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Re: Enlarged Uterus with Clean U/S, concerns/questions

From: anonymous@obgyn.net
Wed, 20 Aug 2003 14:56:41 -0500 (CDT)


At Wed, 20 Aug 2003, Hazel wrote: >
>Some brief history:
>
>31 years old, have two children both delivered by C-section (youngest 15
>months), tubal ligation, irregular cycles with no menses for three
>mnths, on menses for three mnth or longer, had infertility issues
>resolved with use of Clomid, painful menses with Excessive bleeding, pre
>cancer cells of cervix in 1996, removed successfully. Recurrent UTI's-
>Chronic, CT scan shows no damage to kidney area.
>
>Recently had annual pap smear, during which discovered enlarged uterus.
>U/S performed, showing no fibroids, uterus measures 15 cm, pap results
>were normal.
>
>Suggested treatment: Hysterectomy
>
>I have no insurance and therefore the doctor told me to just "wait it
>out". Concerns me though as if he deemed the hysterectomy necessary,
>then not having insurance should not change this urgency.
>
>Question: Is it safe to "wait it out" another year? Can enlarged uterus
>be "Normal" or can hormone therapy help reduce uterus to normal size?
>Any facilities in state of Arkansas that can help financially in this
>situation?
>
>Thanks!

--
Hi Hazel.  my situation is similar to yours.  I've been dealing with an ever enlarging uterus for two years now and now I have two small fibroids and suspected adenomyosis.  All my paps have been normal etc.  I really only have slight pain each month with ovulation following treatment for an ovarian cyst.  No heavy or painful bleeding, cramps etc.  My doctor now suggest Lupron injections to shrink the uterus enough to avoid abdominal surgery for a hysterectomy.  I'm 46 now and I've been procrastinating on whether to have a hysterectomy.  Because my uterus continues to grow and menopause seems far off for me, I'm reconsidering the hysterectomy, but not Lupron.  The side effects are scary to say the least.  Your uterus will likely continue to grow under the influence of estrogen as mine has.  Good luck to you.  I'm not sure about insurance issues and I'm in CA.





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