For uterine fibroid, how quickly should I get surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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?

Answered by Dr. Abiodun Samuel Adigoke

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.

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Answered by Dr. Abiodun Samuel Adigoke

Medically reviewed by iCliniq medical review team

November 1, 2016

January 17, 2024

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