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Conference turris::womannotes-v2

Title:ARCHIVE-- Topics of Interest to Women, Volume 2 --ARCHIVE
Notice:V2 is closed. TURRIS::WOMANNOTES-V5 is open.
Moderator:REGENT::BROOMHEAD
Created:Thu Jan 30 1986
Last Modified:Fri Jun 30 1995
Last Successful Update:Fri Jun 06 1997
Number of topics:1105
Total number of notes:36379

270.0. "Fibroid Uterine Tumors?" by RAINBO::TARBET () Wed Nov 02 1988 14:19

    The following note is contributed by a member of our community who
    wishes to remain anonymous at this time.
    
    						=Magi
    
    ================================================================
    
    hi, 

    I would like to know other people experiences with fibroid tumors, also
    known as a fibroid uterus. 

    A fibroid tumor is mass of tissue which grows in the uterus. They are
    fairly common, about 20% of all women have them, in most cases they
    cause no problem. They usually affect (happen more frequently) in black
    and east European women. Also they tend to appear from 40+. They are
    99% benign. They are 3 different types, the location of the tumor
    defines it's type. They can be located in the inside, outside or middle
    of the uterine wall. 

    I am 30, white and not of east European descent. I have at least 1,
    maybe two: two doctors = two opinions.  As of yet I do not know their
    type location or size. I am having some test done, an Ultrasound and a
    hystersalphopingogram. 

    List of Questions to any who has them: 

    How old are you?
    
    How many do you have, what type, what location?
    
    How were they diagnosed and when?
    
    Do you know they are there? cramping or heaviness or excessive bleeding 

    What tests have you had done?
    
    Have you had a mynomectomy (removal of the tumor leaving the uterus
    intact) 

						thanks,
						"Jane"
  
T.RTitleUserPersonal
Name
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270.1My sister has themTOOK::TWARRENThu Nov 03 1988 13:1117
    Hi-
    My sister has them.  I cannot answer all the questions, although
    I will ask her about them.  Her biggest difficulty right now is
    that she has been to the doctors and he said- operate and take them
    out.  He also said, that it will be at that time whether he will
    have to take her uterus out, or whether he will just be able to
    get the tumors.  She had it set up, when she went for a second 
    opinion- and this one said- "there's no need to operate".
    
    He said many women have them, and live with them.  He does not forsee
    the need to operate right now.  She is 30, single, and very scared
    to have any operation.  She's going for a third opinion, and she
    is not sure as to whether or not she should have the surgery.
    
    I don't know much more info... but I can find out the details.
    
    Terri
270.2RAINBO::IANNUZZOThu Nov 03 1988 14:0038
    How old are you? 

	35
    
    How many do you have, what type, what location?

	One that I know of, of a fairly good size, on the inside of the 
	uterine wall.  Don't know what kind particularly.
    
    How were they diagnosed and when?

	At my last gyn exam.  It had probably started developing about 
	five years ago, but I've been a little 	negligent about getting 
	regular exams.  Now that I know it's there, I'll be more
	industrious about following up on it yearly.
    
    Do you know they are there? cramping or heaviness or excessive bleeding 

	I don't notice mine much at all.  Although there have been small
	changes over time, it's not uncomfortable.

    What tests have you had done?

	Nothing special.
    
    Have you had a mynomectomy (removal of the tumor leaving the uterus
    intact) 

	No, but my doctor has.  We discussed the fibroid, and her 
	opinion is that if it isn't causing any trouble one should 
	keep an eye on it but leave it alone.  She's had the surgery
	twice because hers became painful.  The surgery is very
	uncomfortable, and at her current age she feels that if she
	needed one again she'd rather have a hysterectomy.

	If any doctor recommends this surgery, DEFINITELY have a second
	opinion.  And if it isn't bothering you (or is only mildly
	inconvenient) I'd personally suggest not doing it.
270.3mother's experienceDOODAH::RANDALLBonnie Randall SchutzmanFri Nov 04 1988 08:3940
    My mother did.
    
    How old was she? 

	In her 20's when they developed, about 35 when she had
    a hysterectomy.
    
    How many do you have, what type, what location?

    I don't know how many she had.  They were on the inside of the
    uterine wall.  I don't think any of them were large, but she had a
    dozen or more. 

    How were they diagnosed and when?

	In a routine gynecological exam.  I am under the impression
    that it's pretty easy for a competent gyn to tell what you've
    got.  Plus my mother had obvious symptoms.
    
    Do you know they are there? cramping or heaviness or excessive bleeding 

        My mother's caused heavy bleeding -- not heavy flow, exactly, 
    but big clots like the kind you have for a couple of weeks after
    giving birth.  She'd pass several of those every month, and the
    blood loss caused anemia.  The doctors tried several D & C's to
    scrape the tumors off the inside of the uterine wall; the
    operations worked and she'd be fine for a while but the tumors
    grew back very quickly and within 6 months it would be as bad as
    ever.  So she eventually had the hysterectomy.
    
    I have read that even tumors that don't cause any symptoms can
    interfere with the ability to conceive, so if you plan on children
    that may be a factor.  I think I'd personally try to conceive
    first and consider surgery only after that failed, but if the
    tumor is near the opening to the fallopian tube, the doctor
    might be able to tell it's going to cause problems.  

    Definitely get a second opinion.  And a third, if you need it.
    
    --bonnie
270.4RAINBO::TARBETFri Nov 04 1988 12:5648
    This response is from the author of the basenote.
    
    						=maggie
    ================================================================
    
    hi, "jane again" 

    I realized that I didn't answer all my own questions, so here goes, 

    How many do you have, what type, what location? 
    
