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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Any Online Doctor Help Me To Determine Which Treatment Would I Require For The Following Results?

WHAT TREATMENT DO I NEED FOR A BULKY AND ANTEVERTED UTERUS WHICH MEAURES APPROX. 205 X201 X 95MM IN DIAMETER, THE MYOMETRIUM APPEARS HETEROGENEOUS WITH MULTIPLE FIBROIDS SEEN RANGING IN SIZES FROM 49X36MM TO 91X70MM? email address; YYYY@YYYY much thanks

Wed, 2 Apr 2014
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OBGYN,  's  Response
Hi and welcome,

You have an enlarged uterus with multiple big fibroids. The treatment depends upon your age, desire to keep the uterus and future childbearing. Treatment options are :
1. Uterine artery embolization or blocking the blood vessel feeding the fibroid. Failure rate is high. Mostly short term relief.
2. Myomectomy: removal of fibroid while keeping the uterus. Done in women wanting children or wanting to keep a uterus. May not be possible to remove all fibroids. So remaining ones may recur and lead to hysterectomy later.
3. Hysterectomy: best as uterus is removed with fibroids so they cannot recur.
4. Drugs like danazole, GnRh analogues: lot of side effects and not useful in big fibroids.

So please discuss all of these with your doctor and choose the one that suits you according to your specific needs.

Hope I was able to help.
Thanks and feel free to post any more queries.
Dr Nilajkumar Bagde
Consultant Ob Gynec.
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Can Any Online Doctor Help Me To Determine Which Treatment Would I Require For The Following Results?

Hi and welcome, You have an enlarged uterus with multiple big fibroids. The treatment depends upon your age, desire to keep the uterus and future childbearing. Treatment options are : 1. Uterine artery embolization or blocking the blood vessel feeding the fibroid. Failure rate is high. Mostly short term relief. 2. Myomectomy: removal of fibroid while keeping the uterus. Done in women wanting children or wanting to keep a uterus. May not be possible to remove all fibroids. So remaining ones may recur and lead to hysterectomy later. 3. Hysterectomy: best as uterus is removed with fibroids so they cannot recur. 4. Drugs like danazole, GnRh analogues: lot of side effects and not useful in big fibroids. So please discuss all of these with your doctor and choose the one that suits you according to your specific needs. Hope I was able to help. Thanks and feel free to post any more queries. Dr Nilajkumar Bagde Consultant Ob Gynec.