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Re: Fibroid treatment, heavy bleedingFrom: Ali (anonymous@obgyn.net)Thu, 21 Sep 2000 15:38:57 -0500 (CDT)
At Thu, 21 Sep 2000, Lynn D. Montgomery, MD wrote: > >At Thu, 21 Sep 2000, Ali wrote: >> >>I am still working on getting the uterine artery embolization, I have 3 >>intramural fibroids (size: about 3, 2, 2 cm diameter). >>I was bleedind a lot about 8 days ago, they put me on Aygestin 5 mg. I >>was OK for a few days, now I am bleeding again. This is time of my >>regular period, so I don't know. I am passing clots. >>We consulted another doctor who said the bleeding is not because of >>fibroids! Since they are intramural, there is no reason to bleed. >>I don't know what to do, where to go. I am tired, bleeding is on and >>off since June 20th, I am in pain most of the time, there is no way I >>can do my regular activities (aerobics), any stress causes more >>bleeding. I was on Progesterone, that made me sick. I am also gaining >>weight. >>What do you think about the cause of bleeding? Do you think uter. art. >>embol. is going to help the bleeding? >>Oh, I am 44, my blood tests show no signs of menopause. >> >>Thank you very much, >> >>A. > >A., >I would agree with the docs that doubt the fibroids are causing the >bleeding. The likely cause is something else. Have you had the benefit >of a hysteroscopy/D&C or both. It is rather important to determine the >cause rather than just going and embolizing arteries willy nilly. >I would seek out another opinion-one who will seek the cause rather than >just attempt to throw something on the fire hoping that it will put it >out... >Lynn > >-- >Lynn D. Montgomery, MD >Director, Maternal-Fetal Medicine >Rocky Mountain Perinatal Center >Missoula, Montana Thank you very much for your answer. What do you think about this? I had operative laparoscopy 1 month ago: POSTOPERATIVE DIAGNOSIS: Pelvic adhesions, leiomyomatous uterus, pending pathology, endometrial polyps OPERATION: 1. Operative laparoscopy with lysis of adhesions 2. Operative hysteroscopy with polypectomy 3. Dilation and curettage INDICATIONS AND FINDINGS: At the time of hysteroscopy the patient had a grossly retroverted uterus with normal cavity. Polypoid areas were biopsied as was the underlying myometrium to rule out adenomyosis. The endometrium was curetted. The endometrial cavity sounded to 9 cm. Laparoscopic findings including large bowel adhesions to the patient's right lower quadrant consistent with prior pelvic surgery were appreciated. Both ovaries were visualized and found to be normal. There was no evidence of malignancy, endometriosis or gross infection. .....Using blunt and sharp dissection the adhesions were lysed, however, thick adhesions overlying the colon prevented further dissection. Both ovaries were visualized and found to be normal. The uterus was enlarged to the size of a 12 week gestation and had multiple intramural leiomyomata. There was no evidence of malignancy and no evidence of endometriosis. The enlarged myoma was biopsied with a true cut needle to rule out sarcoma.
>**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.
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