WOMENS-HEALTH Messages for June, 2002: Re: DUB, perimenopause, fibroids

Re: DUB, perimenopause, fibroids

From: Anne (anonymous@obgyn.net)
Wed, 26 Jun 2002 21:22:26 -0500 (CDT)

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In reply to: Anon: "DUB, perimenopause, fibroids"

At Wed, 26 Jun 2002, Anon wrote: >
>History: Tubal 10 yrs ago, fibroids dx at that time, perimenopause began
>at 38 (now 45:})have had episodic short or missed periods. Recent
>history with DUB of 24 days followed by 10 days of provera. Began
>bleeding again after 13 days. Scheduled this Fri for endo bx. OB/GYN
>says uterus and fibroid budies are to big for vag hys so would need

>no really significant changes in the fibroids (several small, two that
>are 4.5 cm diameter)but uterus enlarged. OB/GYN mentioned OCT but have
>had retention (2+pitting edema) and elevated blood levels are
>decreasing but I assumed (I know what that usually means) that the
>bleeding would slow down NOT speed up. What is the deal here with this
>bleeding all of a sudden? Does your crystal ball have any notion how
>long this bleeding process may last if associated with menopause?
>
>I thought that as menopause neared the fibroids would get smaller and

I had fibroids in my 30's- ( bleeding all month- at times very heavy gushes with large clots as I was heading for 47.) Uterus- 20 week pregnancy size. They gave me an injection of lupron once a month for 3 months to help shrink the uterus in preparation for ablation, myolysis and ablation to try to conserve my uterus. I was told he could do a vaginal hyster, but if he tried to do the surgery to save the uterus, he may have to do a hysterectomy with an abdominal incision. I opted to go with ablation, etc.- it did turn into an abdominal hysterectomy, but I saved an ovary( had my own hormones until shutting down 2 yrs. later) and kept the cervix. I was glad not to be bleeding all the time. I was told a few years before my hyster to have this done and I was stubborn and kept thinking about getting to menopause. I would have been smarter to have it done earlier. You might want hormone replacement if you do go through menopause. I sure knew I wanted it. I believe estrogen will grow those fibroids again if not removed. I hope this helps you with your decision process and I wish you the best of luck! I know each of us is different- just giving you my experience. Surgery was not bad at all for me. Anne

Next message: R. Daniel Braun, MD: "Re: breakthrough bleeding"
Previous message: Karla: "breakthrough bleeding"
In reply to: Anon: "DUB, perimenopause, fibroids"

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