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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Total Abdominal Hysterectomy Advisable For Enlarging Fibroids?

I am 56. Had regular periods till 54. Then irregular for one yr. no periods for an yr. then had periods again four times three days normal then spots for ten days. Scanning showed first5 mm thickess . Diagnosed cystic endometric hyperplasia. Periods stop again . For past three months no periods. Scanning show 9 mm thickness and also fibroid enlarging. Should I go for TAh
Mon, 23 Mar 2015
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General & Family Physician,  's  Response
Welcome to HCM. THis is Dr Amit
Most uterine fibroids are harmless do not cause symptoms and shrink with menopause. But some fibroids are painful, press on other internal organs, bleed and cause anemia, or cause pregnancy problems. There's no single best approach to uterine fibroid treatment — many treatment options exist
As you are having severe heavy bleeding you can consider shrinking the fibroid by hormonal medications, removing the fibroid (myomectomy), or removing the entire uterus (hysterectomy).
For all procedures, except hysterectomy tiny tumors (seedlings) that your doctor doesn't detect during surgery could eventually grow and cause symptoms that warrant treatment.
So i will advice you to choose abdominal hysterectomy as it remains the only proven permanent solution for uterine fibroids. But hysterectomy is major surgery. It ends your ability to bear children.
Feel free to ask if you have more doubts
Regards
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Is Total Abdominal Hysterectomy Advisable For Enlarging Fibroids?

Welcome to HCM. THis is Dr Amit Most uterine fibroids are harmless do not cause symptoms and shrink with menopause. But some fibroids are painful, press on other internal organs, bleed and cause anemia, or cause pregnancy problems. There s no single best approach to uterine fibroid treatment — many treatment options exist As you are having severe heavy bleeding you can consider shrinking the fibroid by hormonal medications, removing the fibroid (myomectomy), or removing the entire uterus (hysterectomy). For all procedures, except hysterectomy tiny tumors (seedlings) that your doctor doesn t detect during surgery could eventually grow and cause symptoms that warrant treatment. So i will advice you to choose abdominal hysterectomy as it remains the only proven permanent solution for uterine fibroids. But hysterectomy is major surgery. It ends your ability to bear children. Feel free to ask if you have more doubts Regards