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Uterus fibroid

 
 
Reply Mon 12 Nov, 2007 09:31 am
Hi everybody, my best friend's wife has this problem in her uterus. There

is fibroid lesion inside the uterus, more than one I guess. She's been

treating this since a year now. She has a surgery on the second of

December. I will show you her last medical report,


Uterus is grossly enlarged and shows a large fibroid lesion, occupying its

entire body, displacing and compressing the endometrium.

Compared to previous ultrasound study, there is some reduction in size

of fibroid lesion. It measures 8.4*6.8cm. Previous measurement was

11.4*8cm. Both ovaries appear to be normal sonographically. No free

fluid is shown in pouch of Douglas.

I have also the following questions,

If she did the surgery, what would be the side effects on her, espicially

pregnancy issue, and what are the chances of having a baby?

What are the chances of having abortion?

Is ther any way to treat her without surgey?


Thanks for any idea.
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Type: Discussion • Score: 1 • Views: 4,166 • Replies: 58
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Bi-Polar Bear
 
  1  
Reply Mon 12 Nov, 2007 09:41 am
think I'll finish this oatmeal another time...
0 Replies
 
MagicBlackCat
 
  1  
Reply Mon 12 Nov, 2007 11:35 am
It depends on exactly what type of surgery she is scheduled for.

A myomectomy will leave most of the uterus intact and will just have the fibroid(s) removed. I had this done a couple of years ago. It has helped the pain and pressure go away. I had become extremely iron anemic from blood loss from the fibroid. Healing took about 3 weeks and I was back to work. I have had no issues except a bit of scar tissue that developed around where they were removed. As for childbirth my gyn says it may still be probable depending on the individual and the amount of tissue needed to be removed to the fibroid. No guarantees.

A hysterectomy will remove the uterus entirely - No child birth options.

There are also a couple of other options I researched. One was where they use a laser to go in and cut the fibroid out (from a dime size incision) I don't remember the name of it but it's healing time is a lot less and I'm sure it depends on the location/severity. There was also another if the fibroids were in the exterior. Out pateint procedure where they simply put a rubber band around the fibroid until it comes off.

Personally I found there was more pain when I drank caffine, not sure if there is a correlation at all but when I decreased my soda and coffee that lessed some of daily pain I felt before I had the surgery.

Hope this helps
0 Replies
 
navigator
 
  1  
Reply Mon 12 Nov, 2007 02:01 pm
So, is laser operation more easy , or is it a good choice here? if she did

it , there would be no guarrantee on childbirth, would it?

I thank you MagicBlackCat very much for your info.
0 Replies
 
MagicBlackCat
 
  1  
Reply Mon 12 Nov, 2007 02:37 pm
navigator wrote:
So, is laser operation more easy , or is it a good choice here? if she did

it , there would be no guarrantee on childbirth, would it?

I thank you MagicBlackCat very much for your info.


You are welcome. Smile I wish I was able to say about the childbirth thing. I seem to be doing ok after my myomectomy but still have yet to try for a child. :/ . The laser surgery is normally for small fibroids I know that and I seem to recall they had to be relatively small as well. I hope she has this option. (Laproscopy I think is what it's called)

Laser surgery was not an option for me due to size/location/number of the fibroids. It may be the same in her case possibly. She and her doctor likely discussed the varying options open to her if this has been going on some time. Do you know what the name of her surgical procedure is? I just hope she doesn't have to go with the hysterectomy. >.<
0 Replies
 
navigator
 
  1  
Reply Tue 13 Nov, 2007 09:26 am
I think it could be myomectomy. What she concerns

most about is the possibility of having a baby again.

I'll go to there place now,hope I can find something

new.


Thanks again MagicBlackCat .
0 Replies
 
navigator
 
  1  
Reply Wed 14 Nov, 2007 07:29 am
the couple will go to a private hospital seeking any good chance. I'll let

you know.
0 Replies
 
sozobe
 
  1  
Reply Wed 14 Nov, 2007 08:12 am
A friend of mine had this -- the fibroid was roughly "cantaloupe-sized," if I remember right. She had it removed, and gave birth to a healthy baby about 4 years later. (She didn't try in the meantime -- she was single when she had the tumor removed, then met her husband-to-be, got married, and had her baby about a year after that.)

