Dr. Divakara. P
Internal Medicine
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Patient's Query
Hello doctor,
My sister aged 41 years is having painful periods, heavy bleeding, left lower back pain, lower abdomen pain and difficulty in breathing immediately after taking food. She is having these difficulties nearly for the past six months. The latest finding of doctors here is fibroids in the uterus and the uterus is to be removed. The scan reports are attached here for your reference. She has two children's and both were cesarean. Eight years ago itself, she was informed to have fibroids and she took some homeopathy medicines for three months. From then on, she has not taken any medicines. She does not have any other chronic illness other than the ones mentioned above. I shall be grateful, if you advise options for treating the above. Can the fibroids be treated with medicine? Or removal of the uterus is the only option? Please guide.
Hello,
Welcome to icliniq.com. Well, fibroid can also be treated by using contraceptive pills, but again they have to be used for a long time. Using contraceptive pills for long time can cause side effects like elevated blood pressure, excess clotting of blood leading to stroke, heart attack, high cholesterol, etc. These pills can be used for one to two months and then observe if her bleeding and pain stops. If it continues then I think getting surgery is the best option for her. Hope this information was useful to you.
Patient's Query
Hi doctor,
Thank you for your quick reply. My sister is having pain and heavy bleeding only during periods. My specific question is can the fibroid alone get removed or treated without removing the uterus?
Hi,
Welcome back to icliniq.com. The removal of fibroid depends on the position of the fibroid and the number of fibroid. In your sister's case, the scan shows intramural fibroids which are multiple and also the rest of the uterus is bulky. This kind of picture definitely warrants surgery. As said before, one to two months of contraceptive pills can be tried and observed.
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Internal Medicine
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