Question: This is sort of a multi-faceted complex question, but I have been diagnosed with venous insufficiency, and varicose veins in the back of one thigh with veins as large as 5mm and a reflux time of up to 6.8 sec in my superficial veins. I do have symptoms such as leg fatigue (can't stand too long) occasional mild itching, periodic aches in my legs and general weakness in both legs. I have mild 3.5 second insufficiency in my right leg and no varicosities as far as I can tell. No deep insufficiency reported on my ultrasounds other than extremly mild they have said. I was going to have a surgery to ablate the GSV in my left leg and a stab phlebotomy to remove the varacosities in my left thigh. I was given a shot of depo provera in May, which is just now subsiding and my legs have shown some moderate improvement on my most recent ultrasound. I canceled my surgery because I did not know if I should given my legs a chance to heal on their own before ablating the entire GVS. I was also told that losing 60lbs to get down to 140lbs would help my symptoms greatly and may resolve the reflux in my legs? Is this true or an I postponing the enevivdable. Will losing weight help to the point of not having to have endovenous leg surgery or will I have to have surgery most likely? Can the legs recover on their own or are they already too damaged? I can't seem to get a straight answer on this. Also I have an enlarged uterus with a 10cm fibroid and adenomyosis. My vascular surgeon says he sees space between my enlarged uterus and my leg veins, so he doesn't think that is what cause all this.
Last, how can I control symptoms of heavy bleeding from alarge fibriod and enlarged uterus with adenomyosis without having to have a hysterectomy or be on any hormones? I do not want to take the IUD or any hormonal birth control with my risk for blood clots in my legs. Also, I do not want to take any tramexic acid to control because of the risk of blood clots. What can I take that won't cause blood clots or stroke? Thanks

Hi, I thought that ablating the endometrial would only cause the blood to me trapped in the myometrium and then heavy bleeding would come back after a while? What is a endometrial ablation with endometrectomy? Is this only a temp solution?

Last question before review. Thanks for your answers thus far. What do you mean by raining fibroids alone can be removed? Do you mean myomectomy for large fibroid, and can the large fibriod 10cm shrink on it's own through weight loss without surgery?

Also are 5mm veins too big to heal on their own from your knowledge through weight loss and the removal of other physiological factors such as no longer being effected by excess hormones like progesterone like in pregnancy. Also I was wondering if I should just have a phelebetomy to remove the cluster of varicosities that are so clearly prevelent on the back of my thigh to see if that would help things, instead of ablating the entire great staphanous vein, that seems drastic, even though my reflux is bad. The great staohanous veins is rather large..

My vein surgeon said to lose 60lbs and then see if i need surgery for my venous insufficiency and varicose veins. I know losing weight will really help but i think this was really bad advice because the veins will get worse because they are already so large and the reflux is great. He acted like the amount of reflux and size of my veins was no big deal.

the OBGYN said she did not want to do a myomectomy because i have 10cm intrammural fibriod (and had a previous uteruine artery embolization) in the wall of the uterus and also adenomyosis, so she said she was only willing to give IUD or hysterectomy, which I don't want.

Also, what are rectangular veins? what is the difference between rectangular veins and varicose veins? are 5mm veins rectangular because they are so wide?

I have the written reports and the images, but the images are over 100 and I don't think I can post them on here.