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Re: Uterine Fibroids and hormone balance
From: Professor Galal Lotfi (anonymous@obgyn.net)
Sun, 17 May 2009 16:32:52 -0500 (CDT)
We dont know for sure what cause fibroid, however we know that they
flourish by estrogen, the more estrogen you have the more growth of the
fibroids.
Some researchers say that women with fibroids better not to take
hormonal contraception because they have estrogen that might increase
the rate of fibroid growth.
Finroids cause bleeding, heaviness, pressure and sometimes pain. They
dont have an effect on your PM status or sex drive,
At Sat, 16 May 2009, anonymous@obgyn.net wrote:
>
>Hello,
>
>I underwent a myomectomy for an unusually large uterine fibroid (~10 cm)
>last week and I am desperate for answers concerning what conditions in
>me caused the fibroid as well as other symptoms I have been having over
>the last 5 years. Obviously, I would like to avoid having to undergo
>another procedure like this ever again!
>
>I was diagnosed with uterine fibroids in 2004 at age 33. In the year
>prior, I had been off of any oral contraceptives for about 3-4 years and
>decided to go back on them. I was started on the Nuva ring. It was
>after being back on the nuva ring for several months that I began to
>experience problems such as loss of sex drive, vaginal dryness, painful
>intercourse. Over the course of that year, there was some mild growth
>of the fibroids and an increase in bleeding with menses. After two
>years of these problems, I decided to go off of contraceptives to see if
>this helped. In 2007, my fibroids had progressed with one being about
>4cm in size and 2 smaller ones. The following year, now at 37 years
>old, I decided with my husband that we would like to think about having
>a child. However, my symptoms of menorrhagia had progressed
>dramatically as well as other problems such as the PMS, low sex drive,
>vaginal dryness, extreme fatigue, mood swings, and irritability. At my
>visit with my ob/gyn, I was told that the fibroid had grown to 8cm
>(doubled in size in one year), it was submucosal, and I probably would
>not be able to get pregnant. At that time, due to all the symptoms
>listed, I was wondering if I was either going to have infertility issues
>or be told I was in perimenopause. Despite that, while preparing for a
>fertility work-up and possible myomectomy, I got pregnant and was able
>to carry a beautiful baby girl to 36 1/2 weeks and have a normal vaginal
>delivery with no complications. A true miracle! However, due to the
>estrogen floating around during pregnancy, the one fibroid grew to 10 cm
>and recently caused severe bleeding requiring the surgery I just had.
>
>I am now wondering if there is something about my hormonal state and/or
>the oral contraceptives/nuva ring that precipitated all of my symptoms.
>The PMS, moodiness, irritability, and low sex drive/vaginal dryness are
>taking a major toll on my relationship with my husband and my overall
>emotional health. The fibroids and fatigue are affecting how I feel
>physically and myomectomy is not an easy operation to go through. Is
>there any evidence to suggest that synthetic estrogens in contraceptives
>promote fibroids or these other symptoms? Is there any credibility to
>the theory of Estrogen dominance? Do I need a more thorough
>investigation of my hormone levels?
>
>The research I have been able to gather is unclear on these issues.
>These problems are greatly affecting my quality of life. Please help!
--
Professor Galal Lotfi, MD. MRCOG
14A Sherif street.
Cairo. Egypt
202-24535597
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