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Uterine fibroids and its treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1772 Questions
User :   1-17-10
Hi, my wife just went to her OBGYN and the DR. said, she has tissues that should not be there. My wife is 46 years young and gave birth to three kids. She has not had the peroid for two and a half years. Last check up was two years ago. She had no issues then. The doctor want to remove these tissues. My wife agree with him and they are going to do this procedure next week.
Questions;
1) Why does this happen?
2) Could this have any cancer issues. ( The DR. told my wife that not to worry because she is not bleeding. )
3) How quickly could she recover from the operation?
4) Could these tissues return again?
5) My wife is dx with Lupus could this have any reasons for these tissues.

Last question;
6) Is this a common issues with women to create tissues with in the uturus area. I am not sure exactly but, it's within this area.

Thank you for answering all my questions.

Please respond asap.

Doctor :   Hi
Doctor :  
Let me read the paragraph.
User :   ok
Doctor :   May i know what the gynaecologist have diagnosed the condition as
Doctor :  
is it endometrosis??
User :   one second I'm going to ask my wife
User :   no he did not say it was that.
Doctor :   May i know the symptoms your wife had?
User :   he just say it was tissues that should not be there. The shape of the tissues was abnormal. That's what my wife remembers the dr. saying to her.
Doctor :  
Ok.
Doctor :   I am not sure what tissue the gynaecologist was speaking of.
User :   she has no symptoms, it was a regular annual check up which she has'nt been to him in about two years.
Doctor :  
it either could be fibroid
Doctor :   or endometrosis
Doctor :  
i shall assume it to be fibroid
User :   either way what does ths all mean
Doctor :   Ok
Doctor :  
fibroid uterus is a benign tumor like lesion in the uterus
User :   why would you assume it's fibroid?
Doctor :   because they are the most common benign ( non cancerous lesion ) in the uterus
Doctor :  
they are some times non symptomatic
Doctor :   That is why i presume it could have been this'
User :   and if it is what you assume dr. what is the standard procesure for this
Doctor :  
if i am wrong and the doctor have mentioned it some thing else please let me know
Doctor :  
because the treatment may vary according to what the condition is.
User :   the dr. wants to remove the tissues? that what they are going to do next week. as per the note i wrote you
Doctor :  
As i said the treatment depend on the condition
Doctor :  
i shall mention the various procedures done
User :   ok
Doctor :  
1. myomectomy it a surgical procedure done where the benign tumour which is located in the uterus is removed
Doctor :  
2. DIlatation and curettage
Doctor :  
It is a procedure that is done where the lining in the uterus is curetted out
Doctor :  
these are done in case where the lining of the uterus has pathology
Doctor :  
3. Removal of the uterus - which could be partial or complete
Doctor :  
it is done in case there are abnormal tissues in the uterus
Doctor :  
be it benign or or other cancerous
Doctor :   These are the procedures that is done on the uterus
User :   wow, thank you for the details
Doctor :   So i am guess which is the treatment your wife would be subjected to
Doctor :  
I mean i am not able to guess what the treatment would be
User :   it sound that way.
Doctor :  
which one.
User :   when you read my notes. could you please answer each questions above. I have a few question i need also to know. please read the noyes above.
Doctor :  
Ok.
Doctor :  
If it is cancerous or not
Doctor :  
will be decided after the surgical treatment
Doctor :  
a biopsy of the tissue that is removed will be done
Doctor :  
that will give you the result if it is cancerous or a benign lesion
Doctor :  
I hope it is just a benign lesion
Doctor :  
3. Question
User :   which procesure will be done i don't no, all my wife say, is the dr. would like to remove the tissues he just say it was tissues that should not be there. The shape of the tissues was abnormal. That's what my wife remembers the dr. saying to her.
Doctor :  
what ever the surgery is
Doctor :  
grossly the affected tissue would be remove
Doctor :  
either by removing the uterus or by the other procedures mention
Doctor :  
and definitely the doctor would plan a biopsy on the tissue
Doctor :  
to identify what the tissue is
Doctor :   have you followed?
User :   my wife ask the dr. if this could be cancerous and the dr. told my wife that mostly not because she is not bleeding.. what do you think about that answer the dr. gave my wife.
Doctor :  
Yes, since she is not having any symptoms of pain, bleeding or weight loss.. there are more chances that they may not be cancerous
