WOMENS-HEALTH Messages for September, 1999: Re: fibroids, laser treatment

Re: fibroids, laser treatment

From: anonymous@obgyn.net
Mon, 20 Sep 1999 15:07:22 -0500 (CDT)

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Reply: Harvey S. Marchbein, M.D.: "Re: fibroids, laser treatment"

>I feel that Dr. Marchbein had a valid reply. I have >suffered with chronic pain since I was
>16, am now 31 years old and still suffering. A lot of >doctors never consider the patients quality of life
>when they absolutely refuse to do a hyst. because of age; >it is an issue that should be considered when
>faced with chronic pain and the only way out being a >hyst. I found Dr. Marchbein's reply refreshing.

Chronic pain (possibly from endo? or some other condition?) is NOT the same thing as fibroids.

Dr. Marchbein didn't even know what a mirena coil is or does (intrauterine system of progesterone dosaging) and jumped to the conclusion that she had an IUD and wasn't interested in having any children. He didn't bother to ask whether her embolization was with gelfoam or PVA or what the cause of "failure" was -- if it was done with gelfoam it may have been done to preserve fertility but to buy time with some shrinkage of the fibroids -- who knows? Also, if it was done with gelfoam it can be repeated -- depending on what the cause of the previous failure was.

Appropriate questions weren't asked before the rather blithe suggestion of a hysterectomy to "get on with her life" was proffered.

Not refreshing in the least, as far as I'm concerned. A bit cavalier. Also, with the high morbidity rates of hysterectomy, what's the possibility of this woman trading in one set of problems for another with a hysterectomy? At the very young age of 31, no less.

Deep sigh. Perhaps Kathy can shed more light on her situation with more details about her fibroids, her use of mirena, whether or not she has children or desires future fertility, and her previous embolization?

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