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Irregular bleeding - Hysterectomy?
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Irregular bleeding - Hysterectomy?

I have had irregular bleeding, cramping and periods for the last several months. It started out as occasional spotting between periods and has progressed to feeling bloated, more frequent bleeding between periods, bleeding after intercourse every time, and cramping after intercourse. My periods are heavy and irregular - one month it will be 12 days in length, the next 2 days in length.

I've had 3 OB/GYN's who have suggested a partial hysterectomy (leaving the ovaries). They suspect fibroids as the cause because of an ultrasound I had. I am worried about uterine cancer as I have all the symptoms. If this was caused only from a fibroid would a hysterectomy be appropriate? Or could the bleeding stop eventually on its own if was just caused from a fibroid? I don't want to go through an unnecessary surgery, but I do want to know without a doubt if its cancer or not. Any thoughts are appreciated.
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By the way, I should add I'm 38 years old and have been having normal periods since age 11. The pap smear I had about 5 months ago was normal.
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Any thoughts? Would you go through with a partial hysterectomy for spotting all throughout the month or would you do a uterine biopsy first to rule out cancer then just deal with the bleeding and heavy periods?
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Hello,
For fibroids, Medications called gonadotropin-releasing hormone (GnRH) analogs (Lupron) are commonly used in the medical treatment of fibroids. Other than that surgical treatment myomectomy which is removal of the fibroid (by surgery, laparoscopic or hysteroscopic methods) may also be entertained. Last resort is hysterectomy.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

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