|Discussion in 'All Categories' started by jyoti shukla - Sep 4th, 2011 9:04 pm.|
|dear doctor,Iam 49 years old having a large intramural fibroid in my uterus.It was diagnosed in 2003 when i missed my periods.At that time it was small in size but gradually it became large.my periods were becoming scanty,but from past10 months ihaven'tgot.Iget ultrasounds after 6-9 months .i have no problem except protruding belly (16 weeks preg)My last report shows reduction in size.I consulted so many surgeons but advise are contradictory .few say should get hysterectomy done others say it will shrink as i reach menopause.Please advise .Jyoti ,New Delhi|
re: large intramural fibroid in utrerus by Dr Sadhana - Sep 5th, 2011 12:28 am
|Dear Jyoti Shukla
The causes of uterine fibroids are unknown, but estrogens, especially estradiol, promote their growth. After menopause fibroids disappear slowly. But because estrogen levels can rise during the early menopausal years, previously asymptomatic fibroids may grow in the years just before the cessation of menses, resulting in symptoms such as feeling of heaviness in the belly, low back pain, pain with vaginal penetration, urinary frequency or incontinence, bowel difficulties, or severe menstrual pain and flooding.
In our opinion you should not do anything for your fibroid. Fibroid tumors are not cancer, not malignant. Tumor means a swelling or a growth, not a malignancy, not cancer.
Hysterectomy is only required if the space occupied is so huge that it creates symptoms of if patient wants to have baby. Because your age is above menopause age please keep patience.
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