WOMENS-HEALTH Messages for July, 2002: Re: dermoid cyst and uterine fibroids?

Re: dermoid cyst and uterine fibroids?

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 31 Jul 2002 21:53:48 -0500 (CDT)

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In reply to: Jeannie: "dermoid cyst and uterine fibroids?"

At Wed, 31 Jul 2002, Jeannie wrote: >
>Background information-I'm 45 yrs. old with a history of endometriosis
>(diagnosed 12 years ago), no children. I recently saw the ob-gyn
>because of pelvic/lower back pain. Ultrasound indicated a dermoid cyst
>on the right ovary.

This could very well be an endometrioma instead of a dermoid. They are dificult to distinguish on Ultrasound. All US can really tell us is that there is something there that is solid and cystic. They are guessing that it is a Dermoid. Whichever it is, it should be removed so it really doesn't matter that much except if you have recurrent endometriosis, you probably should have both ovaries out as well as a hysterectomy.

Dr. says I also have uterine fibroids, which was >surprising since I have fairly regular periods and have not experienced
>excessive pain or bleeding with them. A laparotomy has been scheduled
>to remove the dermoid and ovary, as well as the uterus due to the
>fibroids. What I have read about fibroids is that they usually become
>smaller after menopause- so is removal of the uterus really necessary?

If you don't want to mess around with them and have a good chance of having another surgery in 5 years or so, then it isn't. But it is probably the best thing to do.

I >know that the right ovary definitely needs to be removed. Removal of
>the left ovary is optional at this point, but dr. feels that due to the
>history of endo., it may be best to remove it also. I'm not sure I'm in
>favor of that- I'm scared of surgical menopause and wondering if I
>really need to have EVERYTHING removed at this point!

Probably the Best thing to do that has the least chance (NOT NO chance, but least) of having serious problems later.

I have a call in >to the doctor to discuss further, but am looking for other input.

Good to be calling YOUR Doctor for discussion.

Thanks >for your help!

--
R.Daniel Braun, MD  FACOG   FOG
**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.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: R. Daniel Braun, MD: "Re: Hystorectomy' mental problems since,and physical"
Previous message: R. Daniel Braun, MD: "Re: Total hysterectomy and HRT"
In reply to: Jeannie: "dermoid cyst and uterine fibroids?"

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