Guest guest Posted January 12, 2004 Report Share Posted January 12, 2004 I am the same age as you and I had the same symptoms you are having and I ended up having a Hysteroscopic ressection. There was only a one day recovery vs a 6-8 week recovery for a hysterectomy or abdominal myo. My first Dr. told me I needed a hysterectomy and when I started researching the possible side affects it made me very nervous. Since my fibroid was submucosal and easy to get to, the resection was a great option. I am having a sonogram in a few weeks to see if the Dr. has to do another resection, but I will take 2 easy surgeries instead of one major one anyday. My advice to you is to find out exactly where the fibroid is and what options you have - all of them, not just the ones your current Dr gives you. I don't think preserving fertility is the only issue here. Marsha H. Kim wrote: Hi all. As the subject line says, I'm new here. I've been avidly reading everything that has come my way, and I have to say I have found it all to be very enlightening. I was told after a routine exam last Feb that I probably had fibroids, but unless it was a problem I didn't need to worry about it. Well, my period has been insanely erratic for about 4 years now, and after that, things just got nuttier, if that was possible. In June I went for the ultrasound. My doctor's office nurse called me a few days later and told me I had one small fibroid and I didn't need to do anything about it. Well, that sort of annoyed me... it was phone call lasting less than a minute and she was gone. I felt as if I had been blown off. I called a couple of days later, trying to get hold of the doctor. He was on vacation. I called the week after, was told he'd call me back, and then the stupid office lost my info. I called the next day, which is his regular day off (otherwise he does work six days a week, I don't begrudge him the time off). The week after that, I went on a vacation. Since then, I let it ride. I didn't have any insurance anyway at that point, so there wasn't much I could afford to do on my own, and I decided that I would just take the wait & see approach for a time. Since then, my period has become incredibly heavy (it was always heavy, now it's ridiculous), lasting anywhere from 7 to 14 days with the average being 10, and also including blod clots that would make me think I was having a miscarriage if that were possible (it isn't, I had my tubes tied many years ago). I have serious back pain, feel bloated constantly, and ovulation is now accompanied by severe soreness in my breasts. Also, the interval between cycles is anywhere from 16 to 30 days, and there is no way to guess when it is going to come. The only real clue to my period coming is that I have to run to the bathroom even more... In short, I'm miserable. I tried to make an appointment with the doctor on Friday, and because of the snow the office was closed. So, first thing tomorrow morning I'm calling and raising all manner of trouble until I can get some attention. Oh, and the insurance thing is no longer an issue, thankfully, so I won't have to sell my son to pay for treatment. So, my question is this: given that my family history gives me reason to believe menopause isn't likely for another 15 years (I'm 43 now) and that I absolutely under no circumstances want another child, and the whole situation is driving me mad, is there any reason to " preserve " fertility that I don't want in the first place? I mean, I'm not using this organ and it is making me miserable. Why keep it, under these circumstances? I can look forward to a great many more years of pain and I'm not at all happy about that idea. Kim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2004 Report Share Posted January 12, 2004 > So, my question is this: given that my family history gives me reason > to believe menopause isn't likely for another 15 years (I'm 43 now) > and that I absolutely under no circumstances want another child, and > the whole situation is driving me mad, is there any reason > to " preserve " fertility that I don't want in the first place? I mean, > I'm not using this organ and it is making me miserable. Why keep it, > under these circumstances? I can look forward to a great many more > years of pain and I'm not at all happy about that idea. > > Kim Kim, Given that I was 28 when first diagnosed with fibroids but didn't undergo any kind of medical intervention until I was 42...I do understand and empathize with your pain. There were many such incidents, over the years, of severe blood loss accompanied by extreme depression and mental confusion that certainly made it seem like I was truly nutsy the entire time. I wasn't. My brain was oxygen-deprived and my body was fatigued and depleted of iron stores it desperately needed to function healthily. You asked a question that was phrased in such a way that truly caught my attention this morning. " ...is there any reason to 'preserve' fertility that I don't want anyway?... " No, there may be no reason whatsoever to preserve your fertility based on your lack of desire for children at this point in your life. In fact, based upon your description of abnormal bleeding which seems to be accompanying one small fibroid, a hysteroscopic resection of what may be a submucosal fibroid accompanied by an endometrial ablation to remove the endometrial lining and eliminate your bleeding entirely may well be an option for you. This would generally take away the fibroid, the abnormal bleeding, and your fertility while retaining your uterus. Retaining your uterus solely for preserving fertility is a gynecological concept -- it is NOT a concept that transcends this base functionality into fully describing the total functionality and/or purpose of the uterus at all. Any physician who believes and espouses the uterus as simply a baby making machine, is a physician who has not kept up with medical science and/or simply makes his living off of convincing women to undergo hysterectomy. In a great many women, the UTERINE artery contributes to supplying blood to your ovaries -- if the uterus is removed, the ovaries DIE. This is NOT menopause. This is surgical castration. Through normal menopause a woman's ovaries continue to function well into her 60s, 70s, 80s -- and possibly beyond! Their function is at a fraction of premenopausal functioning but, nonetheless, they do still function and provide hormonal benefits to the female body. Benefits such as bone density, libido, lubrication, dermal elasticity, healthy hair and teeth, healthier heart function....the list is long and yet there is so much more we need to learn about just how important our ovaries are and how critically dependent they are on the presence of a uterus and/or uterine artery blood flow. In addition to ovary support, the uterus provides pelvic support. Cutting the ligaments to remove the uterus has shown that 60% of all such hysterectomies result in prolapse requiring additional reparative surgery within 10 years of the hysterectomy. The uterus produces a hormone which research has determined to be heart protective -- hence when the organ is removed, heart disease post-hysterectomy increases 4-7 fold. This is, I believe, only the tip of the research iceberg. A tiny tip. To date, the uterus has been trashed millions upon millions of times and simply NEVER saved for further research -- which is why we wholeheartedly support the Uterine Fibroids Research & Education Act currently sitting before Congress. We need more science and we need it, like, YESTERDAY!!!!! As for your specific case, I am disturbed by the length of time you indicated your periods have been erratic: 4 years. During that time period, has your gyn ever done an endometrial biopsy? If so, what were the results? If not, I would quickly change physicians and ask for this biopsy as well as the radiologist's ultrasound or MRI report details regarding the size and location of your fibroid. If your fibroid is/has been resectable, it is unconscionable that your current gyn has simply allowed you to continue bleeding while simultaneously allowing the fibroid to continue growing. At some point, this type of fibroid can become " too large " for the average endoscopic surgeon to remove relatively non-invasively in an outpatient procedure. If your gyn isn't skilled in surgical endoscopy, he should (or, should have) refer you IMMEDIATELY to someone who IS skilled in this gyn specialty. Given your ultrasound was in June of last year and no actions have been taken since then by your gyn, I would consider his medical opinion MIA and do everything possible to find a more appropriate physician who is skilled and capable of working with you NOW -- not another 6 months from now. Please don't allow this to " ride " any longer. Now that you have insurance once again, please take appropriate actions to get this taken care of once and for all. Even if it means switching gyns to someone who is actually responsive to your medical needs/concerns. Take care, Carla Dionne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2004 Report Share Posted January 12, 2004 Before you decide to have a hysterectomy please do alot of research. They don't tell you all the bad things that can happen. I have been on a vitamin regimine and am doing alot better. I take vitamine A, E, B12,B6, iron supplements, a multi vitamin, C, and zinc. These all help with bleeding. I also don't eat red meaty since that causes you to produce bad prosaglandins and causes heavier bleeding. Quote Link to comment Share on other sites More sharing options...
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