Do we need to remove the uterus for a clot in it?

Question

Hi doctor,

My mother is 45 years old. Two years before she had pain in her lower abdomen. We went to the doctor, and they said that there are many sores in the uterus, took a biopsy test and said there is nothing serious. After one year when she again had periods problem and pain in lower abdomen, the doctor said that there is 8 mm clot in the uterus and we can manage that with medicines and prescribed medicine. Within one month the pain subsided, and she was fine. Now she has slight bleeding continuously, discomfort in the lower abdomen feels very tired and is unable to do household chores. So again she met a doctor yesterday. Now they are saying that the clot has grown to 17 mm and we need to remove the uterus and no other options are available. Also, they said that if we leave it as such, it will change into a cancerous tumor. We are very much confused. Is it so serious? Do we need to remove uterus for this? Can this not be cured using medicines? Please give us clarity and possible options to cure this problem.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I do not see any reason for you to worry and there is no need for any interference. Let me explain. Fibroid and adenomyosis, the two conditions mentioned in the report, never become malignant or cancerous (attachment removed to protect patient identity). What she has is not a clot, it is thickening of the muscles in the uterus. Every month when a lady has periods, her blood flows out. But a small amount of this also flows into the muscles of the uterus, which is called adenomyosis. This can never become cancerous.

Fibroids are very common and formed by the thickening of the muscle layer of the uterus. These both conditions keep growing till the time lady has periods, which means, as long as the hormone estrogen is produced by ovaries. But these never become cancerous.

Both these conditions have a common presentation. They cause pain in the abdomen during periods, excessive bleeding, weakness, and back pain. Anyway medications are the best treatment option. Surgery is never the first option. There are medications which can stop the hormones and periods, with no side effects and the symptoms will fully disappear. The best option I can suggest is tablet Novex-DS or Sevista 60 mg (Ormeloxifene) twice weekly on Monday and Thursday or Tuesday and Friday or Wednesday and Saturday.

Over a few months, the periods will stop, these problems will disappear, she will have periods once in three to four months. Do not worry; periods are not necessary for health. Over some time, the adenomyosis and fibroids will shrink. She can have it for five to six years. By then, her periods will stop on its own, and then the two conditions will not trouble anymore.

Other option is using Mirena or Emily (intrauterine devices), both are Copper T like devices which contain the progesterone hormone. They stop periods and also have a suppression of hormones and the symptoms disappear. This can be kept into uterus for five years and will gradually reduce size of fibroids. Anyway, surgery is never the best option. Better try these medications, and I am sure she will be relieved of the problems.

Thank you.