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RE: IUI study reponse

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Ann,

Fibroids need both estrogen and progesterone to thrive. After menopause,

either natural or surgical, the fibroids do not go away but they do shrink

by about 50% of their volume. This process takes about 6 months or so, but I

have seen shrinkage continue for even longer. For many women, that amount

of shrinkage, in addition to the cessation of bleeding, is enough to relieve

symptoms and no treatment is needed after menopause.

I wish you well with your fertility, and hopefully soon, your pregnancy.

Bill , MD

Re: IUI study reponse

Thanks for reading and responding.

You might have noticed that I've been on a hardcore research spree

related to fibroids and fertility. Doctors don't share much

information about the affects of fibroids and based on my lay

analysis the information that is available today doesn't seem that

definative. I consider myself a bit of a case study of infertility

and fibroids since we are experiencing male factor issues. It will be

a couple more months before we move on to try Clomid/IUI and then if

we are successful another 9 months from then to see about

complications and delivery.

I do have a question that I think I sent to you a while back but

perhaps you missed it. What happens to fibroids post menopause? Do

they shrink into lumps of scar tissue, do they just shrink, do they

go away. The whole process of fibroids and their symptoms subsiding

post menopause is a mystery to all of us who have fibroids, most

especially the women who are close to menopause. Please share the

answer with the list if you don't mind.

Best,

Ann

> I thought I would add a few comments about some of the issues

recently

> discussed on the message board.

>

>

>

> Fibroids and Fertility:

>

> I just read the article in the March, 2004 issue of Fertility and

Sterility,

> mentioned by Ann. The conclusion that fertility is not reduced by

fibroids

> smaller than 4 cm (about 2 inches) and in the wall of the uterus

(but not

> bulging into the uterine cavity) is consistent with the large

analysis of

> 4,900 patients published by Dr. Pritts a few years ago.

>

> The conclusion that fertility may be reduced by fibroids larger

than 4 cm in

> the wall of the uterus is not supported by the statistics

presented. In

> fact, the Results Section says that there was only a " trend "

towards lower

> pregnancy rates and that the DELIVERY RATES (of babies) WERE THE

SAME

> compared to women with no fibroids.

>

> There were only 41 women in the fibroid > 4 cm group - a very small

study.

> Also, neither confidence intervals nor power calculations

(sophisticated

> methods to determine whether statistics are truly meaningful) were

> performed, making me question the conclusions.

>

> I don't mean to burden everyone with these details, but before this

article

> gets into the public domain, I think it is important to understand

that its

> conclusions, I believe, are misstated.

>

> Bill , MD

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Hi,

wparker@...>

Iam oready gate three operation and my problem came back, so what can i do to

gate preganate and what thinks can i do to shrink my fibroids and my bleeding.

Please D.K. help me.

.

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