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Re: Fibroids, Ablation and BCP

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Sat, 30 Sep 2000 15:31:23 -0500 (CDT)


At Sat, 30 Sep 2000, Nancy wrote: >
>I am 42 years old. I had a thermal ablation in Feb 2000 to alleviate
>heavy bleeding. (It did not help significantly). I have a 6cm fibroid
>inside my uterus and the uterine lining has an irregular shape. I was
>told that the irregularity indicates fibroids. I have been on the BCP
>(lo/ovral 3months and currently demulen) for 4 months. I get my period
>for 10 to 18 days, 2 of those days I have extremely heavy bleeding and
>very painful cramps. I have been told that I am down to my last choice
>- hysterectomy. Am I truely out of options?

Endometrial ablation and hormones will seldom stop bleeding caused by fibroids. They are both great for homonal causes of abnormal bleeding but not for fibroids. Unless you want more children, the best(most successful) treatment of fibroids is hysterectomy. It works every time. Uterine artery embolization is a possibility but it doesn't work all the time, is just as expensive if not more so than a vaginal hysterectomy, and is still really in the experimental stages. Myomectomy (removal of the fibroids from the uterus) has more complications than taking out the uterus does. Sometimes the fibroids re grow.

RDB

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional. Due to time constraints, private e-mails cannot be answered.




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