WOMENS-HEALTH Messages for April, 1998: Re: Fibroids

Re: Fibroids

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Wed, 22 Apr 1998 23:33:06 -0500 (CDT)

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In reply to: Donna: "Fibroids"

At Tue, 21 Apr 1998, Donna wrote: >
>I have a long history of fibroids. At 27, I had a myomectomy. Now at
>49, I have been enduring heavy menstrual periods for about 6 years. I
>am now taking iron pills because of anemia. My uterus is the size of a
>13 week pregnancy. I would like to avoid a hysterectomy in hopes of
>menopause. A recent uterine biopsy was normal except for some necrotic
>tissue. My doctor has reccommended a D+C for further diagnosis. Will
>the D+C be helpful and should I proceed with it?

Donna: Don't count on "menopause" to solve the problem.Most women will consider hormone replacement therapy because of its many advantages. With or without HRT, you have perhaps years to go before menopause. Take action to improve your quality of life. There are alternatives to hysterectomy that can control your bleeding ,thus stop your anemia,and allow you to resume a normal life. OPERA is an outpatient procedure that has a very high success rate in either eradicating or reducing periods. A laproscopic supracervical hysterectomy can remove the fibroid uterus without removing the cervix,and have you home in less than a day. Uterine artery embolization can control heavy bleeding in 90% of cases without any true "surgical" procedure. IMHO, a "D&C" will not provide any significant relief because it is a blind procedure and almost always will not control fibroid bleeding.

Dr.B

Next message: Irene: "Re: Estrogen/Weight Gain with Hysterectomy Reply"
Previous message: Ann: "6cm cyst, wait and see?"
In reply to: Donna: "Fibroids"

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