However, if the pain is because your fibroids are causing heavier bleeding, then the ablation could be an excellent choice. ...Read more
I've had a partial hysterectomy LSH 4 years ago...removal of uterus only due to uterine fibroids...cervix and both ovaries remain. ..I've been bleedin?
Can happen: The glandular epithelium (lining) is responsive to your hormones, or alternatively a small portion of the uterus with its lining still exists ...Read more
If I have endometriosis, fibroids, and uterine prolapse is there any possibility that i could have children again? Is the only treatment hysterectomy?
Depends. : Most women can still have children with fibroids or endometriosis. Their are times when a woman cannot get pregnant or may have trouble carrying a pregnancy because of these problems. Their is nothing wrong with getting a second opinion. Prolapse can be treated when you are finished having kids. In severe cases it could be treated before having another child. You would need to see a specialist. ...Read moreSee 2 more doctor answers
Will a uterine ablation help pain and heavy bleeding from fibroids..I have that option or a hysterectomy. 41 years old..No children. Severely anemic.
UFE: Have you consulted with an interventional radiologist regarding uterine fibroid embolization (ufe)? This procedure is usually a great option for women with symptomatic fibroids. It is minimally invasive (tiny incision in your groin) and treats fibroids in any portion of your uterus, not just ones that can be reached through the uterine cavity. ...Read moreSee 1 more doctor answer
I was told that I have a pelvic mass and fibroids on my uterus should I consider a hysterectomy I am 50?
Tough question: Fibroids reduce in size after menopause, so the fibroid answer would depend on when menopause occurs. (crystal ball time!) the more concerning question pertains to the pelvic mass. In your (our) age group, we have to consider a pelvic mass as a possible tumor - possibly ovarian cancer. Talk with your doctor clearly about your diagnosis and options. Good luck. Lgromkomd. ...Read more
What is an enlarged uterus and I have 4 fibroids my uterus is 11.4x7.8x7.2 CM do I need to get a hysterectomy?
Depends on symptoms: Average age of menopause is 51, + or - 7 years. Uterine fibroid usually shrink after menopause. However may continue to grow if your are heavy or using hormones. If your fibroids are causing symptoms, pelvic pain, abnormal bleeding, painful intercourse, etc. You might have a better quality of life if you have a hysterectomy. If you are asymptomatic and the fibroid are not growing, then observe. ...Read moreSee 2 more doctor answers
I have UTERUS WITH POSTERIOR WALL FIBROID.
Can fibroids be treated with medicines alones? What is the medication? I am trying to avoid Hysterectomy.
No medical treatment: Hysterectomy is one option for treatment of abnormal bleeding due to fibroids. The other options include surgical removal of fibroids, embolizationof fibroids by an interventional radiologist,ultrasound ablation of the fibroids by an interventional radiologist,and endometrial ablation.The size, number, and location as well as other health factors determine the best treatment for you.RU486 may help ...Read more
I need a hysterectomy and have no health insurance is there a way? I am 48 with cycts, fibroids, a tumor, and a enlarged uterus all needs to go
I have an enlarged uterus, 18cms, multiple fibroids, largest 7cms. Is Hysterectomy my only option, as my doctor seems to think?
No, but . . .: There are always options. But some may suit your needs better than others. Having fibroids by itself is not an indication for surgery. We usually recommend a procedure based on the symptoms that you're having. Also your desire for future fertility plays a role. Interventional radiological techniques such as uterine artery embolization can be useful. Having said that, hysterectomy is definitive. ...Read more
Gyn doctor only, what's partial hysterectomy? Does it mean that uterus is left/cut in half ? I have fibroids which needs surgery & want to my organ.
Misnomer: Most people assume a complete hysterectomy includes removing the ovaries with the uterus. However, a complete hysterectomy is simply the removal of the entire uterus. The ovaries are not part of the uterus and if they are to be removed they are listed separately as "removal of tubes and ovaries" or as "salpingo-oophorectomy" in addition the the comlete hysterectomy. ...Read moreSee 2 more doctor answers
My 78 year old relative had a CT of the abdomen and pelvis. A unrelated finding was a report of fibroids on her uterus. This was a suprise as she had a hysterectomy 45 years ago. Pelvic ultrasound confirmed no uterus but identified some type of mass.
Is a hysterectomy after menopause the best answer for hormone therapy if you have uterine fibroids?
It depends: Most fibroids shrink in menopause, even if you are treated with low-dose hormone therapy. If, however, fibroids grow during menopause, that is a red flag for possible trouble. Hysterectomy will be your best bet to rule out the possibility of a cancerous growth, and to prevent further fibroid growth. Furthermore, you can then use estrogen alone which may be safer than estrogen plus progesterone. ...Read moreSee 3 more doctor answers
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