User :   have you followed? what do you mean by this question.
Doctor :   but the confirmation is only possible only by means of biopsy.
Doctor :  
I meant if i have answered your second question and do you have any doubts on that
Doctor :  
So that i can move on to your third question
User :   i understand that. thank you
User :   ok
User :   please move on to the third question
Doctor :   Generally all the above procedures mentioned are not very major surgeries
Doctor :   If she ends up in complete removal of the uterus
Doctor :  
the minimum time for complete healing is 3 months
Doctor :  
i meant complete healing
Doctor :  
that doesn't mean she would be in complete bed or hospitalised
User :   i understand
Doctor :  
Dilatation and curettage is the most simplest procedure of those that i mentioned earlier
Doctor :  
so if that is performed she would be up and moving in a weeks time
User :   I hope that would be the case
Doctor :  
so the time of healing would vary between 1 to 3 weeks
Doctor :  
Of course the healing time also depends if she does not develop any complications
Doctor :   Have you followed on this
Doctor :  
Shall i proceed to the next question?
User :   yes please continue
User :   and thank you
Doctor :  
Ok. Regarding lupus
Doctor :  
lupus is associated with occasionally development of endometrosis.
Doctor :  
since you have indicated to me clearly
Doctor :  
that it was not this
Doctor :  
then i guess her lupus problem is not related to her present problem.
Doctor :  
Have you followed?
User :   what is endomtrosis?
User :   yes, please continue
Doctor :  
Endometrosis is a condition where the lyning of one organ
Doctor :  
is altered and that altered place you have a different variety of lining
Doctor :  
it is commonly seen with the structures around the uterus
Doctor :  
you see the lining of the fallopian tubes, or the ovaries been altered and other variety of tissue is seen in that area
Doctor :  
since you have mentioned that the doctor has told your wife that this is not endometrosis
Doctor :  
do not bother much on this
Doctor :  
I shall proceed on to your next question
Doctor :  
Fibroid uterus is the most common pathology seen in the uterus
User :   ok
User :   thank you
User :   please continue
Doctor :  
so if she has been diagnosed as fibroid then yes it is a common problem
Doctor :   It is very common among people less than your wife's age
Doctor :   commonly seen during reproductory age group
User :   im not sure she will contact the dr. again tomorrow, because she was to nerous on friday and i guess she forgot to ask what the dx is...
Doctor :  
The exact diagnosis can be made only by a scan or by a histological examination of the tissue
User :   all she remember was what i mention to u before. that it is a tissue that needs to be remove and that it's abnormal.
User :   This was the quote she remembers,The shape of the tissues was abnormal.
Doctor :   This is too gross to know what it might be
User :   i guess
Doctor :   So you can wait till the surgery is done
Doctor :  
and once the biopsy is done
Doctor :  
We can be more specific in making you know about the detail you wanted to know.
Doctor :  
Have you followed?
Doctor :  
Do you have any other query?
User :   She may my wife feel like it ok she not bleeding so dont worry about cancer, and my wife was the one to ask for a quick operation to remove the tissue. the dr. made it seem like there was no rush. again my wife ask for the quick operation for next week.
User :   yes i follow and thank you.
Doctor :  
I does not sound as a cancer to me
Doctor :  
based on her condition now
Doctor :  
but as i said you need to get a pathological examination to know exactly.
Doctor :   do you have any other query?
User :   one second please
User :   one second please
Doctor :  
Please fill the feed back form too.
User :   are u still there
Doctor :  
Please proceed.
User :   are u still there dr.
Doctor :  
Yes
User :   great I thought i lost you
Doctor :   Please proceed
User :   in the future if i need to contact you again how does this work
Doctor :  
You can log in back
Doctor :  
I shall be available at this time most of the days
User :   so i could reach you again or would it be another dr.
Doctor :  
I shall be available most of the days
Doctor :  
If i am not one of our doctor shall chat with you
Doctor :  
they are equally good
User :   do we still have time, I would like to ask you some personal question about my self could i ask
Doctor :   So you can chat with any of them
Doctor :   You can proceed
User :   I understand that but it would be nice to reach you agai in the future if i need to reach a dr.
Doctor :   You can ask for me
Doctor :  
If i am available then i shall definitely help you.

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