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Doctors' Answers to "Frequently Asked Questions" - Fibroids


These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

Uterus Fibroids [posted 7/21/98]
Question: Recently I had an ultrasound done on my uterus. There were two growths found that are about 6 cm long. I was told that they could either be polyps or fibroids. I was asked by the doctor if I had planned to have children in the future so that if I chose surgery that they would be careful at removing these growths. My question is what is the risk of carrying a child to full term with these growths and would they have any effect on the child itself? Secondly, if I do choose to have this surgery what are my chances of having a child in the future? Thirdly, what kind of risk are these growths on myself?

Answer: Get a 2nd opinion, especially if you haven't had children. Fibroids(which these probably are) rarely need surgery and surgery can leave you with scars that will hinder or make pregnancy impossible. Fibroids are common and are not usually resected unless there is a major problem. If they were found incidentally, they probably need no treatment.

Fibroids
Question: What are the symptoms for Fibriods and endemetriosis?

Answer: Fibroids are benign muscle tumors which occur in the uterine muscles. Some women are very prone to these and develop quite large growths. Symptoms range from none to excessive pain and bleeding with ones period. Occasionally, they will interfere with pregnancy although this is more controversial. They should not progress to cancer. Endometriosis is quite another problem. Endometriosis represents some of the cells from the lining of the uterus migrating out the fallopian tubes into the abdominal cavity. Here they attach to different structure and continue to slowly grow and to act like endometrial cells from whence they came. This means that they wax and wane with ones period. They can produce excruciating pain in a cyclic manner wherever they have come to rest. This can literally be any organ of the abdomen. Pain with intercourse, pain with the peridod, and pain with defecation are the most common complaints. Long term treatment with birth control pills or surgical ablation are about the only treatments. In severe cases removal of the uterus and ovaries is necessary.
Question: Once you have a hysterectomy, will fibroids grow any other place in the body?

Answer: Fibroids are benign muscle tumors which occur in the uterine muscles. Some women are very prone to these and develop quite large growths. Symptoms range from none to excessive pain and bleeding with ones period. Occasionally, they will interfere with pregnancy although this is more controversial. They should not progress to cancer or grow in other areas of your body.
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