To Jean

[Guest guest]

Hello my dear,

Your question about the three different tests can be answered as follows...

Note: myomas = fibroids (two terms for the same thing)

For the best view of your endometrial cavity, location of the myomas, and to

see their size:

Hysteroscopic exam = best view and appearance as well as type of fibs

Sonohysterogram = next best view of location and size of fibs

Intravaginal ultrasound = general idea of where the fibs reside

It is very important that you find a skilled doctor to perform your

hysteroscopic resection. It may be a quick day surgery, but it takes

experience and a knowledgeable surgeon to perform the procedure. Some women

may have to have multiple resections depending upon how large their fibs are

as well as how many. This is not a reflection of the skill of the surgeon.

Due to the nature of the type of surgery, after resecting fibs for 60

minutes, the surgeon's view of the cavity soon becomes muddied by blood and

resected tissue. often times the surgeon will have to stop the procedure

and schedule another one in a few weeks.

Many doctors do not perform resections because of this " multiple " surgery

potential. This is because most patients are not willing to accept multiple

surgeries. Patients are more attracted to " one " surgery (such as an ab

myomectomy) even though the recovery time is longer and much more painful.

I have had three resections (each a month apart.) I would suggest this to

any woman because they are easy to recover from and you don't have to take

so much time off of work. And actually the three resection surgeries were

less expensive in all than my ab myo I had four years ago. It's a woman's

choice.

Just yesterday I had my third in-office hysteroscopic exam. It's been two

months since my last resection and my doctor wanted to look at the endo

cavity since I am now off of the pill and hoping to get pregnant soon. My

periods are incredibly light and short now, oh it's wonderful!

And from what he saw yesterday, I have plenty of healthy endometrial tissue

available for an embryo to attach!

So I highly recommend the resection surgery. Definitely find a doctor who

has experience doing them. I had to go to a fertility center to find my

doctor. I asked him yesterday if he helps women who want fibroid relief but

are not interested in getting pregnant. And he said, " Of course, we help

any woman who is having issues with their uterus and cannot find a doctor

who will perform the type of surgeries they do in his office. " So you

might even call a fertility clinic.

Good luck. I hope some of the ladies here can help you find a doctor in

your area.

Hugs,

Sonja

in Oregon