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Re: Uterine Fibroids and hormone balance

From: Samir F Abdel Aziz, MD (anonymous@obgyn.net)
Wed, 20 May 2009 18:48:26 -0500 (CDT)


Message posted on Samir F Abdel Aziz, MD behalf by: Hope Waltman, Fibroids and Women’s Health Forum Moderator

It is really good to have a baby in this situation. the problem with hormonal imbalance could be due to contraception, however, it would be prudent to measure FSH and Lh on day 2 of the period to make sure that you have normal hormonal levels and in this case better to avoid hormonal contraception.

--
Samir F Abdel Aziz, MD
Professor.Ob.Gyn
President ,editor-in-chief http://www.arabicobgyn.net

http://www.obgyn.net/displayarticle.asp?page=/bibliography/aziz

Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Sat, 16 May 2009, anonymous@obgyn.net wrote: > >Hello, > >I underwent a myomectomy for an unusually large uterine fibroid (~10 cm) >last week and I am desperate for answers concerning what conditions in >me caused the fibroid as well as other symptoms I have been having over >the last 5 years. Obviously, I would like to avoid having to undergo >another procedure like this ever again! > >I was diagnosed with uterine fibroids in 2004 at age 33. In the year >prior, I had been off of any oral contraceptives for about 3-4 years and >decided to go back on them. I was started on the Nuva ring. It was >after being back on the nuva ring for several months that I began to >experience problems such as loss of sex drive, vaginal dryness, painful >intercourse. Over the course of that year, there was some mild growth >of the fibroids and an increase in bleeding with menses. After two >years of these problems, I decided to go off of contraceptives to see if >this helped. In 2007, my fibroids had progressed with one being about >4cm in size and 2 smaller ones. The following year, now at 37 years >old, I decided with my husband that we would like to think about having >a child. However, my symptoms of menorrhagia had progressed >dramatically as well as other problems such as the PMS, low sex drive, >vaginal dryness, extreme fatigue, mood swings, and irritability. At my >visit with my ob/gyn, I was told that the fibroid had grown to 8cm >(doubled in size in one year), it was submucosal, and I probably would >not be able to get pregnant. At that time, due to all the symptoms >listed, I was wondering if I was either going to have infertility issues >or be told I was in perimenopause. Despite that, while preparing for a >fertility work-up and possible myomectomy, I got pregnant and was able >to carry a beautiful baby girl to 36 1/2 weeks and have a normal vaginal >delivery with no complications. A true miracle! However, due to the >estrogen floating around during pregnancy, the one fibroid grew to 10 cm >and recently caused severe bleeding requiring the surgery I just had.




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