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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should An Enlarged Uterus With Myomas Be Treated?

Good afternoon. I am 48yrs old, weighing 147lbs. I recently had a pelvic and transvaginal ultrasound done. The results were as follows: Anteverted, enlarged and heterogeneous uterus. it measured 13.9cm in length with transverse dimensions of 1.2cm by 9.3cm. the uterine volume is 624cc. There were 5 myomas seen. Left-sided subserosal myoma measured 4.1x4.1x4.0cm. Calcified posterior left-sided measured 2.8x2.5x2.5cm. Right-sided measured 3x3.6x3.1cm. Anterior myoma measured 1.5x1.6x1.6cm. Calcification was seen at the level of the uterine fundus on the right which measured 1.8x1.6cm. My question is. What is the best treatment option for my condition? Thank you very much for your assistance. Everlyn
Wed, 29 Nov 2017
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OBGYN,  's  Response
Hello,
Thanks for sharing your health concern with us. In the current scenario, the management depends on the symptoms, if there is any enhanced menstrual flow, if you have attained menopause whereupon the myomas are likely to shrink in size, the rate of growth of the myomas etc. The uterus is enlarged. The fundal and the anterior myomas can be left for observation. The others, however, are larger and may need active management. A myomectomy, embolization of the uterine artery and a hysterectomy are the options available. Please see a specialist for further suggestions. Hope this helps.
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How Should An Enlarged Uterus With Myomas Be Treated?

Hello, Thanks for sharing your health concern with us. In the current scenario, the management depends on the symptoms, if there is any enhanced menstrual flow, if you have attained menopause whereupon the myomas are likely to shrink in size, the rate of growth of the myomas etc. The uterus is enlarged. The fundal and the anterior myomas can be left for observation. The others, however, are larger and may need active management. A myomectomy, embolization of the uterine artery and a hysterectomy are the options available. Please see a specialist for further suggestions. Hope this helps.