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Information about uterine fibroids - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3391 Questions
User :   I am 31 years old female, and my doctor said that I have small uterine fibroids.I would like to know more about uterine fibroids.
Doctor :   hi
Doctor :   Dr. XXXXXXXX here. I will help in this regard
Doctor :   is there anything specific you would like to discuss about fibroids?
User :   hi
Doctor :   the are benign tumors that originate from the smooth muscle layer of the uterus
User :   well i had some blood spots since april 8 th but any more now I just have small brownish discharge but looks like its gone today but my doctor said that i have uterine fibroids
Doctor :   they are the most common benign tumors seen in females and are typically found during the middle and later reproductive years.
Doctor :   ok
User :   what is benign
Doctor :   are the fibroids confirmed by doing a pelvic scan?
User :   how do i fight with them
Doctor :   benign means not cancerous
Doctor :   if they are very small and not causing any pain, you can leave them alone but follow up every 3-6 months with scan/ultrasound to see if they are growing
User :   well my doctor suggested to take birth control pills if i want but i dont want it cause it cases many side effects i hear from other
Doctor :   look out for these symptoms like heavy and painful menstruation, painful sexual intercourse, and urinary frequency and urgency.
User :   i have to do my ultrasound in 2 months to see if they grow but if it shows that they dont grow do i still have to check every 3 months?
Doctor :   and if they develop any time, you would need to get them aggressively treated and if possible get them removed surgically.
Doctor :   yes, if they do not grow, then repeat scans needs to be done every 3-6 months time depending on their growth
Doctor :   they are of 4 types
Doctor :   1) Intramural Fibroids that are located within the wall of the uterus and are the most common type seen
Doctor :   2) Subserosal fibroids that are located underneath the mucosal (peritoneal) surface of the uterus and can become very large requiring surgery
Doctor :   3) Submucosal fibroids are located in the muscle beneath the endometrium of the uterus and distort the uterine cavity and these may lead to bleeding and infertility.
User :   if i want to get pregnant would they grow or not?
Doctor :   4) Cervical fibroids that are located in the wall of the cervix
User :   which is most dangerous?
Doctor :   they tend to grow with pregnancy and if they are multiple in number and are in growing stage, it can cause problems with pregnancy and at delivery time
User :   so what should i do if they develop during pregnancy?
Doctor :   subserosal and submucosal are the dangerous ones
Doctor :   first you would need to find out which type of fibroids you are having
User :   oh i see
Doctor :   and then it can be decided whether they would be harmful for pregnancy
User :   doctor said that i dont have to worry about it and to do nothing about it
Doctor :   if they are submucosal fibroids, then they will cause problems and infertility
Doctor :   if they are intramural, then during delivery time, labour can become complicated requiring surgery.
User :   oh wow
Doctor :   so once the type is known, further prognosis and precautions can be discussed
User :   what can shrink them? how can i get rid of them
Doctor :   they can be shrunken in size by radioablation, and uterine artery embolization
Doctor :   there are medications to control their growth too
Doctor :   called as GnRH analogs to reduce their size
User :   is it dangerous for the body to do these precedures?
User :   can any meds help?
Doctor :   no, they are not dangerous, they carry the same risks as involved in other surgical procedures
Doctor :   medications like OCP, and Gn Rh analogs help
User :   is it radiation?
Doctor :   but they are to be given after thorough examination and finding the type of fibroid
Doctor :   radiation is used in radioablation of fibroids
User :   I checked online that those who want to be pregnant should not do artery embolization
User :   is that true?
User :   OCP?
Doctor :   radiofrequency ablation is newest minimally invasive treatments for fibroids
User :   is it birth control?
User :   any not birth control pills help to get rid of them?
Doctor :   uterune artey embpolisation can lead to suffocation and bocking of nutrients reacing teh baby
Doctor :   no, the definitive treatment and permanent cure is with surgery
Doctor :   *(reaching the baby)
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else you would like to ask me?
User :   any non birth control pills to help
User :   and if i do surgery would fibroids grow back again?
Doctor :   chances of recurrence are there for them to grow back
User :   so u mean they could grow back?
User :   so what would you reccommend to me as a doctor? please?
Doctor :   in few cases they do grow back
Doctor :   first and foremost , i would recommend a ultrasound or MRI scan to find out where they are located and the type of fibroids
User :   are those cases depends on what type of fibroids i have?
Doctor :   yes, usually the intramural and subserosal ones can recur again after surgery
User :   doctor what about any medications would u recommend exept any birth control?
User :   and also can fibroids shrink themselves?
Doctor :   as discussed earlier the GnRH analogs can be tried to shrink them in size, but complete cure is expected only with surgical removal.
User :   what is the side effect of GN RH? please?
Doctor :   yes, fibroids do shrink after menopause
User :   oh
Doctor :   Gn Rh therapy can lead to osteoporosis and thinning of bones
Doctor :   they will cause the stop in secretion of estrogen and progesterone
User :   how long would i have to take them?
Doctor :   leading to similar effects as seen in post menopausal women
Doctor :   GnRH treatment is usually given for a short term duration like a maximum of 6-9 months.
User :   so if i dont have any pain i sould just do nothing about right?
User :   does it cause PE?
User :   pulmonary embolism?
Doctor :   even if at present you do not have pain, finding out the type and extent of fibroid can help you plan further course of treatment
Doctor :   no, these do not result in PE
User :   also doctor said that he found very very small cyst on right ovary
User :   should i do anything about it?
Doctor :   if left alone for long time without treatment, these can turn out to become malignant or cancerous in about 1 in 1000 cases
User :   he said that probably i was bleeding fro fibroid or cyst
Doctor :   did he describe the cyst in the ovary? is it fluid filled or solid?
User :   what do u think?
User :   it is just half cm
Doctor :   since I am not examining you personally, i would not be able to tel exact cause
User :   i will ask him
User :   why?
Doctor :   i would need to go through your reports and then arrive at exact diagnosis combined with a pelvic examination
Doctor :   is there anything else that you would like to ask me?
User :   he said my pelvix exam was good no cancer no infection
User :   everything look good he said
Doctor :   ok, then i suggest you to discuss the treatment options with your doctor
User :   thank you doctor
Doctor :   after the type of fibroids are
Doctor :   made out
Doctor :   have you followed what i said?
User :   yes
Doctor :   is there anything else that you would like to ask me?
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