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Large fibroids

Posted: Tue Mar 11, 2014 2:56 am
by girlissue

I am a 38 year old black woman with several fibroids. The largest is about 73 mm by 66 mm and another is about 79 mm. I have been advised to have either a myomectomy or a hysterectomy. I am not keen on surgery and would prefer a less invasive option. I am also anaemic and taking iron suppliments as I cannot be operated on until my iron level rises to normal.

I have read that fibroids are more common in black women and do not necessarily cause harm. I do not bleed heaviliy nor do I have severe pain when menstrating. Furthermore, my abdomen is not extended or swollen. The fibroids were discovred on a routine check. Do I really have to have the operation?

Thank you in advance for your feedback.

Re: Large fibroids

Posted: Tue Mar 11, 2014 10:26 pm
by Mr. Hugh Byrne, MRCOG
Correct, the other options include uterine artery embolization or MR focussed ultrasound. These are not surgical BUT all options including surgery carry a risk of infection, pain, scarring bleeding etc. Hysterectomy is a tiny risk of all fibroid treatments. If you are managing, there is not need to intervene, although the fibroids could cause infertility/miscarriage, simply just by their presence. At 38, hysterectomy as a first line treatment is a bit drastic. The risk of cancerous change in a fibroid is really low too.

Re: Large fibroids

Posted: Wed Mar 12, 2014 2:13 am
by girlissue
Thank you so much Mr. Byrne for your reply.