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Is Surgery Necessary To Remove Uterine Fibroids?

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Posted on Tue, 2 Dec 2014
Question: I am 51 years old and have been taking Femcon FE 28 oral contraceptive to control irregular periods including heavy bleeding which was prescribed approximately 2 years ago to control the problem. I have always experienced long periods with a medium to heavy flow and some clots. I had a uterine ultra-sound which found 3 fibroids - 1 sm/med and 2 small (have family history of such )and a uterine biopsy at that time which came back normal and also have yearly pap screenings - last one was April of this yr - which have come back normal for the past 10 years. I always spot fairly heavily after a pap screening even while taking my pill regularly. The symptoms have started to reoccur and wondered whether there were any new Rx's out there that might work better. I have had my cycle for approximately a month now - on and off with breakthrough bleeding and large clots which is how it started 2 yrs ago. My Dr normally cannot see me while I am bleeding heavily. Left message two days ago but have not heard back. Wanted some advice on a possible pill replacement to speed up the process once she returns my call. Not sure if she's really up to date with everything available - somewhat old-school. She stated last year that if problems began again I may not have any other choice but surgery or ablation. Not really ready to go that route unless absolutely necessary.
doctor
Answered by Dr. Manisha Jain (27 minutes later)
Brief Answer:
surgery mandatory

Detailed Answer:
Hello I understand your health concerns.
Seeing your history in my opinion you should get operated as soon as possible as most probably your symptoms will not subside on pills alone.
Menorrhagia while on pills and post coital bleeding both are omnious signs at your age.
But in case you still want to defer surgery then at least get a colposcopy and repeat endometrial biopsy as soon as possible.
But still my sincere opinion is to opt for surgery.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (2 minutes later)
Forgot to mention that I have been on oral contraceptives since I was 21 years old - so they were not prescribed as a new Rx - I was changed from something else to the Femcon.
doctor
Answered by Dr. Manisha Jain (5 hours later)
Brief Answer:
hysterectomy needed

Detailed Answer:
Frankly let it be any oral contraceptive it won't help much in your case.
I'm in favor of hysterectomy as per the best of my knowledge and concern.
Don't hesitate to opt for it.
Take care.
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. Chakravarthy Mazumdar
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Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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Is Surgery Necessary To Remove Uterine Fibroids?

Brief Answer: surgery mandatory Detailed Answer: Hello I understand your health concerns. Seeing your history in my opinion you should get operated as soon as possible as most probably your symptoms will not subside on pills alone. Menorrhagia while on pills and post coital bleeding both are omnious signs at your age. But in case you still want to defer surgery then at least get a colposcopy and repeat endometrial biopsy as soon as possible. But still my sincere opinion is to opt for surgery. Take care.