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Is Uterus Removal The Right Treatment For Prolonged Vaginal Bleeding?

Posted on Sat, 31 Jan 2015

Question: ISSUE : Continuous bleeding taking place for my mother(Age : 52 years)
Report details:
ultrasonogram of abdomen :
The uterus measures about 9.3*6.0*5.8 cm in size.Multiple rounded hypoechoic lesions about 1.2 cm to 3.9 cm in sizes are seen in the uterus suggestive of fibroids.The endometrium measures about 6mm in thickness.Impression: BULKY UTERUS WITH MULTIPLE FIBROIDS

FOLLICLE STIMULATING HORMONE(FSH)
Patient value :4.18
Normal range : 26 to 135 MIU/ml

Blood urea nitrogen(serum/urease GLDH) obesreved value : 9.2 mg/dl
Uric acid 9serum/uricase Peroxidase) :3.9
Creatinine(serum/kinetic-Modified jaffes:0.8

We consult with two doctors
First doctor said you should remove the uterus

Second doctor said ,it's normal not required to remove the uterus

Now we are following instruction as per the second doctor
History : In month of nov continuous bleeding taking place from 10th,first doctor injected then bleeding stopped
In Nov bleeding starts on 10th upto Dec 23rd bleeding continuous,We consult with second doctor she injected then bleeding stopped
In dec bleeding starts on 9th till date continuous , yesterday i consult with our second doctor she said pls wait till sunday , it will stop,

My question is,
1,It's nessary to remove the uterus?
2,Any possibility that fibroids become cancer?
3,Your suggestion of treatment

Answered by Dr. Soumya (12 minutes later)

Brief Answer:
Bleeding will continue if fibroids are not removed

Detailed Answer:
Hello,

I have gone through your query and I understand your concerns about bleeding because of fibroids.

Following is my reply:

1. It is necessary to remove fibroids.

2. Chances of fibroids becoming cancer are extremely rare. But she will continue to bleed.

3. If she has completed family, it is better to remove uterus ( Procedure is called Hysterectomy).

If she wishes to retain uterus then you can opt for removal of fibroids only ( procedure is called myomectomy)

I hope your doubt is clarified. Let me know if you wish any other information.

Regards,
Dr. Soumya

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Soumya (45 minutes later)

mam,
Is it necessary to remove immediately (or) we will wait for another three are four months.

Second doctor gave two syrup Evecare & haemdates , will it give any improvement.

Answered by Dr. Soumya (4 minutes later)

Brief Answer:
You can wait

Detailed Answer:
Hi,

You can wait for another 4 months. No problem.

These syrup are just supportive medicines. They dont cure fibroids.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Soumya (9 minutes later)

mam,

Any medicine available to dilute fibroids without surgery.

Answered by Dr. Soumya (5 minutes later)

Brief Answer:
No

Detailed Answer:
No medicines can cure fibroids without surgery. Surgery is the only option

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju