
Have Fibroid Uterus. History Of Heavy Bleeding And Anemia. Ultrasound Done. Any Risk For Cancer?

Actually, you should not be discourage because I find that the biopsy is actually quite helpful. Here is what I am hearing:
You are a 52 year old female with a fibroid uterus, a history of heavy uterine bleeding, ultrasound (I assume) and an evaluation of the endometrial lining for pre-cancerous or cancerous changes. The endometrial biopsy is usually looking for "hyperplasia" and the presence of "atypical cells". Your result indicates neither of these, but it does suggest some changes related to excess growth (probably related to irregular peri-menopausal bleeding) and possibly the presence of polyp-like changes.
If the biopsy had been abnormal in some concerning way, then a hysterectomy would have been an appropriate choice. Even though it is normal, I still think that this should be a strong consideration. The benefit of the biopsy is that you basically know that you are NOT dealing with a cancer. The indication for a hysterectomy include:
1. A uterine fibroid that is extremely large
2. Heavy bleeding
3. Anemia
4. Probably other symptoms (pelvic pressure, rectal pressure, frequency of urination)
If there has been any recent change in the size of the uterus or a significant change in your bleeding pattern, then a hysterectomy is even MORE indicated. Don't underestimate how much better you are likely to feel by having it removed! Finally, if you are not sure what to do, get a second opinion from another OB/GYN. Here are questions to ask:
1. Do you think that a hysterectomy is indicated?
2. How would you remove the uterus (an open incision or laparoscopy)?
3. What would I anticipate to be my recovery?
4. If I choose to wait, what would be the appropriate followup?
Lastly, never assume that anemia is related to a GYN source (though it seems obvious). Make sure your colonoscopy is uptodate as well. Good luck and please let me know if you have followup questions!


Again, thank you.
I wish you the best of luck. I have not prescribed Lysteda yet but I am going to look into this the next time I am in clinic - thank you!

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