    Both doctors agree that I have 1 (left side "reasonably big" size) the
    other may be on top of the uterus, this one is "small" 

    How were they diagnosted and when? 
    
    After a miscarriage, actually during the D&C that followed it and a 2
    week checkup. An Ultrasound was done at that point which basically said
    that I have 1 in this general area. It is NOT a given that having a
    fibroid causes miscarriages. It may not have caused mine. It is
    believed that 25% of all pregnancies end this way, many times before
    you realized you're pregnant. 

    Do you know they are there? 
    
    I know (or it least I think I know) that there are there because of the
    cramping that I get any time during my cycle. 

    What tests have you had done? 
    
    One Ultrasound have scheduled the previous mention tests. 

    Have you had a mynomectomy (removal of the tumor leaving the uterus
    intact) 

    I want to bear children so a hysterectomy is out of the question, also
    I am not thrilled at the idea of any operation, but then I did not like
    the first doctor's wait and see attitude. 

    ------------------- 

    oh by the way if anybody wants to know more about the these tests read
    notes: 

    225 - ultrasound

    163 - hystersal....ogram

270.5Barely one.REGENT::BROOMHEADDon't panic -- yet.Tue Nov 08 1988 17:307
    I have one lump, which I would guess is the size of a fingertip,
    on/in the right front middle of my uterus.  It was diagnosed by
    palpation when I was in my late twenties.  It's never grown,
    multiplied, or caused me problems, so I was allowed to stay on
    The Pill.
    
    						Ann B.
270.6TSG::MASONThe law of KARMA hasn't been repealedWed Nov 09 1988 17:4163
    I had a myomectomy almost exactly two years ago.  The fibroid was
    diagnosed about 3 years before that, and at the time, it was very
    small, and caused no problems.
    
    I never had any of the typical symptoms...no heavy bleeding, no
    cramps, etc.  The doctor I was seeing at the time said, "no problem,
    if it grows, we'll just do a hysterectomy." At the time I was 31.
     
    I pretty much just let it slide until I went to a new doctor (I did go
    for an annual check-up, and it was the second time I saw this doctor
    that she was so flip about the surgery, which is why the following year
    I went to someone else). At that time my "symptoms" were that I was
    feeling like I had a rock in my uterus, and I felt rather sluggish. I
    was also having trouble with my back, but I never connected it with the
    fibroid.  
    
    It turned out that the little lump had grown to the size of a
    4 month pregnancy (that's the way they seem to describe these things).
    I was extemely concerned.  Even though I have no plans to have
    children, I did not want to have a hysterctomy; I felt I was too young. 
    
    Fortunately my new doctor agreed.  She never performs hysterctomies
    if she thinks a myomectomy will work.  Two years later, still no
    sign of new fibroids.
    
    About the actual operation:  It is MAJOR surgery.  It takes about 2 1/2
    hours to do, and is very detailed work.  Part of the reason many
    doctors are not willing to do this type of surgery is that it takes 1
    hour to remove a uterus; 2 1/2 of much more detailed work to do the
    myomectomy.  A simple matter of ecomonics! The TV show 20/20 recently
    did a segment on the rampant use of hysterectomies to "solve" a problem
    that is better solved by the myomectomy surgery. 
        
    Interestingly enough, although the precedure is similar to the removal
    of a uterus, John Hancock will only allow you 4 weeks recovery time (a
    hysterectomy gets 6!).  I found that I was not really ready to come
    back full time after four weeks; I was still a little dittzy from the
    drugs; I was still swollen (I had to find over blouses and sweaters to
    wear to cover my bellie...I looked pregnant!); and I tired very
    quickly.  My boss was very understanding, and permitted me to work
    parttime until I felt like my old self again. 
    
    If you are facing surgery because of fibroids, INSIST on talking
    to your doctor about the myomectomy (there is a chance by the way,
    that your doctor will plan for the myomectomy, and then have to
    remove your uterus because of the nature of the fibriods...they
    can't promise it won't happen).  If your doctor isn't willing to
    consider that type of surgery, find another doctor who will.
    
    Surgery isn't my favorite thing...I was afraid of it, and worried
    about the outcome.  I feel that I was very lucky to have found a
    doctor who was respectful of me, and understood that unnecessary
    surgery is harmful. 

    I can highly recommend my doctor (Kathleen Thurmund; her office is in
    Brookline) as a very humane, reasonable person.  She's very booked, but
    well worth seeing.

    And most of all:  GET A SECOND OPINION!
    
    If anyone wants "all the details," send me mail, or call.
        
    ****andrea****
270.7me tooFRAGLE::KUDLICHFri Jul 07 1989 13:1021
    I have one also, it was diagnosed at the diagnosis of a miscarriage
    with an ultrasound.  (I am 30, had no symptoms/problems).  It was 3.1
    cm at the time, and once I knew it was there, it felt like a small
    (well, not really SMALL) rock.  Since then, I geto prognant again,
    and it is off an growing.  It seems it is drastically effected by
    the hormonal levels (what fun!), and is now to a 6.2 cm size.  This is
    very noticible.  It sits on the outside, but not dangling by a thread,
    and in the last ultrasound, seems to be VERY CLOSE to the fetus.
    
    The doctor said, wait and see.  (I am completely out of fingernails,
    but everything seems to be going okay, so...). 'It should shrink after
    birth, when the hormones go down', if not, we may do something then.
    
    I don't know that anything would have been done between pregnancies,
    but there was no time to consider action.  So we wait.  Another thing
    said by the doctor was that it may cause premature labor if it gets
    large enough to con the uterus into thinking the fetus is large enough
    to go.  I'd like more info too--any one else in this situation?
    
    Adrienne