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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Uterine Posterior Submucosal Fibroid Measuring 4.6 X 4.1 X 3.5 Cm Signify Large Fibroid And What Course Of Action Should Be Taken?

Hi i am 43 year old 5 10 165 lbs. I was dignosed with uterus anteverted measuring 9.0 x 4.9x 5.7 volume is 133ml, posterior submucosal fibroid measures 4.6 x 4.1 x 3.5 cm. endrometrium is 14.8mm. It this a large fibroid and what course of action should I take.
Thu, 6 Feb 2014
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OBGYN 's  Response
Hi thanks for posting.

More than the size of the fibroid the location ie submucosal location is likely to cause problems like excessive(regular/irregular) bleeding during menses or severe stomach cramps(dysmenorrhea) during menses.And from the scan i see the endometrium is also thick.

If you are symptomatic, you can go for a hysteroscopic(day care procedure) removal of the fibroid alone. Before that or during the hysteroscopy your doctor might consider endometrial biopsy also.

If you are not symptomatic, i would advise atleast an endometrial biposy. If that comes as normal you can wait till you become symptomatic. It is not necessary that you need to undergo surgery to remove the entire uterus, though that can be kept as an option(again if you have troubling symptoms).

Best wishes.
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Does Uterine Posterior Submucosal Fibroid Measuring 4.6 X 4.1 X 3.5 Cm Signify Large Fibroid And What Course Of Action Should Be Taken?

Hi thanks for posting. More than the size of the fibroid the location ie submucosal location is likely to cause problems like excessive(regular/irregular) bleeding during menses or severe stomach cramps(dysmenorrhea) during menses.And from the scan i see the endometrium is also thick. If you are symptomatic, you can go for a hysteroscopic(day care procedure) removal of the fibroid alone. Before that or during the hysteroscopy your doctor might consider endometrial biopsy also. If you are not symptomatic, i would advise atleast an endometrial biposy. If that comes as normal you can wait till you become symptomatic. It is not necessary that you need to undergo surgery to remove the entire uterus, though that can be kept as an option(again if you have troubling symptoms). Best wishes.