ULTRASOUND Messages for December, 2002: Re: Myoma

Re: Myoma

From: Dave Berck

djberck@yahoo.com

Fri Dec 13 10:08:55 2002

This is a good argument against routine ultrasound. 5 cm fibroids are quite common, and do usually do not require treatment unless causing pain or bleeding. They usually do not cause problems in pregnancy. Don't let anyone try to do surgery without a good reason. I manage patients with fibroids all the time. It is generally much ado about nothing, in this case possibly by un- or marginally indicated ultrasound. Anyone disagree? There is a chapter on this subject in Reiss' book "The mother and the fetus" that explains this well.

--- kate cronin <kate.cronin@project120.com> wrote: > I have been looking at various websites this morning
> after having been
> told today that I have a 5 cm myoma on the posterior
> outside wall of my
> uterus. This was discovered during a routine
> ultrasound and pap smear.
> The myoma has grown one centimetre in the last year,
> and she thinks that
> there is also a smaller one in the front. Both
> outside of the uterus. I
> am 36 yrs old, not pregnant, and am not experiencing
> anything out of the
> ordinary during my menstruation cycle.
> I am stuck in Germany for work purposes and though I
> have a very good
> gynocologist here, there is somewhat of a language
> barrier. I have been
> given 2 options.
> 1/ if I don't want children, then leave it.
> 2/ if I do want children, then I must have it
> removed with the risk of
> losing my uterus. In the medical world, what is the
> general opinion of
> surgery carried out in Germany. Is it highly
> regarded, or not that
> advanced..if I opted for surgery, I could have it
> done in the US in San
> Francisco, or in New Zealand.
>
> Naturally I am in panic mode right now, but I wanted
> to ask you whether
> you had any opinions on this situation given the
> very basic details ? I
> would like to have the option of having a pregnancy
> in time, though when
> I am unsure.
> Any ideas ?
> Many thanks for your assistance....I feel a bit out
> on a limb stuck over
> here.hope you can help.
> Kate Cronin
>

===== David J. Berck, MD, MPH

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