Fibroid degeneration

[Guest guest]

Hello everybody,

Let me introduce myself. My name is Val and I was diagnosed with multiple

fibroids six years ago. All these years it was " wait and watch " approach, my

periods were not very heavy, but I was in a lot of pain all the time and was

taking Naproxen to relieve the pain, besides I am constantly tired.

My MRI (January 2004) showed that I had a large posterior myometrial fibroid

(that probably caused all the pain in my rectum) which distorts the

endometrial canal. This fibroid measures 7.7x4.5x6.6 cm. Additional smaller

fibroids are

located anteriorly measuring up to 1.3 cm.

It is interesting that pelvic ultrasound report performed earlier in 2003

stated that there were three small fibroids measured 2.2 cm in the left

myometrium, 2.7 cm near the dome of the uterus and 1.8 cm anteriorly in the

subserosal

location. I wonder what is more exact: MRI or ultrasound? Could it possibly

happen that my small fibroids became smaller?

The MRI discovered two more problems that my gynecologist is concerned about.

Areas small of generation were identified within the large fibroid. From what

I have read malignancies such as leiomyosarcoma may appear on MRI as a

degenerating fibroid and cannot as yet be differentiated from a benign fibroid

undegoing degeneration. Therefore, my doctor suggests to have a surgery

(hysterectomy), I don't want to have it unless my condition is really

life-threatening. I

don't know what to think, I am scared, my CA-125 is elevated (406), the MRI

report suggests that although not specifically identified, endometriosis cannot

be excluded. The doctor thinks CA-125 elevation may be as a result of my

fibroids and left hydrosalpinx that MRI also found (Intermediate signal on the

precontrast T1 weighted images within the tube suggests the possibility of

hematosalpinx. No significant adjacent inflamatory changes identified to suggest

a

tubal abscess).

So, as you see, I have a bouquet of symptoms and concerns ( fibroid

degeneration, CA-125 elevation, left hydrosalpinx) and I want to ask those

ladies who

have the same problems or who have some information about these conditions to

help me to make my educated decision. I would like to avoid the surgery, I

noticed that I am less in pain now (I am 46), but I am tired all the time though

my blood work demonstrated no evidence of anemia. Is there any way of treating

swelling of fallopian tube? Any advice is highly appreciated.

Best wishes to all,

Val