Hysterectomy Community
Fibroids and menopause
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This patient support community is for discussions relating to hysterectomy, such as: abdominal hysterectomy, bilateral Salpingo-Oophorectomy, Laparoscopic Hysterectomy, LAVH, menopause, Oopherectomy, ovarian cysts, pelvic pain, radical hysterectomy, subtotal hysterectomy, supracervical or partial hysterectomy, uterine fibroids, and vaginal hysterectomy.

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Fibroids and menopause

I am 48 years old.   For the 2 years prior to the last, I have had normal periods mixed in with a month here and there of skipping a complete month, then back to normal. Always normal pap smears, no mention ever of fibroids etc.   Normal period length of 5-6 days etc.  

I have since moved to another state and of course new obgyn....and for the past year however I had a period that lasted 3 weeks....heavy/normal with clotting for a week, slowed down for a few days, then started back up again like a regular period....4 days later slowed and then just spotted for the next week...red then brown, then done.  It scared me a bit, so I went to new obgyn, he said "pretty sure you are in pre-menopause"...he did an exam and felt a fibroid.  I said a what???  I had never been told that, called my old doctor, and they said that none were noted.   Papsmear came back normal as did the biopsy of the cervix he took.  He ordered a vaginal and topical ultrasound which confirmed fibroids...he said one or two were fairly large.  He said just to keep an eye on the bleeding and probably just my body going through premenopause. I asked him about cancer...since I am a worrywart.  He said no cancer.

Then, I went 6 weeks, no period, then my period came for almost a month this time. Kind of the same scenario. I called him again and he said, lets do another vag and topical ultrasound (the first ultrasounds were exactly 6 months ago). Utrasound showed that one of the fibroids were possibly, slightly bigger, 2 millimeters.  He said he would do an FSH test and if it's 20 or below that he would try me on a low dose BCP.  Well...my number came in at 80, well into menopause, so he said that he has never put a menopausal women on BCP.  He said that if the bleeding is bothersome and I want "quality of life" to have a hysterectomy.  I then again asked, "if it's not bad should I just go through the periods as long as I am not anemic"?   He said that there is a "slight" chance the fibroids can be cancerous.....although small..he can't say 100%.  Of course now....I am scared to death!!!!  Before he said no...now there's a chance..  

Can you help? .
Avatar_dr_f_tn
Hi,
How are you? Fibroids are muscular tumors that grow in the wall of the uterus and majority of women develop fibroids by the time they reach age 50. It can be asymptomatic or may present with pain and heavy menstrual bleeding. The cause is not known but may be associated with hormonal or genetic causes. These are almost always benign and rarely about less than one in 1,000- a cancerous fibroid or leiomyosarcoma may occur. Having fibroids does not increase the risk of developing a cancerous fibroid. Aside from surgery, there is an option for observation and intake of medications. Regular scan may be done to monitor the growth of the fibroids. After the menopause, fibroids often shrink and symptoms tend to go or improve. Talk to your doctor about this for proper management. Take care and do keep us posted.
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