Hello. I Had An Ultrasound For Pelvic Pain And A

Posted on Sun, 13 Sep 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 13 Sep 2020 Answered on

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Question : Hello. I had an ultrasound for pelvic pain and a 10.7cm fibroid was found. My OB/GYN attempted to perform a hysteroscopic myomectomy but was unsuccessful in removing it. She initially thought it was submucosal but found it was intramural. Finding state low anterior fibroid curving/distorting cervical canal. Uterine distinction media was LR. Fibroid appeared to be more clearly fundal between both tubal Ostia. Due to the location of the fibroid even if she were to remove it laparoscopically she didn’t recommend a pregnancy due to high chance of uterine rupture. I wanted to get a second opinion on if the chance is high for uterine rupture post removal. Plan would be to use lurpon for several months to try to shrink it and then remove it. I’m trying to determine if the risk is too high to attempt a pregnancy post surgery. Otherwise I would obtain a hysterectomy. I’m 39 yrs.

Answered by Dr. Richa Agarwal (2 hours later)

Brief Answer:
The chances of uterine rupture is more.

Detailed Answer:
Hello dear,
Thanks for trusting us about your health care.
I have gone through your history and understand your concern fully.
It is true due to position of fibroid, there is chances of uterine rupture are more after surgery.
But before giving opinion about it,I want to know have you completed your family or not?
What are the symptoms due to fibroid?
Lupton is better option to shrink the size of fibroid.
Hope found useful, feel free to ask more information about it.
Hope to hear from you soon.
Good luck
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Richa Agarwal (3 hours later)

Hello! Symptoms are more frequent urination and pelvic discomfort. Can be on either side. You can also clearly see and feel the fibroid when I lay down. My primary care doctor said my uterus felt as though I was 16 weeks pregnant.

My family history is my mother passed 10 years ago ovarian cancer. Father has high blood pressure and heart disease. I had surgery in 2009 for ovarian cyst removal from my rt ovary. Both ovaries are present. I was negative when tested for BRAC2 mutations. I also have osteoarthritis.

When you say there’s an increased chance is it to the point where you wouldn’t recommend pregnancy or it’s just a higher risk?

Answered by Dr. Richa Agarwal (14 hours later)

Brief Answer:
Go for the surgery first.

Detailed Answer:
Hello dear,
Sorry for the delay in my response.
As your fibroid is larger in size,it is better to go for the surgery.
After surgery ( removal of fibroid),uterine condition decides your future pregnancy chances.
Hope found useful, feel free to ask more information.
Good luck
Regards

Above answer was peer-reviewed by : Dr. Prasad