WOMENS-HEALTH Messages for November, 2002: Re: Fibroids and pregnancy

Re: Fibroids and pregnancy

From: Asem Anwar Moussa MD (anonymous@obgyn.net)
Sun, 3 Nov 2002 12:02:21 -0600 (CST)

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In reply to: Sherri: "Fibroids and pregnancy"

At Sun, 3 Nov 2002, Sherri wrote: >
>I am 47 years old and have two teenaged children. Their father and I
>are divorced, but two years ago I met and married a much younger man. He
>is 31. I had not thought about having any more children until I met
>him. We very much want children and I know he would be a good father.
>Unfortunately, life is trying to give us as many setbacks as it can in
>this. Already I have had 3 or 4 miscarriages since we've been married.
>And this week I was diagnosed with fibroids.
>
>My OB/Gyn says that it is only one, but it is also about the size of a
>10wk fetus, or about the size of a grapefruit. He told us that the only
>way to get rid of this fibroid would be a hysterectomy, but that he
>didn't see any need to have one done at this time. He also told us that
>the chances of my getting pregnant with the fibroid is very miniscule.
>When we inquired about other methods of removal which would allow me to
>stay fertile, he told us that it was located at the anterior wall which
>would make it difficult or impossible to cut the blood flow to it. He
>also said that he wouldn't recommend a surgical removal because he felt
>it would weaken the uterus wall too much (I had both of my children by
>C-section).
>
>My husband and I want a child so badly. Does anyone know if there are
>any other ways to treat this fibroid? Or at least give us a second
>opinion on things.
>
>Thank you for any assistance you may be able to give us.
>
>--
>Sincerely,
>
>Sherri

I think first of all to have a hormonal profile[FSH&LH.]to assess your ovarian resreve,then the option of medical treatment as luperon injections to decrease the size of the fibroid&to make it easy at removal&to keep the uterus would be feasible after that ,then to have ovulation induction&good follow up during pregnancy for the weak myomectomy scar..This might be an optional treatment. >

--
Dr:Asem Moussa MD
Prof.of OB/GYN.
Alazhar School of Medicine.
Cairo-Egypt
This is for teaching purposes

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In reply to: Sherri: "Fibroids and pregnancy"

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