Guest guest Posted January 22, 2004 Report Share Posted January 22, 2004 Hi , Your options are basically wait and see, hysterectomy, myomectomy, resection and UAE. Hyst is the most drastic and permanent and there's more than one kind. Myomectomy removes the fibroids and leaves your uterus intact. Resection can remove only certain fibroids inside the uterus. UAE cuts off the blood supply to the fibroid but can only be done on certain fibroids. They are researching other treatments. You may want a saline sono and MRI to get a better picture. You may want kids, this affects which treatment is best for you. Many OB\GYNs can't do myos, they don't have the skills. They don't do UAEs, you see a RA for this choice. So many tell their patients to have a hyst. Don't buy into this if you don't want one. I got told hyst 3 times before finding a RE (reproductive endicrinologist) to do a myo. So ask your doctor about his\her skill level and how many myos he\she does. See if they explain ALL of these options to you. Reseach all of these options. Ask for the scans. If you are bleeding heavy, check for anemia. This is a great group. Ask questions here anytime. Ku Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 22, 2004 Report Share Posted January 22, 2004 Hi , Your options are basically wait and see, hysterectomy, myomectomy, resection and UAE. Hyst is the most drastic and permanent and there's more than one kind. Myomectomy removes the fibroids and leaves your uterus intact. Resection can remove only certain fibroids inside the uterus. UAE cuts off the blood supply to the fibroid but can only be done on certain fibroids. They are researching other treatments. You may want a saline sono and MRI to get a better picture. You may want kids, this affects which treatment is best for you. Many OB\GYNs can't do myos, they don't have the skills. They don't do UAEs, you see a RA for this choice. So many tell their patients to have a hyst. Don't buy into this if you don't want one. I got told hyst 3 times before finding a RE (reproductive endicrinologist) to do a myo. So ask your doctor about his\her skill level and how many myos he\she does. See if they explain ALL of these options to you. Reseach all of these options. Ask for the scans. If you are bleeding heavy, check for anemia. This is a great group. Ask questions here anytime. Ku Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 22, 2004 Report Share Posted January 22, 2004 Hi , Your options are basically wait and see, hysterectomy, myomectomy, resection and UAE. Hyst is the most drastic and permanent and there's more than one kind. Myomectomy removes the fibroids and leaves your uterus intact. Resection can remove only certain fibroids inside the uterus. UAE cuts off the blood supply to the fibroid but can only be done on certain fibroids. They are researching other treatments. You may want a saline sono and MRI to get a better picture. You may want kids, this affects which treatment is best for you. Many OB\GYNs can't do myos, they don't have the skills. They don't do UAEs, you see a RA for this choice. So many tell their patients to have a hyst. Don't buy into this if you don't want one. I got told hyst 3 times before finding a RE (reproductive endicrinologist) to do a myo. So ask your doctor about his\her skill level and how many myos he\she does. See if they explain ALL of these options to you. Reseach all of these options. Ask for the scans. If you are bleeding heavy, check for anemia. This is a great group. Ask questions here anytime. Ku Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2004 Report Share Posted January 23, 2004 -Ask as many of the most important question now as you may not hve another opportunity like this again. No really, I kid you not. Only ask questions specific to your gynaecologists's views and experience and your personal case, anything generalised you can find out from books and forums. Do lots of research before hand and write things down before, maybe during and immediately after. Look up questions to ask surgeons and doctors about fibroids sites. There are some out there somewhere. Tell them what your goals/attitudes are about fertility and your uterus. Here are some questions I can think of: * Size, potion and type of fibroid * What will they be removing and leaving in and why? * Why is this the best approach in your case in their opinion? * What do they think of the different types of treatments * Thoughts on different treatment options in YOUR case and why they are pro or anti options * Myomectomies...How many have THEY done? A ball park figure would be something. HOW often were they converted to a hysterectomy or required a trnasfusion in THEIR cases? How often did problems occur such as infections or adhesions to name two? * What do you think I should ask you and know about Mr/Mrs gynaecologist? * What is the state of health in there? Do I have anything wrong besides the fibroids? What do my various types of test and examination results suggest? * Are there any worrying signs or indicators, or do I rate as most likely free of problems like cancers? * Can I contact you again with more questions and if so, how/when/where? If replies are woolly and vague ask for clarification/more info. It may seem rude to ask about their experiences but you can pre-prepare a good phrasing that is diplomatic but gets a clear answer. It's so much harder to ask that kind of thing later. Please note there are different types of hysterectomy, support groups for these various treatments and some differences of opinion regarding the UAE treatment. If you aren't happy, just play for a bit more time before making the decision. Say you need to think and get back to them. If they are funny about that then say, it is a big decision to make. All the best Aztek Quote Link to comment Share on other sites More sharing options...
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