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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is irregular periods, shortness of breath and heart palpitations due to fundal subserous fibroid serious?

i have a 18mm fundal subserous fibroid - i am 48 yrs old and have been experiencing irregular periods, shortness of breath, heart palpitations, hair loss for the last year - i am perimenopausal so gp does not think any treatment for fibroid is req'd but i am concerned i will be experiencing these symptoms for years? Can I push for further treatment/investigations?
Mon, 31 Aug 2020
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OBGYN 's  Response
Hi,

According to your history the fibroid may not be responsible for your symptoms. Because 18mm fibroid is a comparatively small size fibroid. Fibroids especially of larger size usually can lead to symptoms like heavy menstrual flow and dysmenorrhea. The symptoms you mentioned are non-specific for smaller size fibroid in general.

During perimenopausal age group because of the fall in the reproductive hormone levels symptoms like irregular periods, palpitations, hot flushes, etc. symptoms can be seen. Usually these symptoms will subside once the reproductive hormonal levels become steadily low after menopause. Meanwhile, better to undergo investigations like hemoglobin levels, blood sugar levels, thyroid profile, ECG, etc. to rule out other possible causes for these types of symptoms.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sree Gouri S. R., OBGYN
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Is irregular periods, shortness of breath and heart palpitations due to fundal subserous fibroid serious?

Hi, According to your history the fibroid may not be responsible for your symptoms. Because 18mm fibroid is a comparatively small size fibroid. Fibroids especially of larger size usually can lead to symptoms like heavy menstrual flow and dysmenorrhea. The symptoms you mentioned are non-specific for smaller size fibroid in general. During perimenopausal age group because of the fall in the reproductive hormone levels symptoms like irregular periods, palpitations, hot flushes, etc. symptoms can be seen. Usually these symptoms will subside once the reproductive hormonal levels become steadily low after menopause. Meanwhile, better to undergo investigations like hemoglobin levels, blood sugar levels, thyroid profile, ECG, etc. to rule out other possible causes for these types of symptoms. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sree Gouri S. R., OBGYN