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Is It Necessary To Have Surgery For Uterine Fibroid?
Question: My mother age is 49. A recent ultrasound said that uterus is 122mmX53mmX41mm . myometrial echotexture is mildly heterogeneous and hypoechoic.Indistinct myometrial interface. Small well defined hypoechoic lesion of size 29mmX21mm is noted in posterior myometrial wall. Endometrium is central and normal in thickness 10.5mm . Doctor want to perform surgery. What we should do?
Brief Answer:
Surgery needed only if excessive bleeding is there.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
I have seen the attached report. Your mother has a small fibroid in the posterior wall.
Fibroids do not need treatment unless symptomatic. If your mother is having no pain or heavy bleeding or any other symptoms then there is no need to operate.
Fibroids are non-cancerous growths that appear during childbearing years and rarely require treatment - only when they cause discomfort, sharp Pelvic pains or Profuse Menstrual Bleeding.
They gradually shrink when you attain Menopause.
If she has bleeding, she might do any of the following surgical procedures to remove it:
1.) Myomectomy, that is removal of the Fibroid either through Open abdominal surgery, Laparoscopically or Hysteroscopically.
2.) Uterine Artery embolization, which cuts the blood supply to the tissue.
3.) Burning it using heat or Microwave energy.
Your treating doctor will know which procedure will suit her better if at all he/she considers it necessary.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Surgery needed only if excessive bleeding is there.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
I have seen the attached report. Your mother has a small fibroid in the posterior wall.
Fibroids do not need treatment unless symptomatic. If your mother is having no pain or heavy bleeding or any other symptoms then there is no need to operate.
Fibroids are non-cancerous growths that appear during childbearing years and rarely require treatment - only when they cause discomfort, sharp Pelvic pains or Profuse Menstrual Bleeding.
They gradually shrink when you attain Menopause.
If she has bleeding, she might do any of the following surgical procedures to remove it:
1.) Myomectomy, that is removal of the Fibroid either through Open abdominal surgery, Laparoscopically or Hysteroscopically.
2.) Uterine Artery embolization, which cuts the blood supply to the tissue.
3.) Burning it using heat or Microwave energy.
Your treating doctor will know which procedure will suit her better if at all he/she considers it necessary.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have attached a six months previous report. It said that Doctor prescribed a medicine which she took two days in a week for the past six months. the tablet name was sevista.
Report Details :- Uterus size 100.7 mmX45.3mmX36.6mm . Myometrial echostructure is homogenous.A hypoechoic sol of 38.1mmX30.6mm seen at the posterior wall of uterine body.Endometrial echo is normal in thickness with 8.1 mm and seen in midline. ( Six months previous ultrasound report ) .
Report Details :- Uterus size 100.7 mmX45.3mmX36.6mm . Myometrial echostructure is homogenous.A hypoechoic sol of 38.1mmX30.6mm seen at the posterior wall of uterine body.Endometrial echo is normal in thickness with 8.1 mm and seen in midline. ( Six months previous ultrasound report ) .
Brief Answer:
The size of fibroid has decreased.
Detailed Answer:
Hello.
Thanks for writing again.
The fibroid size has decreased in last 6 months. If the bleeding is well controlled with the help of Sevista then there is no need for surgery. She can reduce the dosage of sevista to once a week after consulting her gynecologist.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
The size of fibroid has decreased.
Detailed Answer:
Hello.
Thanks for writing again.
The fibroid size has decreased in last 6 months. If the bleeding is well controlled with the help of Sevista then there is no need for surgery. She can reduce the dosage of sevista to once a week after consulting her gynecologist.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
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. Chakravarthy Mazumdar
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