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Re: FIBROIDS: Fibroids - regular course of treatment
From: Professor Galal Lotfi (anonymous@obgyn.net)
Thu, 3 Jan 2008 00:59:03 -0600 (CST)
I would like to know yor age or desire to have children.
If you are young , you have to have myomectomy right away and properly
done, preferably by open laparatomy so nothing should be left back.
If you are not planning for kids, hysterectomy is the best choice but
thus depends on your age
At Wed, 2 Jan 2008, rebecca wrote:
>
>I was so happy to see this forum... I'm in a new area and feeling a
>little bit like I don't know what to do.
>
>I went to my obgyn for the first time in May 07, complaining of
>cramps and heavy bleeding. Not surprisingly, I was diagnosed with
>fibroids (and anemia, at the time about a 10), put on yasmin and had
>a myoectomy in August. The dr was not able to "get it all" because
>of a potential electrolyte imbalance from the fluids used during the
>procedure.
>
>My doctor said we had to wait three months - the fibroid is supposed
>to be dying and sloughing during that time. My symptoms continued -
>and, in my estimation - became worse, during that time. We've had to
>cancel all trips (trip home for Christmas), I can't leave my house
>much of the time due to incredibly heavy (1 tampon + 1 pad each hour
>= still bleeding through clothes), can't exercise, have basically
>curtailed all activites besides sitting on the couch, reading,
>surfing, watching TV. Not fun.
>
>When I had a sonogram (at my request) a week ago, the fibroid has
>grown back to larger than it's original size! The doctor seemed
>shocked - is this shocking? Was this a valid assumption on her
>part? I'm really ticked that it's been 5 months since my surgery, my
>life is incredibly impacted, and we're just figuring out what we're
>going to do next. I'm still on a steady diet of heating pads,
>vicodin, and a hemoglobin count of 8. I've had this period steadily
>since early November (it's Jan 1!).
>
>So, she wants to schedule myomectomy #2 in January - this time with a
>second doctor so she can go faster.
>
>The only Rx's I'm on are Levora, at this point. As I mentioned, I
>bleed through a tampon an hour while taking it (and copious amounts
>of iron supplements but so tired all the time..). I also am
>experiencing the symptoms of pica (ice) which I guess is related to
>the iron deficiency.
>
>I'm not quite sure what a routine course of treatment is? It all
>seems very unclear - should I be asking for a embolism as well as the
>myoectomy? Should I be on Rx's? Can anyone share a similar
>experience? I am in pain ALL THE TIME and feel terrible ALL THE
>TIME.
>
>My doctor seems to take all this in stride - maybe I'm looking for an
>emotional response from her that's not realistic - but I really feel
>like saying "How long am I going to have to give up my life for
>this?"
>
>Thanks for listening and any advice/support is appreciated - Rebecca
--
Professor Galal Lotfi, MD. MRCOG
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