Hello, I Have 4 Uterine Fibroids - One Is Shadowing

Posted on Tue, 30 Jun 2020

Tue, 30 Jun 2020 Answered on

Last reviewed on

Question : Hello, I have 4 uterine fibroids - one is shadowing my cervix - 2 of them are a little over 4cm. Is having a hysterectomy without ovaries being removed my best option? I am having abdominal discomfort and some pelvic “tightness “. Thank you for addressing my question. My Gyn gave 3 options - wait and see if they shrink after going through menopause, have a uterine artery embolization or have the hysterectomy without ovaries being removed.

Answered by Dr. Purushottam Neurgaonkar (1 hour later)

Brief Answer:
Some more information needed.

Detailed Answer:
Hi there.
I have understood your concern.
I will suggest you the best possible treatment options.

I would like to know about fee things in detail.
1. What's is your current age?
2. Are you having any menstrual bleeding related problems, like hevy bleeding or pain?
3. Are you having any associated medical issues like high blood pressure or diabetes or thyroid dysfunction.

All the options suggested to you are logically correct.
But I would like to help you to come to choose right one for you.
Your feedback will help me to understand your situation and guide you further.

If possible, share the sonography report and images. That will be of additional help .

I hope this answer helps you.
Please, feel free to communicate with me again.
Thanks.
Dr. Purushottam Neurgaonkar.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Purushottam Neurgaonkar (38 hours later)

Hello-

To answer your questions:
1- I am 52 years old
2- periods are irregular without much bleeding anymore, more light brown discharge and last 2-4 days
3- blood pressure runs around 136/80's, not diabetic, no known thyroid issues

thank you for your continued help,

Answered by Dr. Purushottam Neurgaonkar (2 minutes later)

Brief Answer:
Keep watch with USG. Or other medical options.

Detailed Answer:
Hi there.

Thanks for appreciating my answer and reverting back.

I have gone through your reply.

As far as your menstrual bleeding pattern is considered, I would like to suggest you have a sonography follow up after 3 months.
Fibroids shrink in size after menopause in the case of most women.

Secondly, other medical options available:

Nowadays that can avoid surgery, are as follows.
1. Tablet Mifepristone 25 mg daily for 4 months
2. Tablet Ulipristal 5 mg daily for 4 months.
3. An intrauterine device containing Levonorgestrel once inserted works over a period of 5 years.

If you don't have any menstrual bleeding related issues or any urinary or bowel pressure symptoms then you can simply keep watch on fibroids with serial sonography reports.

Else you can opt for the above-mentioned options after discussing with your treating gynecologist.

I hope this answer helps you.
Please feel free to communicate with me again.

Thanks.
Dr. Purushottam Neurgaonkar

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Purushottam Neurgaonkar (26 hours later)

My gynecologist isn’t too concerned about the fibroid that is overshadowing my cervix. With repeat sonograms I should be ok with just monitoring this. I’ve read that cervical fibroids are a little more rare? Thank you for your answer.

Answered by Dr. Purushottam Neurgaonkar (19 hours later)

Brief Answer:
A close watch on cervical fibroids.

Detailed Answer:
Hi there.

Thanks for your appreciation of my reply.

You have mentioned about the fibroid in the cervical area, in my opinion fibroids in this area are rare and should be watched for increase in the size.
Also, if you come across any urination related problems, please get back to your treating gynecologist.

Otherwise, you can opt for the previously suggested options.

Please feel free to communicate with me again.

I hope this answer helps you.
May I request you to take some time to rate the answers and leave a feedback as to usefulness of our discussion.

Thanks.
Dr. Purushottam Neurgaonkar

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee