My Name is Mrs Shaw a 33 year of age, living in Ludhiana, I have done fibroids operation twice now one in 1999 and 2004, quite recently my Doctor detected that it has started growing again. I dont want another operation, please help me; tell me what to do. Thank you
It would have been better if you would have mentioned what type of surgery you underwent. Is it just the removal of fibroids? The recurrence rate for fibroid growth after myomectomy is high. Between 11% and 26% of patients will have recurring fibroids that are severe enough to need additional treatment. One study suggested that women who had uterus that were less than the equivalent size of 12 weeks of pregnancy and women who were overweight had a higher risk for needing repeat surgery. Myomectomy is the surgical removal of only the fibroid(s) leaving the uterus intact enabling future pregnancy. This may be done via a hysteroscope, laparoscope, or an open procedure depending on the size and location of the fibroid. In contrast, hysterectomy is the surgical removal of the uterus, is the most commonly performed procedure in the treatment of fibroids and is considered a cure. It is done if the women has completed the family and wish no pregnancy in future. An intraoperative Focused Ultrasound is a new procedure followed in developed nations. You can get this done timely till you attain menopause. Menopause reduces all the symptoms as the fibroids start regressing from then.
One more newer technique is uterine artery embolisation in which the arterial blood supply to the fibroid is impeded. Knowing all these options you need to discuss these issues with your doctor and then decide what is best suited.
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How To Avoid Recurrent Fibroid Surgery?
It would have been better if you would have mentioned what type of surgery you underwent. Is it just the removal of fibroids? The recurrence rate for fibroid growth after myomectomy is high. Between 11% and 26% of patients will have recurring fibroids that are severe enough to need additional treatment. One study suggested that women who had uterus that were less than the equivalent size of 12 weeks of pregnancy and women who were overweight had a higher risk for needing repeat surgery. Myomectomy is the surgical removal of only the fibroid(s) leaving the uterus intact enabling future pregnancy. This may be done via a hysteroscope, laparoscope, or an open procedure depending on the size and location of the fibroid. In contrast, hysterectomy is the surgical removal of the uterus, is the most commonly performed procedure in the treatment of fibroids and is considered a cure. It is done if the women has completed the family and wish no pregnancy in future. An intraoperative Focused Ultrasound is a new procedure followed in developed nations. You can get this done timely till you attain menopause. Menopause reduces all the symptoms as the fibroids start regressing from then. One more newer technique is uterine artery embolisation in which the arterial blood supply to the fibroid is impeded. Knowing all these options you need to discuss these issues with your doctor and then decide what is best suited.