Scared: Any reassurance or advice?

[Guest guest]

Current state of play:

I have a date with a doctor ;-) for a summer rendezvous at the

cafe myomectomy. I believe it's going to be abdominal. I'd like to

have kids sometime and not have a hysterectomy anyway if at all

avoidable. The gynaecologist agrees. He will stop if necc. to

avoid a hysterectomy, if possible.

The gyn is not keen on UAE for fibroids, but friendly and happy for

me to follow that path if I like. I'm a 'civilian', I don't know what's

best for my symptoms. (I saw Dr. Toaff's excellent website that

talks about doctors having ease of access to find fibroids with

abdominal myomectomies.) My gynaecologist comes across

well and scored many brownie points when he took my worrying

cold shivers bouts seriously and advised the local doctors run a

blood test (for thyroid).

Thyroid stuff gets mentioned on the terrific soul cysters site for

Polycystic ovary syndrome (PCOS).

I'd still be interested to hear about which kinds of treatment I am

most suited to. Would a UAE not have been the best choice

anyway if I want kids sometime?

Here are my symptoms (I'm in the UK and in my mid thirties)

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Diagnosis:

'ultrasound pelvic scan transabdominal LMP. Bulky anteverted

uterus measuring length 110mmx depth 49mm x width 88mm

.. There's a large fibroid mass (62mm x 61mm x 53mm) arising

from the right aspect of the uterus and at least one small

intra-mural fibroid of 14mm present in the anterior wall. The

endometrial thickness is 7mm within normal limits and of

regular appearance. The right ovary is enlarged (77mm x 54 x

62mm0 and comprised of a multi septated thin walled anechoic

cyst. The largest components of this cyst measure 49mm 36mm

and 22mm. The left ovary is of normal size and appearance (28x

29x16mm) no other adnexal masses or pelvic collection seen'.

I think this boils down to cyst with fibroids – a satsuma, some

berries and an apple in a clean, if large and lopsided fruit basket

:-)

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This is my gynaecologist:

Consultant with MRCOG

Practising at two BUPA Hospitals

Specialty - Gynaecology and Obstetrics

Special clinical interests - High risk obstetrics, maternal

medicine, early pregnancy problems,

obstetric ultrasound. Menstrual disorders and HRT.

Urogynaecology (urinary problems).

Current NHS and/or university posts - Consultant obstetrician

gynaecologist,

at our local hospital.

Year of first medical qualification - 1987

Current membership(s) of professional, national and regional

bodies

- Royal College of Obstetricians & Gynaecologists

British Maternal & Fetal Medicine Society

London Obstetric Medicine Group

Background Information

Professional profile - He was appointed as a consultant

obstetrician and gynaecologist to our local Hospital in early

2001.  After qualifying in medicine in 1987, he worked briefly in

Russia and Africa before returning to the UK to pursue a career

in obstetrics and gynaecology.  

Part of his training was based at the Chelsea and Westminster

and St 's Hospitals and was specifically

centred around medical disorders in pregnancy, high-risk

pregnancies and obstetric ultrasound.  Alongside

this, he gained excellent experience in the management of

gynaecological problems.

He qualified at Rostovskij in 1987.

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What are myomectomy scars like in real life terms? Are they

ugly? Do they fade? Are they hidden well?

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My lady GP correctly diagnosed me on an internal examination

and she was modern minded about alternatives to hysterectomy.

I'd love to chat to the Dr. at the practice who analysed my US

results. I know the fibroid mass is in the wall but I don't know

how deep.

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Do pregnancies after myomectomy require Cesarean section?

How well do we heal inside after all of that cutting up and

stitching back together? I don't have bleeding problems at all.