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.