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Suggest Treatment For Uterine Fibroid
Question: Hello. In May i was diagnostified with an uterus fibroid 30- 34 mm. I got 4 months primolut 5 mg. before 2 days i made an echo and now i have the same fibroid 34-38 mm and another posterior 20- 24 mm and hemoglobine 10.5 mg and Iron 10.15 mg. my doctor advise me to continue primolut 5 mg 2 times in day. What is your advice?
Brief Answer:
Primolout is not a medication that treats fibroids, it treats bleeding
Detailed Answer:
Hello, and I hope I can help you today.
Uterine fibroids are benign uterine tumors that are very common; almost 35-45 percent of women grow them during their lifetime. In most women they do not cause symptoms, but in some they can cause heavy and irregular bleeding, pelvic pain and painful menstruation.
Primolut is a medication that is a type of the hormone progesterone, which is used to treat heavy periods. If you have heavy menstrual periods from your fibroids, the medication may help to control those symptoms. From the lab result you provided, you are anemic, but I do not know if this is an increase or decrease from your previous value or if you have had improvement in your bleeding from the medication you have been taking over the last four months.
So in summary, if the medication has controlled your bleeding, you should continue to take it. However, the medication will not make your fibroids go away. The only thing that makes fibroids go away is surgery or menopause.
I hope I was able to adequately answer your question today with the information you provided. If you need further clarification, kindly provide me with your age, medical history and previous laboratory values, as I will better be able to advise you with more information.
Best wishes,
Dr. Brown
Primolout is not a medication that treats fibroids, it treats bleeding
Detailed Answer:
Hello, and I hope I can help you today.
Uterine fibroids are benign uterine tumors that are very common; almost 35-45 percent of women grow them during their lifetime. In most women they do not cause symptoms, but in some they can cause heavy and irregular bleeding, pelvic pain and painful menstruation.
Primolut is a medication that is a type of the hormone progesterone, which is used to treat heavy periods. If you have heavy menstrual periods from your fibroids, the medication may help to control those symptoms. From the lab result you provided, you are anemic, but I do not know if this is an increase or decrease from your previous value or if you have had improvement in your bleeding from the medication you have been taking over the last four months.
So in summary, if the medication has controlled your bleeding, you should continue to take it. However, the medication will not make your fibroids go away. The only thing that makes fibroids go away is surgery or menopause.
I hope I was able to adequately answer your question today with the information you provided. If you need further clarification, kindly provide me with your age, medical history and previous laboratory values, as I will better be able to advise you with more information.
Best wishes,
Dr. Brown
Above answer was peer-reviewed by :
Dr. Raju A.T
I am 47 years old. Previously i had heavy bleeding and painful menstruation cycle that durated 7 days. After using primolut i have lighter and less painful menstruation that durate no more than 5days. You recommended me the surgery as a solution but My doctor recommended me as my fibroids are small in size to continue using for another 2 months primoluts. After this if we do not have good results i should pass in menopause through injection. Unfortunately i have not made analysis four months before using primolut. I only have the results of some analysis made three years ago. What do you recommend to me ? Thank you in advance.
Brief Answer:
I only recommend surgery as a solution if the medication was not helping
Detailed Answer:
Hello again Ma'am.
Thank you so much for providing me with the additional information so I can better assist you. I think you misunderstood some of the wording of my previous answer, so I will try to clarify things a bit more for you.
First of all, I wanted to just make sure that you understood that the medication you were taking will not make your fibroids go away. Fibroids themselves are not dangerous, and you only need surgery if your bleeding is not improving with medication, so I am not recommending surgery in your situation.
If your fibroids are small, (which they are) and the medication you are taking has improved your periods (which it did), and you feel less pain, then I agree with your doctor's recommendation to continue with the Primolut for another two months and at that time, to repeat your hemoglobin level, since you did not have one checked before starting the medication.
You will also have a greater chance of improving your hemoglobin levels by taking an iron supplement, if you are not doing so already.
If your hemoglobin levels are higher in two more months on the Primolut, there is no reason to change anything and I would just suggest continuing the medication until you stop menstruating (which in the average woman takes place around age 50)
If you are still anemic, I agree that you should try the injection to induce menopause that your doctor is recommending. It will make your period stop completely for 6 months and afterwards many women see shrinkage of their fibroids.
So again, I want to clarify that you do not need surgery in this case and that I agree with your doctor's recommendations. I had just wanted to make sure that you understood that Primolut does not make the fibroids go away, as many women have that misconception.
If you need any further clarification, please do not hesitate to let me know.
Regards,
Dr. Brown
I only recommend surgery as a solution if the medication was not helping
Detailed Answer:
Hello again Ma'am.
Thank you so much for providing me with the additional information so I can better assist you. I think you misunderstood some of the wording of my previous answer, so I will try to clarify things a bit more for you.
First of all, I wanted to just make sure that you understood that the medication you were taking will not make your fibroids go away. Fibroids themselves are not dangerous, and you only need surgery if your bleeding is not improving with medication, so I am not recommending surgery in your situation.
If your fibroids are small, (which they are) and the medication you are taking has improved your periods (which it did), and you feel less pain, then I agree with your doctor's recommendation to continue with the Primolut for another two months and at that time, to repeat your hemoglobin level, since you did not have one checked before starting the medication.
You will also have a greater chance of improving your hemoglobin levels by taking an iron supplement, if you are not doing so already.
If your hemoglobin levels are higher in two more months on the Primolut, there is no reason to change anything and I would just suggest continuing the medication until you stop menstruating (which in the average woman takes place around age 50)
If you are still anemic, I agree that you should try the injection to induce menopause that your doctor is recommending. It will make your period stop completely for 6 months and afterwards many women see shrinkage of their fibroids.
So again, I want to clarify that you do not need surgery in this case and that I agree with your doctor's recommendations. I had just wanted to make sure that you understood that Primolut does not make the fibroids go away, as many women have that misconception.
If you need any further clarification, please do not hesitate to let me know.
Regards,
Dr. Brown
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. Raju A.T
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