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Submucosal fibroid
4 fibroids alongwith one submucosal fibroid of 18 mm and another outer one of 79 mm. They are increased in size from last year.
Why Endometrial thickness is 15 cm on 19 day (in a 25 day cycle).
Is it necessary to undergo surgery for fibroids at 40 years of age?
symptoms are there of heavy bleeding and stomach ache.
Answers (10)
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An 8 cm fibroid is quite a considerable size. Also since you are symptomatic it is a good reason for surgery. However if you want if symptoms are not too severe, you can try medical management for a few months and see.
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As you are symptomatic, we need to undergo some treatment. For Raised endometrial thickness on Day 19, you can get a repeat USG done after menses and check for Endometrial thickness. If it's in normal range, you can opt for hysterectomy (removal of uterus) surgery directly. But if it's raised even after menses, then endometrial sampling should be done before going for hysterectomy. D&c procedures along with removal of submucous fibroid can be done hysteroscopically. And if it resolves all your symptoms, then hysterectomy can be avoided
Next Steps
repeat USG after menses
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Kindly share your USG report.If the fibroids are submucosal and symptomatic not responding to medical management then it's better to go for surgery
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Your description can be analysed in the light of your symptoms and your desire for having more children.
Please seek a formal consultation with a Gynaecologist with your reports, especially ultrasound scan and CBC.
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Pls connect for online consultation and advice on
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Dr. Sankalpa Suryawanshi
Gynecologist
7 yrs exp
Nagpur
Hi,
If you are symptomatic and if the symptoms are deteriorating your quality of life by loss of blood in turn causing anemia, It is a good idea to get rid of it by surgery.
Medications will temporarily help and are not the solution.
Surgery is definitive treatment esp for the submucosal fibroid
Next Steps
talk to your doctor if submucosal fibroid can be dealt with hysteroscopic resection.
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Make sure hemoglobin levels are maintained well with diet and supplements.
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Dr. Juhi Agarwal
Gynecologist
6 yrs exp
Baleswar
Yes...with what u hv written ...u should go for surgery
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Dr. Zaheda Aziz
Gynecologist
2 yrs exp
Ernakulam
Since you have heavy bleeding and pain, it is better to get treated. Submucosal fibroids are usually difficult to treat with medicines alone and will need surgery if medical management failed.
Since you also mentioned a thickened Endometrium, it is better to do an endometrial biopsy before proceeding with surgery.
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Dr. Pushpa Gour
Gynecologist
32 yrs exp
Bhopal
Better get it removed when it's causing problems.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.