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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the meaning of bulky uterus and fibroids?

I am 42 yrs. Due to excess bleeding since past 15 days ,as per Drs. instruction, I have taken a abdomino-pelvic ultrasound and it shows as follows: anteverted bulky uterus with modular anterior margin having multiple subserous fibroids (largest measuring 30*27mm) , endometrial thickness 12mm, bulky Uterus LS- 8.1cms, AP 7.0 cms, TS 6.2 cms.. Kindly suggest what needs to be done /any risks..?
Mon, 17 Feb 2014
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OBGYN 's  Response
Hi,

Thanks for the query.
Fibroids are non cancerous tumors of the uterus that are very common and cause by excess estrogen hormone. Only a very small percent may develop into cancer [fibrosarcoma]. They grow and cause bleeding that is troublesome.

Since you have multiple fibroids and they are symptomatic you need to get treated. Multiple options are available. Small fibroids may be managed with drugs like progesterone and danazol or GnRH analogues. All cause decrease in size of fibroids but failure rate is high. Other treatment is embolization of uterine artery. In this the blood vessel that gives blood to the uterus is blocked using ultrasound and some gel or foam. This avoids a major surgery. The results are again not 100% and condition may not respond at all or recur.

Surgery for fibroids depends upon if a women wants to keep the uterus and have children or remove it. If uterus must be kept, then only fibroids are removed by myomectomy. This surgery involves bleeding and it may not always be possible to remove all fibroids. Also they may recur as uterus is still there.

Another surgery is hysterectomy or removing the uterus. After this there is no chance of recurrence.

So do not worry as the tumors are non cancerous. Discuss all the treatment options with your gynecologist and choose the one that suits you best.

Hope I was able to help you. Thanks for using Health Care Magic.
I would be happy to answer any further queries.
Have a nice day.
Dr. Madhuri Bagde
Consultant Obstetrician and Gynecologist
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