Brief Answer:
All queries addressed ma'am

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query and attached report with diligence and would like you to know that I am here to help. I would be more than happy to explain anything you have not understood:

1. In your case, the options for treating the fibroids are the following:

a. Medications: Can help to reduce the progression of growth of your fibroid, but will not help to completely get rid of the fibroid. Medications can also help treat the pain and other symptoms (if present), but will not get rid of the fibroid permanently

b. Surgery: Is the best option, to avoid further complications and growth

2. There are close to zero chances of the fibroid recurring in the same place after surgery, especially if it is conducted by an experienced surgeon.

But, in women who have a family history and a few other risk factors, fibroids can recur, not necessarily in the same place

4. Yes, you can choose to wait for 6 months or so for surgery, but this means you may have to take medications to help prevent further growth of the fibroids, and you may also experience other symptoms like menstrual irregularities, inter-menstrual bleed, heavy bleeding during a period, lower abdominal pain, abdominal bloating, etc.

5. Getting pregnant can be difficult with certain types of fibroids, especially those that lie inside the uterus (e.g. submucosal fibroid or intra-cavitary fibroid). But your fibroid is pedunculated and subserosal, which means it is attached to the outer part of the uterus. This kind of fibroid does not make it difficult to get pregnant, but can complicate pregnancy, so I advise not to get pregnant until the fibroid is removed

6. You said you did not understand what the second option of surgery is, let me explain. See ma'am, anything in the body that grows depends on nutrition to grow and prosper. This nutrition is provided by the blood supply. Just like how a growing fetus inside a mothers womb depends on blood supply from the placenta through major blood vessels; the fibroid in your uterus also depends on blood supply to grow and thrive. The aim of the second surgery is to find this blood vessel supplying the fibroid and block it; resulting in the gradual decay and death of the fibroid.

I hope I have explained things in a manner best understood by you. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.

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Brief Answer:
Sure ma'am

Detailed Answer:
Hi ma'am.

Surgical names:

1. Uterine artery embolization (obstructing the blood supply to the fibroid)

2. Myolysis: Electric current passed to shrink the blood vessel supplying the fibroid

3. Myomectomy: Removal of the fibroid; can be laparoscopically (through pin-hole surgery from your abdomen) or hysteroscopically (through your vagina)

Medications are best prescribed by your doctor but include GnRH (gonadotropin-releasing hormone) agonists [e.g. lupron], progestin releasing intra-uterine devices, etc.

I hope I have explained things in a manner best understood by you. Please do not hesitate to write back to me for any further clarifications, I am always here to help.

Best wishes.

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Brief Answer:
If I were your surgeon I would chose laparoscopic myomectomy

Detailed Answer:
Hi ma'am.

Yes, some times a few menstrual irregularities can be seen, but in majority of cases they are temporary and regularize within about 2-3 cycles. You should be able to start your routine within 2-3 weeks time if a hysteroscopic myomectomy is conducted, and about 3-7 days if a laparoroscopic one is conducted. A uterine artery embolization will also take about 1-2 weeks time for complete recovery.

I am not sure which surgery will be most suitable in your case as this is one thing that should be decided by your surgeon and no one else. But if I were your surgeon, I would choose a laparoscopic myomectomy mainly because of your age and of course your personal and sexual life.

Best wishes ma'am.

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Brief Answer:
Always here to help, wishing you loads of luck

Detailed Answer:
You are most welcome.

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