WOMENS-HEALTH Messages for December, 1997: Re: 2nd opinion questions for fibroids (Update-thanks Dr. Shanahan)

Re: 2nd opinion questions for fibroids (Update-thanks Dr. Shanahan)

From: Kay (anonymous@obgyn.net)
Sat, 6 Dec 1997 16:21:30 -0600 (CST)

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I have since seen 2 Reproductive Endocrinologists. They both said that it is most likely that my submucosal fibroid( yes they each only found one) was the cause of my bleeding and pain. They both felt that a hysteroscopic resection would be in line before the last resort of a hysterectomy. I an THRILLED!!!! I have the procedure scheduled for next week and plan on going to work the next day. However, I may take a well deserved rest at home, due to anemia from all the bleeding. THANKs for your words wisdom and the support I have received here. Knowledge is Power!!!!! Kay Sun, 16 Nov 1997, Kelly Shanahan wrote: >
>At Sat, 15 Nov 1997, K. wrote:
>>
>>Due to heavy bleeding and pain for 5 fibroids 2cm. or less, my Dr. put
>>me on depo-provera to stop bleeding. This made matters worse and he did
>>a diagnostic lap. He said that I have fibroids on the inside, outside
>>and within the uterus wall and that to try to remove them would be
>>dangerous. He scheduled me for a vaginal hysterectomy before we even
>>discussed this.
>
>Didn't even ask if that was a good date for you? Not to mention the
>minor detail of what your wishes are?
>
> He said that I would be home having dinner that night
>>and could return to work the next week if I felt like it. I have never
>>had the opportunity to have children and he probably thinks that because
>>I am in my 30's that I never will. I hope this not so.
>
>Shoot, I was in med school until 26.5, residency until 30.5, didn't even
>meet my husband until I was 33.5, got married at 34, didn't even think
>about having kids until I was 35, and if I'm lucky I'll have my first
>child at almost 38.
>
> I will be going
>>to a teaching hospital in a major city for a 2nd opinion in a few weeks.
>
>Excellent idea -- your doctor hasn't even begun to explore your options
>with you.
>
>>What should I bring with me?
>
>All your records, including operative report and ultrasound reports.
>
> What are the important questions to ask? Do
>>you think I can find another way to stop the pain and bleeding without
>>risking my life?
>
>That second part "do you think....without risking my life" is an
>excellent question in and of itself. Ask about all options, including
>medical therapy like Lupron and surgical therapy like a myomectomy. Ask
>about risks, benefits and success rates of each.
>
>Remember it is your body and although some of hte options may not be
>able to guarantee as complete relief from bleeding and pain like a
>hysterectomy may, you have to decide what's best for you. If you choose
>less agressive therapy and it doesn't work, you can always choose a
>hysterectomy later; if you have a hysterectomy now, your uterus cannot
>be replaced in 2 years should you desire to bear a child at that time.
>
>--
>Kelly Shanahan, MD, FACOG
>S. Lake Tahoe, CA
>
>note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
>

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