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Is Fibroid Removal Mandatory?
Hi I am Omkar for India, my wife age is 34 and recently we had done sonogrphy of Pelvis. report say: Uterus is enlarged in size & normal echotexture, shows a well-define hypoechoic mass lesion in the body to the left indenting / displacing the endometrial canal suggestive of a fibroid mass. it meaures about 3.8 x 3.2 cms in size. Uterus measureas about 6.3 x 5.5 x 5.1 cms both the ovaries are normal. My question is do we need to go for fabroid operations Thanks
Tue, 21 Apr 2020
Hi,
The treatment of fibroid depends on the factors like:
-Whether it is symptomatic or not, means is it associated with excessive bleeding during periods or/and pain during periods etc.
- Size,number, location of fibroids.
- Family completed or not.
So, if you have completed the family and fibroid is symptomatic:
- As the fibroid is of medium size, your wife can try medical treatment first. Medical treatment with GnRH agonists or progesterone receptor modulators can help to decrease the size of the fibroid.
- If fibroid doesn't respond to medical management, size and symptoms increase, you may need to choose surgical management.
If you are taking treatment for infertility:
- Medical management can be tried as mentioned above.
- As the fibroid displacing the endometrial canal if it is affecting the implantation, laparoscopic myomectomy can also opted.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Sree Gouri S. R., OBGYN
The treatment of fibroid depends on the factors like:
-Whether it is symptomatic or not, means is it associated with excessive bleeding during periods or/and pain during periods etc.
- Size,number, location of fibroids.
- Family completed or not.
So, if you have completed the family and fibroid is symptomatic:
- As the fibroid is of medium size, your wife can try medical treatment first. Medical treatment with GnRH agonists or progesterone receptor modulators can help to decrease the size of the fibroid.
- If fibroid doesn't respond to medical management, size and symptoms increase, you may need to choose surgical management.
If you are taking treatment for infertility:
- Medical management can be tried as mentioned above.
- As the fibroid displacing the endometrial canal if it is affecting the implantation, laparoscopic myomectomy can also opted.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Sree Gouri S. R., OBGYN
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