Hello. I am new to this forum but it is pretty much exactly what I need right now because I cannot no matter how much I try decide whether or not to have a myomectomy or hysterectomy.
My history goes as follows. In 2002 I had my Son who was born a month early completely healthy despite the fact that I got preaclampsia and had placenta abruption.
In 2006 I got my period and it lasted for 2 months at which time found I that I had PCOS and placed on metformin.
Last year at the end of 2009/begining 2010 at my papsmear I told my dr that I wanted to check to see if everything was ok for me to even have a child due to the pcos and the fact that it was believed that I had 2 miscarriages early on in the first two weeks. I have always wanted to have another child for years but for either health, money, or whatver reason it hasn't happened. I am greatful for my Son and if he was it then so be it but I have always never given up hope on a possible second.
So they did complete bloodwork and a sonogram of my uterus and ovaries. When they did the sonogram they said I had numerous fibroids both inside and outside my uterus and there was a large cyst covering my left ovary. But I had my period when I had the sonogram done so they said the cyst was more then likely from being on my cycle. The largest of the fibroids measured in at 3.2 cm.
The bloodwork came back showing that I tested positive for 2 blood disorders that had copies or mutations. The first one MTHFR and the other was 20210, a clotting disorder and the other deals with thrombosis blood clots. They hinder both getting pregnant and can cause miscarriage at any point in time within the pregnancy. I was told to take a baby aspirin everyday but after a few weeks of doing this stopped because I would wake up each morning with a mild headache. Strange I know but the daily aspirin was actually giving me a daily headache. But I have no problem taking things like excedrin for an actual headache which has aspirin in it and do just fine.
So now this brings us to 2011 where I had my yearly pap again and sonogram. They did the sonogram both external and internal. They found that there was no change in the fact that I still had numerous uterine fibroids both inside and outside my uterus, but that the four larger ones had grown from 3.2 cm to 4.5 cm over the past year. They were also unable to matter how they tried to see either one of my ovaries because my uterus and fibroids were completely covering them and engulfing my ovaries the sonographer said.
It wasn't even a few days later when the dr called for me to come in the very next morning to speak with him. He said that he didn't like the size of my uterus at all and said that it was comparable to the size of a woman who was about 8 months pregnant.
He said that it all mattered on if I wanted to preserve fertility or not as to what my decision needed to be and how to proceed from here. He said that if it was myomectomy they would have to make sure that there wasn't a fibroid protruding into the womb because if it was then a myomectomy was out of the question. He also said all the usual as far as its invasive and putting the uterus back together and the fibroids can grow back and cause later problems etc. Then of course the hysterectomy is wham bam thank you mam if I don't want to preserve fertility.
I kept asking I guess because I wanted someone to just flat out tell me what to do what I should do considering my blood disorders, pcos, etc etc and of course didn't get a true answer as it is up to me.
I feel that I am just to young to make this type of decision. No offense to anyone of any age, its just to me at my age it just feels like a decision I need a grown up to make for me lol if that makes any sense what so ever. Its like I can't see the future and I can't know if things will go well with the myomectomy. I can't know if my uterus would get better and if I am strong enough and my body capable enough to go against the negative and get pregnant and not have a miscarriage in the next few years. I had said before that I wanted to have all my children before I was 30 and then all these health issues come up that set you back a few years, and the time just goes by and then I think if I have the myomectomy how many years would it take to possibly get pregnant if at all and if I don't get pregnant by the time I am 35 or it doesn't work out at all I was just buying time with my body to go through everything I"m going to through right now.
For years I have lived with so much pain from that area and blaming it all on having pcos. There are days and times when I can't even sit down or even walk without walking hunched over because the pain is so bad, the periods of course soak through clothing at times, my stomach swells, and forget it I've go to the bathroom sometimes five times an hour with frequent urination. And I blamed it all on the pcos or something else for years and come to find out it is pretty much all from the fibrioids.
So I know that the fibroids have to come out but I keep going back and forth on the matter.
My honest thought on it is that when I sit and think about everything my body has going against it even if I get the myomectomy that a pregnancy is not in my future in the next five years even though I want it so badly.
But at the same time I think to myself a uterus is my only ticket to having another child and I don't want them to take it even though I probobly can't have children.
Does that make any sense?? Sounds ironic or something but I need advise. So please help me with your great words of wisdom because this little woman is lost between the battle of what to do.