Aa
Myomatous Uterus
Myomatous Uterus As Described
I am a 46 year old Female with 1 child.
CLINICAL HISTORY: Menorrhagia
On 2/23/2010 a Transabdominal and Endovaginal sonography was performed.
The uterus measures 8.7 cm x 4.5 cm x 4.8 cm in longitudinal, AP, and transverse dimensions respectively.
There is diffuse mild inhomogeneity of the uterus with a single focal fibroid seen arising from the body anteriorly measuring 2.5 cm x 1.9 cm x 1.8 cm. The endometrial echo complex measures 8 mm in thickness.
No fluid or debris are seen within the endometrial cavity.
The right ovary measures 2.4 cm x 1.5 cm x 1.4 cm. A 1.0 cm follicle with internal echoes, presumably hemorrhagic arises from the right ovary. The left ovary is normal in appearance and measures 2.1 cm x 1.7 cm x 1.4 cm.
No free fluid is seen in the pelvic cul-de-sac.
IMPRESSION:
1. Myomatous uterus as described.
2. 1.0 cm presumes hemorrhagic right ovarian follicle.
Can you please, explain this to me ????
My gynecologist wants to do a Hysterectomy....
Is this mandatory ????
Or do I have any other options ????
Please, help me I am confused....
Thank You,
Sincerely,
dolphinrose
I just noticed your age, have Dr do a hormone level test..this would indicate how close you are to menopause ..likely ten years from now , but many fall into menopause in late 40s
Uterine myomas also called “fibroids” are tumors that grow from the wall of the uterus. The uterie wall is made of fatty tissue. fibroids start off very small, Most always begnine only small chance of malignancy
a hemmorrhagic follicle is the normal process of ovulation, the part where egg is released still atop the ovary before entering fallopian tube...it could also be containing extra blood due to injury or trauma.
Its sometimes called a "functional cyst" this is what I was told I had yet it kept comming back more often than one would ovulate and was just the left ovary it caused me so much pain and sooo many trips to the ER that I opted to have it removed.
No a hysterectomy is not mandatory,If your close to menopause the fibrroid will dissapear post menopause. Also there are chemical options, some use a birth control pill this is a mild approach it may or may not work. There is a injection option called Leupron ( I am not a Dr you must speak w your Dr about this) Leupron has a side effect for a large percent of women . It is known to cause deep depression, weepiness. May not happen to you, you could always stop if it does. Leupron will put you into a menopause, It works.
I am certain both your conditons are painful, I would urge you to seek atleast one more opinion. Some Drs unfortunatlly are a bit fast to recomend a hysterectomy. This should always be the last choice, the last option. It is a difficult painful surgery. the recovery is long 6 weeks. Once the 6 weeks is done you could resume all normal activities and your pain would be gone.
I would reccomend if you do decide on a hysterectomy to read up on the DaVinci method its the best, safest, least invase type of hysterectomy. Less blood loss, smaller incisions, better success for surgeon with ability to make smaller incisions and cauterisations.
If you have any more questions please feel welcomed to ask on here or you may pm me,
Hope this helped !!
Cherie
.Fibroids do not have to be removed unless they are causing symptoms such as heavy periods, irregular bleeding, or severe cramps with periods
It is possible the size alone causes great pain ( yours are large) uterus removal would cease symptoms..
a hemmorrhagic follicle is the normal process of ovulation, the part where egg is released still atop the ovary before entering fallopian tube...it could also be containing extra blood due to injury or trauma.
Its sometimes called a "functional cyst" this is what I was told I had yet it kept comming back more often than one would ovulate and was just the left ovary it caused me so much pain and sooo many trips to the ER that I opted to have it removed.
No a hysterectomy is not mandatory,If your close to menopause the fibrroid will dissapear post menopause. Also there are chemical options, some use a birth control pill this is a mild approach it may or may not work. There is a injection option called Leupron ( I am not a Dr you must speak w your Dr about this) Leupron has a side effect for a large percent of women . It is known to cause deep depression, weepiness. May not happen to you, you could always stop if it does. Leupron will put you into a menopause, It works.
I am certain both your conditons are painful, I would urge you to seek atleast one more opinion. Some Drs unfortunatlly are a bit fast to recomend a hysterectomy. This should always be the last choice, the last option. It is a difficult painful surgery. the recovery is long 6 weeks. Once the 6 weeks is done you could resume all normal activities and your pain would be gone.
I would reccomend if you do decide on a hysterectomy to read up on the DaVinci method its the best, safest, least invase type of hysterectomy. Less blood loss, smaller incisions, better success for surgeon with ability to make smaller incisions and cauterisations.
If you have any more questions please feel welcomed to ask on here or you may pm me,
Hope this helped !!
Cherie
.Fibroids do not have to be removed unless they are causing symptoms such as heavy periods, irregular bleeding, or severe cramps with periods
It is possible the size alone causes great pain ( yours are large) uterus removal would cease symptoms..
Have an Answer?
You are reading content posted in the Hysterectomy Community
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
Normal vaginal discharge varies in color, smell, texture and amount.
Bumps in the genital area might be STDs, but are usually not serious.
Chlamydia, an STI, often has no symptoms, but must be treated.
From skin changes to weight loss to unusual bleeding, here are 15 cancer warning signs that women tend to ignore.
