Re: Does anyone have to face such decision

[Guest guest]

Unfortunately, you are correct that there is no right

answer anyone can give you and it's your decision to

make. Here is my personal experience: I had one myo

in 1999 to remove 15 fibroids. They grew back

eventually and by Winter 2003 I had 8 large ones and

multiple smaller ones and they were causing me major

problems. After discussing many times with my doctor,

we decided it was best to try to get pg as soon as

possible after my wedding which was in April 2003

rather than doing a 2nd myo. She said it may take

some time to conceive b/c of where and how many

fibroids I had. So, my husband and I decided to do

what she suggested. I was very lucky and got pg right

away. I had an extremely difficult pregnancy due to

the fibroids and was on bedrest for 5-1/2 months. But

I have a perfectly healthy baby girl now and am very

happy with my decision and would not do it any

differently. I am now faced with the same problems I

had with my fibroids pre-pregnancy and we have decided

again to postpone any surgery. I am going to try again

to get pregnant at 6 months post 1st baby. I did have

to have a c-section b/c of the previous myo I had. I

am hoping to get pg quickly, have another baby (and

hope not as tough a pregnancy) and then have the

myomectomy. I wish you all the luck with making your

decision. It is so tough but this is a great group of

people to help share their stories so that you can

weigh your options.

--- ljiang64 ljiang64@...> wrote:

> Hi,

>

> I have 3 fibroids, the largest one around 8cm, then

> 4cm and 3 cm.

> According to the MRI, the first 2 locations are in

> the uterus muscle

> wall but push against the lining already. I am 40

> years old and

> want to have children.

>

> I have these sets opinions from doctors that I

> summarized which made

> it extremely hard for me since I do not want to have

> surgery before

> birth if all possible. Otherwise, I will have a

> c-section during

> birth.

>

> 1) try to get pregnant before surgery and you may

> just be fine.

> 2) get myo since the fibroids will grow during

> pregnancy

> 3) do a laparascopic surgery ( one master surgeon)

> suggest, since he

> believes that the uterus wall repair is just as good

> as myo.

>

> Does anyone has to face such difficult decision and

> based on what you

> have made your decision. I'd very much appreciate

> your sharing. It

> is extremely troubling since there is no one answer

> for my case since

> I do not have bleeding and severe pain sympton.

>

> Thanks for any help in advance!

[Guest guest]

I have a similar situation - 3 known fibroids - the largest is 7 cm. I am

forty and have been trying for one year. The first OB/BGYN suggested the myo.

The second told me that the fibroids weren't the problem (wasn't conceiving)

and put me on Clomid. Then I saw and RE who said that I needed the myomectomy

since the fibroids grew so much (possibly because of the Clomid). After a

year of TTC, I am ready to face the surgery. I am making appointment with 2

surgeons to decide who will do the surgery. You can email me privately if you

want more information. It's so hard when your facing fibroids AND infertility

at

the age of 40! Suzanne

[Guest guest]

<1) try to get pregnant before surgery and you may just be fine>.

This is best answered by the gynaecologist, who can say

whether your fibroid positions are likely to cause problems or

not, and if so, what.

<2) get myo since the fibroids will grow during pregnancy>

Depends on the answer given to the above question.

Sometimes they don't remove all of the fibroid(s) during a myo,

and you could ask about that too. You might be advised to have

the myo before trying to concieve.

<3) do a laparascopic surgery ( one master surgeon) suggest,

since he believes that the uterus wall repair is just as good as

myo.>

(Correct me if I'm wong here, posters) Myomectomy might be

achieved through the vagina, a keyhole incision by the navel , a

long vertical or long horizontal incision, or a combination of

keyhole and shorter additional incision. The most suitable

approach depends on the type, position and location of the

fibroids, your goals and the surgeon's preferred approaches.

I think the recovery may be shorter with keyhole surgery, but

which is best for future pregnancies, and if it matters which, I'm

not sure. Have a look at Dr. indman's, Dr. Toaff's and Dr. 's

websites. If your gynaecologist surgeon reckons the uterus will

repair just as well as an abdominal myo full incision in your

case, for a future pregancy, then great!

Above all else, talk further about pros and cons of options with

your gynaecologist who should have examined you and seen

the ultrasound report and blood tests. Their response will be the

most specific to your case.

There are various good fibroid books and the best ones are

invaluable. (I personally found the general info ones more

helpful than the natural progesterone focussed books and the

pop psychology books, but it's 'horses for courses'.) You may

find around 26 titles at internet booksellers sites ad fibroid

charities who list fibroid books.

The disadvantage of do nothing is that if they get bigger it might

change the eventual treatment approach and how it is for the

surgeon to perform?? You'd have to ask about your particular

case. The advantage is your body isn't getting interfered with by

surgery. You should insist that the fibroids are monitored from

time to time and tell/remind doctors with changes of hormonal

prescriptions.

It may be that other symptoms you have are due to fibroids or

even that symptoms you do have aren't the fibroids after all,

despite being typical of fibroids. Some other fibroid symptoms

some people get for example, include pain associated with sex,

back and/or front ache, frequent urination, bowel problems, a

bloated stomach look or overweight appearance, pains,

anaemia symptoms like paleness, tiredness, breathlessness,

odd non-food cravings etc. and possibly other symptoms too.

It's time to pick the brains of your gynaecologist again, I think,

pre-armed with written down questions and having had a look at

a book or two. You can sometimes see them in local libraries.

If you've had a myomectomy, you may get fibroids again in the

future, or you may not. I've read that the ratio is something like

30 % will, 70% won't, if you trust to such surveys and statistics.

Ask about the C Section as I don't know if all ex myo women

need a C Section, or not.

Aztek (I have no medical knowledge - these are just starting point

thoughts)

[Guest guest]

, Your story sounds like my, but only with one differences I had one

miscarriage before the myo and the March after the myo I got pregnant again

and I miscarried once again. I was told that the miscarriages were probably

coming from the tumors. The reason for that is wherever the egg implants

itself maybe a tumor was their or some type of scare tissue from a tumor.

Congrat on getting pregnant and having a healthy baby. Since my last

miscarriage in 1999 I have been unsuccessful at getting pregnant again. I

wish you best of luck at getting pregnant again. Did your tumors grow any

during your pregnancy? I know sometimes they will grow.

A