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Doctor insights on: Uterine Fibroids Endometriosis

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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?

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 more

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Fibroids (Definition)

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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How do I tell if I have uterine fibroids?

How do I tell if I have uterine fibroids?

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 more

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Foul smell when menstruating...diagnosed with uterine fibroids, endometriosis, and. Ovarian cysts?

Foul smell when menstruating...diagnosed with uterine fibroids, endometriosis, and. Ovarian cysts?

Infection: Fibroids, endometriosis, and ovarian cysts should not cause a foul odor during menstration. It may be that you have bacterial vaginosis. A foul odor is the most frequent symptom of BV which is the most common vaginal infection. Hope this helps. ...Read more

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I was told that I have uterine fibroids and endometriosis. Does this happen frequently?

I was told that I have uterine fibroids and endometriosis. Does this happen frequently?

Not that rare: Although most of the time these two conditions occur in isolation, most gynecologists have encountered patients with both fibroids and endometriosis. Some patients have lousy luck! ...Read more

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I've had 2 children, 1 surgery to remove uterine fibroids and endometriosis. I started spotting today, why does pms/mensus cause nausea?

I've had 2 children, 1 surgery to remove uterine fibroids and endometriosis. I started spotting today, why does pms/mensus cause nausea?

Hormones: There is a rise in hormones called prostaglandins before and during your period, Prostaglandins help stimulate the uterus to shed its lining. Thus, they can cause menstrual cramps. They can also stimulate bowel contractions (peristalsis) which, in some women, can cause nausea. Menstrual cramps may cause further nausea due to the nervous system's response to pain. ...Read more

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If I have severe bleeding and cramps from uterine fibroids, and early endometriosis will i need to get a hysterectomy?

Not necessarily: It would depend on the size and the locations of the fibroids. Also if you are planning on getting pregnant again. Also, if you have had significant blood loss which is difficult to control, surgery might also be advised. ...Read more

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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 more

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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 more

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How much pain are uterine fibroids?

How much pain are uterine fibroids?

Varies greatly: Fibroids are benign (non cancerous) tumors of the uterus that are associated with painful, heavy periods. They can be treated with medications that are hormonal or non-hormonal, and they are also commonly treated surgically by removing the fibroid (s) or the entire uterus. ...Read more

Dr. John Lipman
630 doctors shared insights

Uterine Fibroids (Definition)

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


Dr. Michael Traub
1,196 doctors shared insights

Endometriosis (Definition)

An abnormal condition where some endometrial tissue, which is lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...Read more