Myo or Hyst Post Bleeeding?

[Guest guest]

Hi All-

Well, I waited and waited and waited-endured four

years of all the weeks of bleeding, the anemia, and

all the other symptoms that you all know, so I won't

go there in this post. So, now that I avoided surgery

all this time, awaiting menopause to do its thing and

the bleeding has stopped-I am now 51 and have not bled

for over 60 days(though I am told that it could rise

up again), now I am seriously looking into surgery.

The fibroids have taken over my belly and the pain has

increased and has put many limitations on my

functioning. So, the confusion lies in whether to have

a hysterectomy since I would not be perserving not

going into menopause as I appear to be there already.

Or still opt for a myo? One of my concerns about a myo

is the cutting into the muscles part. I would imagine

that that would cause other problems. My fibroids are

very large and intramural, so they cross over the

uterus from one side to the other. Also, my uterus is

SO stretched out from these fibroids and they are all

over the place from down low in the cervix area to up

high by the fundus. So, I'd appreciate any and all

feedback you ladies may have for me, and if your out

there Dr. , as the time has come for taking some

action.

Thanks, Lucy

[Guest guest]

I have been told by my surgeon that the muscles do not have to be cut for a myo.

He said he will carefully go in between the muscles and they will not be cut.

[Guest guest]

Lucy,

Usually, it takes about 3-6 months for fibroids to shrink after menopause.

So, one option is to give it a bit more time. However, if the fibroids have

grown even in the past two months, you might consider surgery. Abdominal

myomectomy should be feasible, even with large or numerous fibroids.

Remember, hysterectomy means removal of the uterus only, which should not

have a major affect on the hormones your ovaries make even after menopause.

The medical word for removal of the tubes and ovaries is

salpingo-oophorectomy (that's why it is rarely used!). I have been

recommending leaving the ovaries so that they can produce testosterone and

some estrogen for many years after menopause. You may have other personal or

family history issues that would modify that decision and, of course, you

need to discuss all this with your doctor.

Bill , MD

Myo or Hyst Post Bleeeding?

Hi All-

Well, I waited and waited and waited-endured four

years of all the weeks of bleeding, the anemia, and

all the other symptoms that you all know, so I won't

go there in this post. So, now that I avoided surgery

all this time, awaiting menopause to do its thing and

the bleeding has stopped-I am now 51 and have not bled

for over 60 days(though I am told that it could rise

up again), now I am seriously looking into surgery.

The fibroids have taken over my belly and the pain has

increased and has put many limitations on my

functioning. So, the confusion lies in whether to have

a hysterectomy since I would not be perserving not

going into menopause as I appear to be there already.

Or still opt for a myo? One of my concerns about a myo

is the cutting into the muscles part. I would imagine

that that would cause other problems. My fibroids are

very large and intramural, so they cross over the

uterus from one side to the other. Also, my uterus is

SO stretched out from these fibroids and they are all

over the place from down low in the cervix area to up

high by the fundus. So, I'd appreciate any and all

feedback you ladies may have for me, and if your out

there Dr. , as the time has come for taking some

action.

Thanks, Lucy