For uterine fibroid, how quickly should I get surgery?

Question

Hi doctor,

I am 46 and a mother of three children. I have been diagnosed with multiple fibroids a few in the anterior wall intramural and a few on the posterior wall and a bulky 134 x 74 x 87 mm uterus. The endometrium is displaced posteriorly. The symptom is mainly heavy menstrual bleeding that lasts for eight to nine days. The symptoms began not more than a year ago. Ultrasound with an interval of two months shows slight growth. My doctor advised hysterectomy. Is it absolutely necessary for my condition? If so, then how quickly should I undergo the surgery? Is there any medication or alternative treatment that can be relied long term to avoid surgery? What are the possible consequences that I shall expect if I decide against hysterectomy?

Answer 1

Hi,

Welcome to icliniq.com.

You are having symptomatic uterine fibroid. Since it is symptomatic and you have had children, then the best for you is to go for a hysterectomy. This will make you to have peace of mind. If you do not get surgery, then there is a tendency of recurrent heavy menstrual bleeding resulting in fatigue and weakness. Then there is a chance of recurrent blood transfusion with all the complications associated with blood transfusion. The alternative is the use of drugs, which can only be used for a short period and the fibroid will grow back once you stop using the medicine. The drugs may also have so many side effects. As a consultant gynecologist, who sees patients with large fibroids, I will advise you go for a hysterectomy.