| Discussion in 'All Categories' started by Rashmi - Jun 16th, 2025 6:35 am. | |
Rashmi
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Uterine fibroid(10x9 cm) in posterior wall of uterus.... Please suggest me what is the best treatment method to treat it.... I am married and have no child after surgery want to conceive.... and tell what are the complications after surgery |
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re: Uterine Fibroid
by Dr. B. S. Bhalla -
Jun 16th, 2025
6:37 am
#1
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Dr. B. S. Bhalla
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For the treatment of a 10×9 cm uterine fibroid located on the posterior wall of the uterus, several options are available. Since you wish to conceive, selecting the appropriate treatment is crucial. Below are some potential treatment options along with their possible complications: Treatment Options: 1. Myomectomy: A surgical procedure to remove fibroids while preserving the uterus, ideal for women who wish to conceive. Laparoscopic Myomectomy: A minimally invasive procedure in which the fibroid is removed through small incisions. Hysteroscopic Myomectomy: Performed when the fibroid is inside the uterine cavity. A hysteroscope is used to remove the fibroid through the vagina without external incisions. Open Myomectomy: Recommended when fibroids are large or cannot be removed with minimally invasive methods. It involves a larger abdominal incision. 2. Uterine Artery Embolization (UAE): This procedure reduces the blood supply to the fibroid, causing it to shrink. However, it is generally not recommended for women planning pregnancy. 3. Focused Ultrasound Surgery (FUS): A non-invasive procedure using high-intensity ultrasound waves to destroy fibroids without surgery. 4. Medications: Certain medications can help control symptoms like pain or heavy bleeding but do not eliminate fibroids completely. Potential Complications: Infection: Risk of infection after any surgical procedure. Bleeding: Excessive bleeding may occur during or after surgery. Adhesions: Scar tissue may develop after surgery, which can lead to fertility issues. Pregnancy Complications: While pregnancy is possible after myomectomy, incisions in the uterus may lead to complications such as uterine rupture during future pregnancies. Other Risks: General surgical risks like anesthesia reactions, blood loss, etc. Recommendations: Consult a Specialist: Seek advice from a gynecologist or fertility specialist to determine the best treatment for your specific condition. Gather Detailed Information: Understand the benefits and risks of each treatment option thoroughly. Discuss Reproductive Plans: Be open with your doctor about your desire to conceive so they can help you choose the safest and most effective option. |
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