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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Heavy Menstrual Bleeding While Having Heteroechoic Fibroid?

hello doctor i am 34 years old . my problem is overbleeding in mensural time. i went for ultrasound scan and found symptom of uterus appears enlarged in size and shows heteroechoic fibroid in the fundal and posterior wall and measures 10.6 x 11.4 x 11.1 cm. which treatment can you recommend for me? i decided to go for laproscopy. should i get pregnant after this operation.
Tue, 21 Jun 2016
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Infertility Specialist 's  Response
Hello there, thanks for posting your query.
Your fibroid is quite big to deserve surgical management and even more so as it is causing excessive bleeding. According to current recommendations, fibroid more than 4 cm causing symptoms require surgical removal. If you are planning for pregnancy, it is better to be removed as this fibroid is likely to cause pregnancy complications like miscarriage, premature delivery, and postpartum hemorrhage.
If pregnancy is not your plan, and if surgery cannot be done in the near future, you may try getting hormonal intrauterine device like mirena which can reduce your bleeding significantly. But I must warn you that mirena can affect your fertility and you may face difficulty conceiving
after discontinuation of mirena.
Also, the answer to your question, yes, you can try for pregnancy following surgery after 3 to 6 months.
Hope this answers your query. Take care!
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How To Treat Heavy Menstrual Bleeding While Having Heteroechoic Fibroid?

Hello there, thanks for posting your query. Your fibroid is quite big to deserve surgical management and even more so as it is causing excessive bleeding. According to current recommendations, fibroid more than 4 cm causing symptoms require surgical removal. If you are planning for pregnancy, it is better to be removed as this fibroid is likely to cause pregnancy complications like miscarriage, premature delivery, and postpartum hemorrhage. If pregnancy is not your plan, and if surgery cannot be done in the near future, you may try getting hormonal intrauterine device like mirena which can reduce your bleeding significantly. But I must warn you that mirena can affect your fertility and you may face difficulty conceiving after discontinuation of mirena. Also, the answer to your question, yes, you can try for pregnancy following surgery after 3 to 6 months. Hope this answers your query. Take care!