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Fibroids - When Is a Hysterectomy Necessary?
From the Ask a Doctor - Hysterectomy Related Questions Articles List
When is a hysterectomy necessary for treating fibroids? Does it matter what kind or how many fibroids I have?
Reply by
James Kondrup, M.D.:
A hysterectomy is necessary for treating fibroids when symptoms from the fibroids become bothersome or when the amount of uterine bleeding is significantly affecting your life. A hysterectomy isn't your only choice, however, especially if you want to preserve your fertility.
Hysterectomy:
This is usually performed when you are done having children, the fibroids have continued to grow, and symptoms include bleeding and pressure on the bladder, pelvis, or back. If you do need a hysterectomy, it can almost always be done laparoscopically using small incisions.
Uterine Artery Embolization (UAE):
In this procedure, a specially trained radiologist called an interventional radiologist passes a catheter into the uterine artery, and then uses plugs to block the artery to the fibroid. This starves the fibroid of blood and causes it to shrink.
Myomectomy:
This term refers to removal of the fibroid. This procedure is done for those woman wishing to preserve their fertility, or who are adamant about not losing their uterus. This is an advanced procedure which can be done laparoscopically by an experienced surgeon.
Hysteroscopic Myomectomy:
This procedure involves removing the fibroid by shaving it with a device that has been passed into the uterus through the cervix. Hysteroscopic myomectomy is done when the fibroid is located inside the uterine canal.
Many factors are involved with fibroids and how to remove them. This includes the size, the number, and their location. Your surgeon may want you to have an MRI to better assess these factors and determine the best treatment option for you.
The responses in the "Ask a Doctor" articles are provided by M.D./Surgeons with credentials in their linked profiles. The HysterSisters.com staff thanks the doctors for their participation and reminds all readers to discuss their medical concerns with their personal physicians for specific information about their health choices, as this is in no way intended to take the place of members consulting with their own physicians.
07-10-2013 - 11:04 PM
SHARING IS CARING
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Aileen Caceres, M.D.
Center for Specialized Gynecology/Florida Hospital
410 Celebration Place, Suite 302
Celebration FL 34747
(407) 303-4573 |
Lauren Streicher, M.D.
Gynecologic Specialists of Northwestern, S.C
680 N. Lake Shore Dr., Suite 117
Chicago IL 60611
(312)654-1166 |
Ken Sinervo, M.D.
1140 Hammond Dr., Ste. F6220
Atlanta GA 30328
770-913-0001 |
Ted Lee, M.D.
Magee Womens Hospital
300 Halket Street
Pittsburgh PA 15213
412 641 6412 |
Arnold Advincula, M.D.
Columbia Ob/Gyn Midtown
51 West 51st St, 3rd FL
New York NY 10019
(855) 75-OBGYN |
James Kondrup, M.D.
161 Riverside Drive
Suite 109
Binghamton NY 13905
607-770-7074 |
Debra Richardson, M.D.
Gynecological Oncology Clinic - SW Med
2201 Inwood Road Suite 106
Dallas TX 75390
214-645-4673 |
Caren C Reaves, M.D.
Caring for Women
2805 S. Mayhill Rd
Denton TX 76208
940-591-6700 |
Ellen Wilson, M.D.
5323 Harry Hines Blvd - Dept of OBGYN
Dallas TX 75390
214-648-4747 |