I know very little about this subject, but it seems like a successful pregnancy can happen in some situations.
0 Replies
 
navigator
 
  1  
Reply Wed 14 Nov, 2007 10:06 pm
Thanks sozobe, it's good news that this lady gave birth to a healthy child.

I'm happy for her. Hope the couple could find something today. Any good

sign.
0 Replies
 
ossobuco
 
  1  
Reply Wed 14 Nov, 2007 10:10 pm
On the other hand, I have a friend who had a grapefruit sized fibroid, and had a hysterectomy - although that was a while ago and procedures probably have changed somewhat re large fibroids - which of course has ramifications re childbirth.

Is there some reason your friends aren't questioning the doctor? Are they shy? This is not a time to be quietly respectful. They should ask.
0 Replies
 
ossobuco
 
  1  
Reply Wed 14 Nov, 2007 10:31 pm
Ahhhhhhh, good, navigator, please ignore my last post...

except for the part that you do have legitimate reasons to question doctors.
0 Replies
 
martybarker
 
  1  
Reply Thu 15 Nov, 2007 12:09 am
http://www.googlesyndicatedsearch.com/u/SIR?domains=sirweb.org&sitesearch=sirweb.org&q=ufe&sa.x=47&sa.y=13

Here is an Interventional Radiology site. I hope it helps in answering questions. If you have any questions regarding uterine Fibroid Embolization I'd be happy to answer as I have been involved with quite a few of these procedures.
0 Replies
 
navigator
 
  1  
Reply Thu 15 Nov, 2007 06:04 am
Hi ossobuco, they diffenately ask doctors. What I want to do is to see

what other people know or their experience about this thing, and it's ok

for me.

Thanks martybarker for the link, and I'd like to know more about this

Embolization.

Thanks everybody for your care.

"browsing the link now"
0 Replies
 
navigator
 
  1  
Reply Sat 24 Nov, 2007 10:55 am
Hi again, couples did MRI. I think they will go for Embolization. I will write

the report for you.
0 Replies
 
martybarker
 
  1  
Reply Sat 24 Nov, 2007 11:31 am
Navigator,

I do know of one woman for sure that had the UFE done in my department who became pregnant.

Are you inside or outside the US?
0 Replies
 
Sglass
 
  1  
Reply Sat 24 Nov, 2007 11:46 am
My personal feeling is to get a second opinion. I have fibroids, had them for years. My doctor says he just watchs them in a woman my age. However, if you are of childbearing age and want to have children I would certainly consult a specialist.

Fibrods are very common and come and go on a regular basis. I am just leary of "hysterectomy" doctors.
0 Replies
 
navigator
 
  1  
Reply Sat 24 Nov, 2007 12:35 pm
Thanks everybody, they did look for many opinions, and still looking for

any hope. Here is ther MRI report,

On the obtained images a very large lobulated solid mass tumor is seen

superior to the bladder.The mass fills the pelvis and involves lower

abdominal cavity up to the umbilical level.

The signal intensities are consistent with a large lobulated fibroid mass .

The uterine body is partly seen below the mass with its T2 bright

endometrial line noticed below the bulk of the mass but a similar bright

signal line extends in left side of the mass superolaterally raising

suspicion for a very large right sided intramural fibroid instead of a large

sissle one sitting in top of the uterine body which is suspected in the first

glance.


Areas of central degeneration are also noted in the mass. Several smaller

fibroids are suspected in left side of the bright endometrial signal

suggestive of more fibroids.


Right Ovary is displaced superiorly and well seen by the contained

follicles. Left ovary seems to be located more superiorly with larger

follicles and suspicious indistinct borders. No free fluid is seen in

abdominopelvic cavity. Due to very large size of the mass and distortion

of anatomy review of recent Ceasarean section for presence of large

intramural fibroid or a sessile one is suggested.


Please review if there is any report of abnormal apperance of the left

ovary. Clinical correlation and diagnostic laparatomy with evaluation of

left ovary are recommended.
0 Replies
 
martybarker
 
  1  
Reply Sat 24 Nov, 2007 02:25 pm
Navigator,
I'm off to work soon and will reply in more detail later. It sounds like the fibroids are large and her symptoms must be troublesom enough for her to want to have intervention of some sort. I suspect she has very heavy mestrual bleeding and most likely pressure on her bladder? Does the heavy bleeding make her anemic?

I'll get back to you later.
0 Replies
 
navigator
 
  1  
Reply Sun 25 Nov, 2007 01:58 pm
Thanks martybarker for your help, no that doesn't make her anemic.
0 Replies
 
martybarker
 
  1  
Reply Sun 25 Nov, 2007 09:47 pm
http://www.able2know.org/forums/viewtopic.php?p=2793616#2793616

Here is a post from August. Hope this helps.
0 Replies
 
 

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