Re: Horrible menstrual bleeding even after hysteroscopic myomectomy/edometrial a

April 28, 2004

Carol,

I had a hysteroscopic resection on April 1, to get my 2cm submucousal

fibroid removed. I did not have an ablation. My first period was

extremely heavy 10 days after the procedure, which completely freaked

me out. You can go back on this list for 2 weeks, and see my original

post, and the responses I got.

I called my surgeon in panic, but he told me to relax. He said, that

the scar in place of the removed fibroid could not cause the heavy

bleeding, since it was small, and the primary bleeding stopped in a

day after the operation. He thought that the operation might have

caused a shock to my system, which probably resulted in a temporary

hormonal inbalance. He thought that I should wait 2-3 periods to see

the real result. My operation was performed exactly at mid-cycle, when

I should have ovulated - which can mess up hormones. But the heavy

bleeding subsided within a day, and my period was over (and almost no

pain) within 3 days. This was a major improvement for me. Of course

your case is different, since you had the ablation. But yours might be

a temporary hormonal inbalance as well, and you just have to give your

body some time.

Hope somebody with ablation experience can help you more.

Eva

April 29, 2004

Hi Carol,

You are the first person here who I've seen that had only a 2cm fibroid

removed. I just found out that i have a 2.6 cm one in the center of my

uterus. Haven't gone to my gyno yet but I am wondering why you had it

removed? I thought that being that small they usually suggest just

waiting. I don't know much about this and only started trying to get

info since last week.

Judy

April 29, 2004

Hi Judy,

I think I was the one (Eva) who said, that I had my 2cm fibroid

removed. Carol had more than 1, and she also had an endometrial biopsy.

Judy, if your fibroid is not causing you problems, or the discomfort

is mild, then you should opt for the 'watch and wait' method.

In my case, I had long and heavy periods, with 2-3 days of heavy

bleeding, followed by 9-10 days of bright read, on-off bleeding.

Sometimes the pain was so bad, that I had to take 2-3 tablets of

Ibuprofen every 4 hours for 3-4 days. My fibroid 'showed' up 4 years

ago, before that I had very normal, light periods. But since my

fibroid appeared, my life became difficult. My job is very demanding,

I can never allow myself just 'taking it easy' each month for 10-14

days. Meanwhile I changed couple of doctors, because I was

misdiagnosed with more and larger fibroids, and was recommended

hysterectomy, or a UAE by an other doctor, long story.... It took me 3

years to finally find the right gynecologist. His approach to fibroid

treatment is (in my case at least), first you try the watch and wait

approach. By that time I wanted something to be done to ease my

monthly misery. Than he tried his next step, which was to put me on

birth control pills to regulate periods. I tried 2 kinds, but they

both made me extremely sick. Than he recommended surgery - only if I

agree. So, I ended up having the hysteroscopic resection. Judy, the

procedure was extremely easy. I never was in any pain after it. The

most difficult thing was to get the general anesthesia out of my

system, which made me weak and dizzy for few days. My first period 10

days after the surgery was very heavy for 2 days (was a big

disappointment), but the cramping was almost nothing. I took few

Ibuprofens, just for old times sake. The bleeding was over in 4 days,

which was an other major improvement. My doctor said, that the next

period should be even better, but I would be absolutely happy with

this much improvement. I am only sorry, that I have not done this sooner.

Judy, in my opinion, you can try the watch and wait approach, than the

hormon therapy, than the surgery - and you can deside on which state

you feel comfortable. It is really up to you.

Good luck, and let me know if I could help,

Eva

April 29, 2004

Thanks Eva, I do have pain on and off and that is why my doctor sent me

for an ultrasound. I also had spotting once every few months that would

last a couple days........that's what scared me since I am on bc and

that was not normal for me. I guess I'm just trying to figure out what

my gyno will say before my appointment which is on Monday. I thought it

was just the size of the fibroid that causes most problems but it's

sounding more like the location of it. I'm glad you are doing much

better now and it wasn't a painful procedure. Thanks again for your

help.

Judy

April 29, 2004

Yes, It's the location of your fibroid that is causing you

problems. Fibroids inside the uterus, even very tiny ones, distort

the lining of the uterus and interfere with the normal contractions

during your period, causing increased bleeding. I think that this

is a case of it being easier to remove now than later when it gets

bigger. If you wait till it gets bigger you may lose the option of

having it removed hysteroscopically and need an abdominal incision.

The hysteroscopic surgery has a very short recovery time since there

is no incision made. I had mine on a Thursday and took Friday off

to " recover " . I ended up going shopping.

> Thanks Eva, I do have pain on and off and that is why my doctor

sent me

> for an ultrasound. I also had spotting once every few months that

would

> last a couple days........that's what scared me since I am on bc

and

> that was not normal for me. I guess I'm just trying to figure out

what

> my gyno will say before my appointment which is on Monday. I

thought it

> was just the size of the fibroid that causes most problems but it's

> sounding more like the location of it. I'm glad you are doing much

> better now and it wasn't a painful procedure. Thanks again for

your

> help.

>

> Judy

April 29, 2004

Well that sounds pretty easy!!! Do you mind telling me what

hysteroscopic surgery is? Also, where was yours located?

-----Original Message-----

From: terricecile