Brief Answer:
Need proper treatment. Consult with doctor.

Detailed Answer:
Hello,

Thanks for writing to us. Followings are my comments:

1) I have reviewed your attached ultrasound scan and it reveals MULTIPLE (3 in numbers) fibroids - ONE of them is QUITE LARGE (7.1 x 6.9 x 7.2 cm). You need proper treatment.

2) In this case, treatment can be initiated with haemostatic agent combined with oral progesterone pill for 3- 6 months duration. Levonorgestrel intrauterine devices (LNG-IUD) are HIGHLY effective to control bleeding and persisting symptoms.

Some other medical treatments are available to SHRINK fibroid tumor and before going to surgical option. They include DNAZOL, GnRH analogue, Selective Progesterone Receptor Modulator (Ulipristal acetate, Asoprisnil), Progesterone antagonist (Mifepristone) etc.

3) Minimally invasive treatment like Radio Frequency Ablation and Non-Invasive treatment like Uterine artery embolization are also available to SHRINK fibroid and improve patient's condition.

4) In case of failed medical therapy or if you prefer conservative treatment, then MYOMECTOMY (removal of fibroid only) can be done.

If you have completed family, then BEST surgical option is Subtotal or Total Hysterectomy WITH or WITHOUT Oophorectomy (removal of Ovary).

5) I suggest you to consult with your GYNECOLOGIST for clinical examination and necessary investigation for proper assessment to determine RIGHT choice of treatment in this case. You should start taking IRON supplement with your daily diet to combat future risk of anemia.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish your good health and take care yourself. Maintain genital hygiene.

Regards,
Dr S Patra

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

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Brief Answer:
Fibroid is a benign tumor. Consult with doctor.

Detailed Answer:
Hello,

Thanks for follow up query.

1) Uterine fibroid is a BENIGN tumor. The malignant version of a fibroid is extremely uncommon and RARE.

2) If you want to increase fertility, then medical treatment with Progesterone supplement can be initiated for first 3-6 months.

However, myomectomy (surgical) would be the BEST treatment if the tumor is operable. Kindly, consult with your gynecologist for complete clinical assessment to determine the right protocol.

Hope, I have answered your query. Kindly, close the discussion.

All the best and good luck.

Regards,
Dr S Patra

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Brief Answer:
Details are given below.

Detailed Answer:
Hello,

Thanks for additional query.

1) Heterogeneous debris is MOSTLY related with endometrial shedding or blood products as you were on the period. It is NOT dangerous thing.

2) If you want to preserve fertility or pregnancy, then treatment option is LIMITED. Progesterone supplement is usually given to shrink fibroid and control bleeding. It is an INITIAL treatment to be started before going to other option.

Surgical or other minimally invasive treatment may be NECESSARY, depending on the response of medical treatment and patient profile.

3) IRON added foods will be helpful if you DON'T have anemia at present. Kindly, consult with your doctor for proper assessment.

Hope, I have answered your query. Kindly, close the discussion.

All the best and good luck.

Regards,
Dr S Patra

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