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Do Fibroid Tumours In The Uterus Cause Bleeding After Menopause?
Question: Yes thank you. do fibroid tumors in the uterus cause bleeding after menopause? YYYY@YYYY
Brief Answer:
Some investigations needed to rule out serious conditions
Detailed Answer:
Dear XXXX,
Fibroid of the uterus is a tumour of the uterine musculature. It is Oestrogen dependant. Hence it grows till the woman has attained her menopause. After menopause, the oestrogen levels starts decreasing and hence the fibroid(s) also starts decreasing in size. Usually, Fibroids exist in multiple seedlings along with the main large fibroid.
Fibroids of the uterus are known to co-exist with the cancer of the lining of the uterus (endometrium) in 30 % of the cases. Hence, before undertaking any surgical treatment of Fibroid, it is a dictum to study the endometrium to rule out endometrial carcinoma or pre-cancerous growth of the endometrium.
Since, after menopause the fibroids regress in their size, there is no chance of bleeding from benign fibroid. If there is any bleeding after menopause and if you are having Fibroid uterus, following two conditions need to be ruled out:
1. Carcinoma of the endometrium: Microscopic study of the endometrium is indicated for this purpose. Hysteroscopically directed endometrial biopsy is the most advocated means for this.
2. Sarcomatous changes in the Fibroid: In fact only after the histological study of the tumour can confirm this diagnosis. However, ultrasonography, Laparoscopy and Hysteroscopy can give some clue about this condition.
Please report to your Gynaecologist to undergo the above mentioned investigations and clinch the diagnosis. Please upload the reports and the images for my review. Along with, please inform me your obstetric history, menstrual history and any relevant information you feel should be shared with me. You have already undergone ultrasonography and biopsy of the uterine wall; will you please upload the reports and images for my review?
Prima facae it seems you will have to sacrifice your uterus if you are having postmenopausal bleeding and have a history of Fibroid Uterus.
Please get back to me with more information. I shall be keen to guide you in this condition. If you are convinced with this information, you may please post a good review with 5 stars rating for me. For any further information or advice, I am always available for you, XXXX.
Dr. Nishikant Shrotri
Some investigations needed to rule out serious conditions
Detailed Answer:
Dear XXXX,
Fibroid of the uterus is a tumour of the uterine musculature. It is Oestrogen dependant. Hence it grows till the woman has attained her menopause. After menopause, the oestrogen levels starts decreasing and hence the fibroid(s) also starts decreasing in size. Usually, Fibroids exist in multiple seedlings along with the main large fibroid.
Fibroids of the uterus are known to co-exist with the cancer of the lining of the uterus (endometrium) in 30 % of the cases. Hence, before undertaking any surgical treatment of Fibroid, it is a dictum to study the endometrium to rule out endometrial carcinoma or pre-cancerous growth of the endometrium.
Since, after menopause the fibroids regress in their size, there is no chance of bleeding from benign fibroid. If there is any bleeding after menopause and if you are having Fibroid uterus, following two conditions need to be ruled out:
1. Carcinoma of the endometrium: Microscopic study of the endometrium is indicated for this purpose. Hysteroscopically directed endometrial biopsy is the most advocated means for this.
2. Sarcomatous changes in the Fibroid: In fact only after the histological study of the tumour can confirm this diagnosis. However, ultrasonography, Laparoscopy and Hysteroscopy can give some clue about this condition.
Please report to your Gynaecologist to undergo the above mentioned investigations and clinch the diagnosis. Please upload the reports and the images for my review. Along with, please inform me your obstetric history, menstrual history and any relevant information you feel should be shared with me. You have already undergone ultrasonography and biopsy of the uterine wall; will you please upload the reports and images for my review?
Prima facae it seems you will have to sacrifice your uterus if you are having postmenopausal bleeding and have a history of Fibroid Uterus.
Please get back to me with more information. I shall be keen to guide you in this condition. If you are convinced with this information, you may please post a good review with 5 stars rating for me. For any further information or advice, I am always available for you, XXXX.
Dr. Nishikant Shrotri
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Naveen Kumar
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