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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fibroid S In Uterus. Suggested For Open Surgery And Then Pregnancy. Advice?

Hi My wife was recently diagnosed with Multiple Subserosal Fibroids all over the uterus. Three large fibroids each of the size of 4 X 4 cms in the lateral, posterior and fundal region of outer uterus has been found. Our Family Doctor suggested to go for Lupride Depot 3.75 mgs for 3 months (once a month X 3) and based on the result after 3 months she would decide either to go for baby formation or surgery. We took a second opinion and that Doctor suggested to go for a Open Surgery first and then after 3 - 4 months of rest to go for the pregnancy. Please advice.
Mon, 17 Jun 2013
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Pathologist and Microbiologist 's  Response
Hi
sir,
Fibroid is a benign tumour(not cancerous) of uteirne muscle..
TYpes of which are
1.subserosal
2.sub mucosal
3.intramural..

Generally submucosal fibroid cause heavy bleeding and lead to anemia(low hemoglobin).

Sub serosal fibroids generally doesn't cause heavy bleeding but due to their size,it exerts a pressure on underlying bladder and cause urination problems..
If their size is more enough,it causes alteration of normal endometrial lining which may hinder in normal development of growing embryo..

Lupride depot is a medical management of fibroids..it contains leupride acetate which decreases the size of fibroid..
as such it is not prescribed alone unless planned for surgery..the main disadvantage for these depot is fibroid will grow to the normal size once the treatment is stopped..
My suggestion is better go for open surgery that is myomectomy,,In this only the fibroid mass is removed leaving behind the uterus there.so you may plan for pregnancy later..
In the query you didn't mention how many fibroids are there..you told that many are there.
Better consult gynaecologist for further suggestion..
Thank you
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Fibroid S In Uterus. Suggested For Open Surgery And Then Pregnancy. Advice?

Hi sir, Fibroid is a benign tumour(not cancerous) of uteirne muscle.. TYpes of which are 1.subserosal 2.sub mucosal 3.intramural.. Generally submucosal fibroid cause heavy bleeding and lead to anemia(low hemoglobin). Sub serosal fibroids generally doesn t cause heavy bleeding but due to their size,it exerts a pressure on underlying bladder and cause urination problems.. If their size is more enough,it causes alteration of normal endometrial lining which may hinder in normal development of growing embryo.. Lupride depot is a medical management of fibroids..it contains leupride acetate which decreases the size of fibroid.. as such it is not prescribed alone unless planned for surgery..the main disadvantage for these depot is fibroid will grow to the normal size once the treatment is stopped.. My suggestion is better go for open surgery that is myomectomy,,In this only the fibroid mass is removed leaving behind the uterus there.so you may plan for pregnancy later.. In the query you didn t mention how many fibroids are there..you told that many are there. Better consult gynaecologist for further suggestion.. Thank you