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Re: gyne visit today

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Hi,

It is a very personal decision on what is best for you. I am also

36 and opted for an ab myo 2/19 in order to preserve my fertility.

I was interested in UFE but because it hasn't been 'approved' for

women who wish to preserve their fertility I wasn't willing to risk

it (I have 1 daughter and plan on conceiving again later this

year). A myo would leave your uterus intact as it would be closed

up after the fibroids were removed. Depending on the location of

the fibroids you may need a c/section if you were to have a baby but

your uterus would be preserved.

I wish you luck in making your decision.

~Cindy

> I'm 36 and I have a 5cm intramural fibroid and a 1.3 cm fibroid

> (also intramural) found today during ultrasound. I don't want a

> hyst / myo 'cause I want to leave my uterus intact (I might have a

> boyfriend in the future and he might want a child). I'm wearing a

> mirena now. I thought UFE is the next sensible and least invasive

> thing to do. If I can't have babies after UFE, then it'd still be

> better than living with the beast for the rest of my life.

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< I visited my gyne today and she's all negative about UFE.>

It's a contraversial topic. You'll hear different views - check out

the Yahoo embo forum and the new one being put together you'll hear

mentioned on Smartgroups UK. Rightly, or wrongly, UAE might be

considered not the best choice for someone who may want children in

the future. One main issue put forward in that debate is that the

wrong vessels might be embolised by mistake.

It really is a good point to make in my opinion,since I had symptoms

still, post myo. It's a good thing that the doctor is doing these

tests. It shows they're interested too.

Fibroids cause a range of symptoms and not everyone gets the same

symptoms. Others are symptomless. A larger fibroid can cause less

problems than a smaller one sometimes, depending on type and

position.

< I came back home feeling disappointed and confused. I found an

informative pack in my letter box from The American College of

Obstetricians and Gynecologists (surprisingly pleasant after my

gyne visit).>

< You can email resources@a... for a free copy of experts finding

on UFE followup on 4000 women.>

Thanks for the tip!

< I'm 36 and I have a 5cm intramural fibroid and a 1.3 cm fibroid

> (also intramural) found today during ultrasound. >

My age.

Intact in the sense of not cut? A myomectomy should preserve your

fertility if it all goes well.

<(I might have a boyfriend in the future and he might want a child).>

as might you.

It's very much an individual choice, but sometimes treatment options

change if fibroids grow particularly big.

A myomectomy would remove all (Sometimes most) of the fibroids. You

might get fibroids again in the future but then again you might not.

You may be a candidate for a keyhole surgery myomectomy, for example.

Ask your doctor what they think are the most appropriate and least

invasive options open and recommendable to you. There are some other

options, depending on the case.

> What's your opinion ?

My impression as a lay-person dipping in fibroid books, is that the

type size and position of fibroids particularly lends itself to

certain treatment approaches, in preference to others. I'd think of

the the long term pros and cons of whatever you go with. Do a

websearch on Dr Toaff and fibroids and Dr. Indman and fibroids for

some helpful sites.

Check out those fibroid books that focus on comparing treatments and

talking about symptoms.

Aztek

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I would suggest you join the yahoo embo group. These are all women

that are going through the decision making process or have been

through the procedure. You can find out everything about UFE here.

I had mine done 1/30 for a 10 cm fibroid, and extreme bleeding

problems. I am 43 and have already had my kids.

they say it's unknown as to childbearing after embo. It is very

possible you can have a child, but they say " unknown " just becuase

they haven't followed up on it. Many women have gone on to have

children after embo's quite naturally. The IR's and DR's won't

recommend this as a 1st choice if you want to have kids. They will

tell you myo instead. Your fibroid's are not that big. Maybe

there is another procedure that you can qualify for? Have you

looked into this? Also, your gyno acts like all other gyno's!!!

They don't recommend UFE's simply becuase they aren't experienced

with it!! All they know is hysto's and myo's. For us UFE women,

we've all done the research ourselves and most have found out about

it via internet!!!! They are claimed to be very " intelligent "

women!! Anyway, good luck and keep your obtions open! Jen

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May,

First, remember that UAE/UFE is still being looked at in terms of those that

still want children. An RE (Reproductive Endocrinologist) would be an

appropriate consult to discuss myo since you may want to have children, and

helping women have children is their business. Some women have had successful

pregnancies after UAE/UFE, but they are still looking at this issue and how the

UAE/UFE may affect the ability to get pregnant, carry the pregnancy and deliver

the baby. Some ladies have had problems with ovarian function post UAE/UFE

(myself included), but this is often with women 45 or older (though not

exclusive). I believe the problem might be somewhat less frequent with

improvements in the embo particles and technique.

Many GYNs will be very negative about UAE (since they don't do them). But,

unlike many, your GYN is interested in determining the *true* cause of your

symptoms. Unfortunately, many of the symptoms of fibroids are symptoms that

could be caused by other things. On the other hand, many of us have found

symptoms/problems we didn't recognize or connect to our fibroids have

disappeared after treating our fibroids.

I can't advise you other than read Pat's recent post to newbies, and follow

with research. Then, as you get other test results back, you will be able to ask

appropriate questions, schedule appropriate consults and gain the information

you need to decide your next step. Whatever you do, if you decide to watch and

wait...do it from a position of education. These nasty fibroids can steal your

life right before your eyes and you don't realize to what extent they have

affected your life until after you hit the brick wall and treat them.

Best wishes on your journey of knowledge and power over your medical decisions.

TxGenes

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Thanks very much for sharing your opinion. I think ladies here know

just as much or more than my gyne.

I'm not sure whether or not my symptoms could be caused by mirena in

my uterus.

Personally, I hate getting cut up (whether or not it's a myo /

hyster, by key hole surgery or not). So I guess my choices are

whether to sit and wait or an UFE.

I've booked an appointment with another gyne for a 2nd opinion.

Thanks again.

May

>

> < I visited my gyne today and she's all negative about UFE.>

>

> It's a contraversial topic. You'll hear different views - check out

> the Yahoo embo forum and the new one being put together you'll hear

> mentioned on Smartgroups UK. Rightly, or wrongly, UAE might be

> considered not the best choice for someone who may want children in

> the future. One main issue put forward in that debate is that the

> wrong vessels might be embolised by mistake.

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