Recently Answered Questions
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Uterine fibroid detected during sixth week of pregnancy.What do I do?
Query: Hello doctor, I am 7 weeks pregnant. During the 6th week of pregnancy an ultrasound was done and a fibroid in the right side of the uterus measuring 8.7 * 7.0 cm was detected. Right now I am suffering from severe pain intermittently on the right side of pelvic region and right thigh. I am attaching... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity) and there is definitely a large intramural fibroid in the uterus impinging into the uterine cavity. Ideally this should have been operated upon before your planned conception but ... Read Full »
What to do if fibroids cause painful periods with clots?
Query: Hello doctor, I am 38 years old. I have fibroids. The last time I went to the hospital, I had a blood transfusion. Both the legs were swollen due to lack of protein in the blood. I am on my menstrual period right now. My abdomen feels very heavy. And I cannot control the bleeding. I cannot user tamp... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concerns. Fibroids may cause excessive bleeding. So, a strict management is required. If fertility is not required, hysterectomy (removal of the uterus) is an option. If fertility is required, myomectomy (removal of fibroids) is a good option. Befo... Read Full »
Is it possible for an 18-year-old who has never had sex to develop uterine scarring?
Query: Hi doctor,I ovulate every month, but I get my period once every two to three months.Is it possible for an 18-year-old who has never had sex to have uterine scarring?Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. Your query needs to be clarified. How do you know you have uterine scarring? Did you have any laparoscopy or surgery? How do you know you ovulate? If you mean adhesions around the uterus, the possibilities are 1. Endometriosis- Every month, blood comes out of t... Read Full »
I have a large fibroid in my uterus. Can medication help?
Query: Hi doctor, Recently, I developed a lump in my abdomen and have been experiencing breathing problems. My medical history includes issues with breathing, leg pain, and a dry throat. Today, I underwent an ultrasound (USG) which revealed a large fibroid in my uterus measuring 110.3 mm x 87.6 mm. Is this... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. Your sonography suggests a large fibroid. As the size is 110.3 mm x 87.6 mm, it needs to be managed surgically. Since you are only 34 years old, the best plan of management would be: Laparoscopic myomectomy, w... Read Full »
I have fibroids in my uterine wall. Could this be corrected by removing them?
Query: Hello doctor, I am 36 years old with 5'8" in height and weight 143 lbs. Started my period when I was 13. My husband and I want to start trying to conceive. We had some tests done to know where we stand since I am not young, and I had a hysteroscopic myomectomy three years ago. Back then my doctor to... Read Full »
Answer: Hello, Welcome to icliniq .com. 36 years is not old. Of course, pregnancy chances are higher before 35yrs, but ladies do get pregnant after that too. Fibroids distorting the uterine cavity or tube needs to be removed, also those which are near the implantation site of the embryo, they can cause th... Read Full »
I have been suggested a tablet for my fibroids. Will it work?
Query: Hello doctor, I have heard about a medicine called Esmya, but I do not know much about it. It probably shrinks the fibroid. My gynecologist told me that surgery is necessary because I have a big fibroid which is around 83 mm X 70 mm. But I took an opinion from another gynecologist, and she recommend... Read Full »
Answer: Hello, Welcome to icliniq.com. Esmya (Ulipristal acetate) is temporary, and when you have finished the pill, the fibroid comes back again, and Esmya (like all medicines) might have some side effects. Therefore, I suggest you consult a specialist and take Esmya with their consent and not go for the... Read Full »
What is the treatment for submucosal fibroid?
Query: Hi doctor, I have had submucosal fibroid for over ten years. Now for the past three months, I have been facing irregular bleeding. My urine does not flow in a straight line when the volume is less. Also, I have a small cyst in the clitoris, which creates occasional itching once or twice a month. I ... Read Full »
Answer: Hi, Welcome to icliniq.com. For submucosal fibroid, you can opt for hysteroscopic removal or arterial embolization, or MRI (magnetic resonance imaging) guided focused ultrasound therapy. Because at 30 years, I do not think you would like to go for open surgery. Urine may not come out in a straight... Read Full »
How to manage heavy bleeding due to intramural uterine fibroids?
Query: Hello doctor, I am 45-years-old and weigh 72 kilograms. During ultrasound scanning, it was noticed that there are small intramural uterine fibroids. As a result, I have been facing the problem of heavy bleeding for four days during my menstrual cycle. Kindly advise. Read Full »
Answer: Hello, Welcome to icliniq.com. During menstruation, regular contractions occur after bleeding to stop heavy bleeding. In a fibroid uterus, this mechanism is hampered; that is why you have heavy bleeding. If it persists even after treatment for a long time, the fibroids should be removed surgically... Read Full »
Is surgery needed for uterine fibroid?
Query: Hi doctor, My mom had fibroid in her uterus and got it removed last week. Please see the reports attached and let me know what it is. Thank you in advance. Read Full »
Answer: Hello, Welcome to icliniq.com. The report says that the fibroid was not malignant or cancerous (attachment removed to protect patient identity). It is a type of cellular growth due to long-term hormonal stimulation. Leiomyomas are benign monoclonal tumors arising from the smooth muscle cells of t... Read Full »
Is surgery required for a fibroid in the uterus?
Query: Hello doctor, My cousin's report reads as follows. 'There is an evidence of a large posterior myoserosal fibroid measuring 2.9 by 2.4 inches in the upper body region.' Does this need surgical intervention? Can you give some advice? She is yet to conceive. Read Full »
Answer: Hello, Welcome to icliniq.com. There is a fibroid in the posterior wall of the uterus. If there are no symptoms, it can be left alone. As she is planning to conceive, it is required to be removed. However, there are pros and cons of the same. Her TSH levels (thyroid stimulating hormone) seems hi... Read Full »