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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fibroid In Lower Uterus And Cervix, Have Uterine Polyps And HPV+. Which Procedure Is Best?

I am 39 years old, 124 lbs. and I have a 3.1 cm fibroid in my lower uterus and cervix . I also have uterine polyps and am HPV+. Which procedure to I choose; D&C with Mirena , ablation with Mirena, or hysterectomy of both uterus and cervix? I need to make a decision soon as I cannot function with these and 25 day, very heavy periods. Thank you so much for taking time to answer.
Tue, 31 Dec 2013
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OBGYN,  's  Response
Hello,
Considering the fact that you are HPV positive, any vaginal procedure could cause some spread of infection unless properly contained; moreover it could also be the cause of the polyps. Treatment for the fibroid is based on its extent and location. If you have completed your reproductive life, you may opt for removal of the cervix and the uterus, as you have several problems and suffer from heavy bleeding too. Please get a proper advice from a specialist after a physical evaluation. Hope your query has been clarified. Take care.
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Fibroid In Lower Uterus And Cervix, Have Uterine Polyps And HPV+. Which Procedure Is Best?

Hello, Considering the fact that you are HPV positive, any vaginal procedure could cause some spread of infection unless properly contained; moreover it could also be the cause of the polyps. Treatment for the fibroid is based on its extent and location. If you have completed your reproductive life, you may opt for removal of the cervix and the uterus, as you have several problems and suffer from heavy bleeding too. Please get a proper advice from a specialist after a physical evaluation. Hope your query has been clarified. Take care.