HomeAnswersObstetrics and GynecologymarsupializationI am advised marsupialization of Bartholin cyst. Please help.

Can TCRF and marsupialization of Bartholin cyst be done on the same day?

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Published At March 10, 2024
Reviewed AtMarch 20, 2024

Patient's Query

Hi doctor,

I had a blood transfusion eight months ago for my low hemoglobin levels. I was prescribed medication - iron tablets. The reason is due to the heavy period that lasts eight to ten days, or sometimes more. I have seen a gynecologist regarding my issue and had a hysteroscopy and endometrial biopsy. After three to four days of this procedure, I had a Bartholin cyst, making it difficult to walk and uncomfortable to sit. The hysteroscopy showed a 0.98 inch fibroid, and transcervical resection of the fibroid (TCRF) has been recommended. The possibility of laparoscopic myomectomy was also discussed. Right now, I am on medication for my heavy flow, which is Norethisterone 5 mg and Tranexamic acid 500 mg. I also had a hemithyroidectomy surgery three months ago. May I know your suggestion? Shall I go on the marsupialization of the Bartholin cyst first, or can both procedures be done on the same day?

Thank you.

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Based on the information provided, it is recommended that you continue to monitor your iron levels and follow the prescribed iron supplements to address the low hemoglobin level. Heavy menstrual bleeding can lead to iron deficiency, which can contribute to fatigue, weakness, and other symptoms.

Regarding your gynecological issues, it is important to follow up with your healthcare provider regarding the recommended treatments for the fibroid and discuss the potential risks and benefits of each option. The transcervical resection of fibroid (TCRF) is a minimally invasive procedure that involves removing the fibroid through the cervix, while the laparoscopic myomectomy is a more involved surgical procedure that involves removing the fibroid through small incisions in the abdomen.

In addition to these treatments, you may also want to consider discussing non-surgical options with your healthcare provider, such as uterine artery embolization or medication therapy. It is also important to manage any discomfort or pain associated with your heavy periods and Bartholin cyst through pain management strategies such as over-the-counter pain relievers, warm compresses, and avoiding tight-fitting clothing or activities that may exacerbate discomfort. It is not recommended to undergo both the marsupialization Bartholin cyst procedure and the fibroid removal (either TCRF or Laparoscopic Myomectomy) at the same time. This is because both procedures are relatively invasive and can increase the risk of complications, such as infection, bleeding, and pain.

It is best to address each issue separately, with a reasonable time gap between procedures. Your healthcare provider can provide guidance on the appropriate timing for each procedure based on your individual circumstances and medical history. Whether to undergo the marsupialization Bartholin cyst procedure before or after the fibroid removal ultimately depends on the severity of the symptoms and the preference of your healthcare provider. If the Bartholin cyst is causing significant discomfort or pain, it may be recommended that the symptoms be addressed first to alleviate symptoms. However, if the fibroid is causing more pressing symptoms or complications, it may be recommended to address that first.

I hope this information will help you. Please revert in case of further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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