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Hello my dear,

It is very unlikely that your fibroids have grown back. Once removed, a

fibroid does not grow back, but others can grow or become larger and cause

problems. In your case, since your symtoms have not improved it is most

likely that your submucosal fibroids have not all been removed still after

two resection surgeries. If you had multiple fibroids sometimes surgeons

cannot see them all and leave some behind during a resection. I had to have

three resections (a month apart for each) because after two weeks of healing

after the first surgery my doctor found more appearing (during a

hysteroscopy exam) that were hidden under the larger fibs he had removed. I

was on the pill the whole time during the surgical period so I don't know if

my periods were affected.

Now I am off the pill... HORAY!!!... and all the fibs are gone. I have had

two periods and they are incredibly light and short. To me, having three

resections was completely worth it. Now my bleeding is no longer an issue.

My advice to you is to ask your current gyn to perform an in-office

hysteroscopy exam. She can see what is still in your endometrial cavity

creating your bleeding and clotting. If you still have clotting it is very

possible your fibroids are not all gone.

I had an in-office hysteroscopy exam 3 times. The first was before my first

resection to look at what was going on in there, the second was after that

first surgery, and the third exam was two weeks after my last surgery to

make darn sure all the fibs had been removed.

My doctor told me that some submucosal fibs can grow from the myometrium

(uterine muscle wall) into the endometrial cavity. They are embedded and

when they get large enough they begin to extend outward into the cavity.

They are similar to intramural fibroids, but cause symptoms like a

submucosal fib. These are more difficult to remove than submucosal fibs

that grow from the endo wall and are not within the muscle of the uterus.

Ask your doctor if this may be your situation.

Try not to worry, due to the nature of a hysteroscopic resection surgery

doctors can only operate for about 60 minutes at a time. After that point

it is too difficult for them to see because of the bleeding you do from the

resecting. So if you have a number of fibs or very large fibs, multiple

resection surgeries may have to be performed. Even with a highly skilled

surgeon this is the case. So be sure to know that you are not the only one

who may need three surgeries.

Good luck my dear. Please feel free to e-mail me personally if you need

more support about this.

greenvu@...

Blessings,

Sonja :)

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