WOMENS-HEALTH Messages for November, 1998: Re: Fibroids and hysterectomy

Re: Fibroids and hysterectomy

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Sat, 28 Nov 1998 19:11:47 -0600 (CST)

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In reply to: Hoopie: "Fibroids and hysterectomy"

At Sat, 28 Nov 1998, Hoopie wrote: >
>I am 50 yo, in menopause X 3 years, took HRT 3 years ago X10 mos., then
>again last 14 months. I was on cyclic therapy, but having periods every
>two weeks for three months. My PCP referred me to an OB/GYN who
>immediately did a uterine biopsy (results not back yet, but she told me
>it feels like fibroids). I have a 16 week uterus and she told me I need
>a total abdominal hyst, that Lupron probably will not work and that I
>would not be able to take HRT if I don't have the hyst. (my family has
>a high risk for heart disease, I have borderline high cholesterol) She
>also told me she is conservative about recommending hyst, but that in
>this case there is really no choice. I am not sure whether to get a
>second opinion. I will be seeing my OB/GYN in about a week and she
>wants to schedule ASAP. Should I see someone else? I am becoming
>concerned by all the "alternative to hyst." talk.
>
>I also have "pinching" or "pulling" pains in my abdomen for about three
>months, which I forgot to tell her about. They can be quite
>uncomfortable but are not like sharp pains. Is this related to the
>fibroids? My other question, which may seem a bit strange, is that it
>seems to me that increasing my sit-ups may help my recovery from
>surgery, but the pulling pains increase when I do them. Jogging also
>tends to make me uncomfortable. Can I hurt myself (e.g., rupture a
>fibroid or something?) Also, can fibroids which are this large cause
>fatigue?
>
>Thank you very much in advance.
>

Hoopie: If indeed you have 16 week size fibroids your Gyn's recommendation for a hysterectomy IMHO is very appropriate. They are symptomatic, and at your age the suggested surgery is reasonable advice.

Dr.B >

Next message: J.Glenn Bradley MD: "Re: Upcoming Laparoscopy"
Previous message: Lori: "spotting thru luteal phase"
In reply to: Hoopie: "Fibroids and hysterectomy"

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