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Re: fibroid/hysterectomy optionFrom: karen (anonymous@obgyn.net)Tue, 12 Oct 1999 14:18:05 -0500 (CDT)
At Thu, 7 Oct 1999, Harvey S. Marchbein, M.D. wrote: > >At Wed, 6 Oct 1999, karen wrote: >> >>I am a 33 year old mother of two. I just recently got the results of my >>pelvic ultrasound which showed a 2cm fibroid (relatively small I >>suppose), > >2cm where - the outside, the middle wall area or the inside cavity area. >It makes a difference in how to treat if at all. > >>cystic action on one ovary, > >I'm presuming this "action" is small. > >>and fluid near that ovary as well >>as in the general pelvic cavity. > >Many reasons including a ruptured cyst. > >>Though I have heard this is all >>common, my doctor has suggested the option of having a hyterectomy since >>my husband and I are done having children. > >Whoa, Nellie. Back up a few miles. Thisa is out of left field (sorry >for the baseball metaphor). > >>My regular symptoms include >>having severe bleeding (sometimes going through a tampon, a pad, and my >>clothes in less than 15minutes), intense pain and pms, frequent nausea, >>constipation, diahhrea, and occasionally spotting in between periods. > >OK. > >>Could the ultrasound have missed something else that is going on? > >Possible but nmot likely. Depends upon who did it - the obgyn or a >radiologist. > >>How >>could such a small fibroid be causing so much grief? > >Possible but more likely if it's in the cavity of the uterus "submucus". >Less likely if it is in the wall "intramural" or outside "subserous". > >>Also, my mom has >>told me not to have a hysterectomy because it changes everything from >>hair texture, to skin, to sex drive, etc. > >The medical definition of a hysterectomy is the removal of the cervix >and uterus, not the ovaries or tubes. Removal of the ovaries can cause >someor all othe changes your Mom has mentioned if women don't go on >Hormone Rreplacement therapy to replenish (as well as can be done >medically) the hormones lost from the ovaries. At age 33, I can't see >why 2 "normal" (presumption without any proof) ovaries would be removed. > >>She's afraid I'm going to >>become old at 33 I think. Can anyone help? >>Thanks a lot. >>Karen L> > >Why not start out simple? Evaluate the bleeding by having a >sonohysterogram (special sonogram where a very tiny plastic tube is put >into the uterine cavity and a small amount of fluid in placed in the >uterus to see the cavity of the uterus more clearly) and an endometrial >biopsy. These are usually in-office procedures. The sonohystergram is >done either by a gynecologist or radiologist. The endometrial biopsy is >done by the gynecologist. If these are relatively normal, consider a >platelet count (a blood clotting cell), coagulation studies (to confirm >tht there are no bleeding problems) and TSH (to check out the thyroid) >if necessary. > >Good luck and write back if more info is available. > >-- >Harvey S. Marchbein, M.D. FACOG, FACS >Great Neck, New York > >**Note: Opinions expressed here are for educational purposes only >and, as such, do not constitute a physician-patient relationship. >This information is not intended to supplant the need for you to >consult with your physician prior to choosing therapeutic options >and/or interventions. > >**Private emails cannot be entertained due to time constraints, >consequently no private emails will receive a response. > >**Thank you for your understanding ;-) >Dr. Marchbein, Thank you so much for your help. I'm not sure where the fibroid is; I'll have to ask. I do take synthroid regularly already (for 5-6 years). I am experiencing pinkish brown spotting with nausea right now (only 12 days or so after period; 4-5 days after period ended). I have an appt. with my gyne this Mon. so I want to go in prepared. However, they have previously told me to go on the pill (for the period irregularity and spotting). Any last advice? Thanks again.
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