IUBio

Need Advice on Hysterectomy & Myomectomy

William Ware drware at multipro.com
Sun May 26 16:29:15 EST 1996


Benjamin Chow wrote:
> 
> Dear Medical Professionals:
> 
> I am thirty-seven years old and I am married with two children. Starting in March 96, I had heavier than usual bleeding during  
menstrual period, so I went to
> 
> My ultrasound report of the pelvis with endovaginal scanning is as follows:
> 
> High in the vaginal vault contiguous to the anterior lip of the cervix, there is a focal solid mass measuring 2.2  x 2.6 x  2.4 cm in 
diameter. Solid masses of
> 
> The Pap test is normal. My gynecologist suggests that I have a fibroid in my cervix. Since the position of the fibroid is  low in the cervix, 
the best way to r
> 
> I desperately need your professional advice on the following questions:
> 
> 1. How can one knows whether the solid mass of the vagina represents pelvic support problems rather than a fibroid? Is it possible that my 
pelvic organs sag or
> 
> 2. Would there be any medications to shrink fibroids? Are there any side effects  in taking these medications?
> 
> 3. If the fibroid is in my cervix, is there any way that it can be removed without having a complete hysterectomy? Is there any choice of 
treatment?
> 
> 4. Is it safe and possible to remove the fibroid in the cervix through the vagina?
> 
> 5. Is it safe and possible to remove part of the cervix and fibroid by myomectomy? Will there be any way to leave part of my cervix and whole 
uterus  intact?
> 
> 6. Can the surgery be done through the laparoscope?
> 
> 7. What happens if the fibroid is in my vagina rather in the cervix? How can the fibroid be removed?
> 
> 8. If I have the entire uterus and cervix removed, would there be any physical and psychological side effects? Do I have to take hormones for 
the rest of my li
> 
> 9. If I  leave the fibroid  without removing it, what is the risk that I have to take?
> 
> Thank you in advance for your professional advice and assistance!
> 
> Sincerely,
> 
> Qi-Yin ChowAs a board certified OB/GYN,I would add my 2c:

	1. the others are right...these questions should be asked of 
your Gyn.
	2. I feel certain the "solid mass" represents a lower segment
	    fibroid...not a vaginal lesion.
	3. Pelvic relaxation has nothing to do with your problem,and
	   does not show up on a U/S
	4. Yes, U should have a total hysterectomy because fibroids are
	   99% multiple.
	5. an abdominal approach would be the safest.
	6. no, you would not need hormone replacement.

		Hope this helps,

			Will.M.D.,F.A.C.O.G.



More information about the Neur-sci mailing list

Send comments to us at biosci-help [At] net.bio.net