Column
Ask The Doctor
“I HAVE A FIBROID ON THE LEFT SIDE OF MY UTERUS.
WHAT TYPE OF COMPLICATIONS & DISCOMFORT CAN THIS PRESENT?”
Fibroids are growths in or her fertility. Some women will have multiple fibroids and
outside of the uterus. They surgical excision is then called multiple myomectomies.
can cause pain and heavy Removal of the fibroid uterus in total is called a
bleeding (Menorrhagia). If the hysterectomy. Once the body of the uterus is removed, a
fibroids increases in size, they woman will no longer be able to become pregnant. This
can put pressure on other surgery is done if the fibroids cause severe pain and/or
organs, which can also cause abnormally heavy bleeding. If only the uterus is removed
pain (i.e. bladder, rectum, and the ovaries remain intact, the woman will continue to
By
back). There is a very low risk produce estrogen and go into menopause naturally.
Dr. Eli Serur, FACOG, FACS
(1 percent) that a fibroid Some fibroids can be decreased in size with medication,
tumor will be cancerous. such as Lupron injections.
Small fibroids should not cause any particular problems. Symptomatic ones may require surgical intervention as
They are monitored by both ultrasound (sonogram) and severe blood loss can create severe anemia.
manual pelvic exams done by your gynecologist. Primary care physicians may order tests that reveal pelvic
Large fibroid masses, however, can affect a woman's abnormalities, but a gynecologist should be consulted for
chances of becoming pregnant. Once pregnant, they may further investigation.
increase in size can cause significant pain and even the
ability to bring the pregnancy to term.
Dr. Eli Serur, FACOG, FACS, is the Chief of Clinical Oncology and the
Surgical excision of the fibroid alone is called a
Director of Advanced Laparascopy at Richmond University Medical Center.
He is board certified in gynecologic oncology and a member of the American
myomectomy. Myomectomy will allow a woman to preserve
Board of Obstetrics & Gynecology, the Society of Gynecologic Oncology and the
American Association of Gynecologic Laparoscopy.
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44 March 2009 |
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