Talk to Gynecologist on Subject: Consultation Regarding Uterine Fibroid (3.2 Cm)
Asking For Self, Female 48, zhob
Dear Doctor, I am seeking advice for my mother. She has been experiencing irregular menstrual cycles for the last few years. Her recent ultrasound shows a Uterine Fibroid on the posterior wall, measuring approximately 3.2 cm x 3.1 cm (noted as Type II). I would like to know: Given the size and location, is surgery mandatory, or can this be managed with medication? If surgery is required, how complex is the procedure for this size? Is a laparoscopic (minimally invasive) procedure an option in this case? I have attached the ultrasound scan and the initial prescription for your review. Looking forward to your expert guidance.
Asst. Prof. Dr. Sana Hafeez - Gynecologist
MBBS, MRCOG (UK), FCPS Gynaecology & Obstetrics | Multan
44 Positive Reviews
What's her age? after menopause, fibroids tend to regress.
Need complete evaluation of your mother's to prescribe medication
if she is having heavy cycles with anaemia, only then surgery needed.
Asst. Prof. Dr. Shazia Zulfiqar - Gynecologist
MBBS, FCPS Gynaecology & Obstetrics | Lahore
2 Positive Reviews
Yes laparoscopic surgery is possible. If she is experiencing heavy menstrual bleeding and her routine life is being disturbed then she needs surgery otherwise periods may become irregular near menopause.
at 48 with fitness she should have no problem to enter a surgery. But: What's the location of fibroid, is it projecting into the uterine cavity. once determined to be the reason of heavy menstrual loss ,she should have this surgery. minimal invasive surgery is an option and is done by a procedure of morcellation.v in Pakistan however, a laparotomy is mostly carried out
Assalam o Alaikum
This size can go without surgery
Dr. Mahwish Choudhry - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad
98 Positive Reviews
Send ultrasound and severity of problem ? Heavy blood loss hai tou transamine n ponstan forte three times a day can be given , it will regress after menopause , any pressure effects on bladder or bowel ?
Dr. Mahwish Choudhry - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad
98 Positive Reviews
At this age surgery is not complicated, go for minimally invasive surgery only if the surgeon is expert in it , if he or she is not expert then they will cause more damage , open surgery or laparotomy experts are available everywhere, important decision is whether to remove only fibroid? Or hysterectomy? Hysterectomy with salpingoophorectomy ( tubes n ovaries) ? Depends on history n risk factors
Dr. Mahwish Choudhry - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad
98 Positive Reviews
Needs detailed discussion
If this is not causing much problems then better to wait
Dr. Bushra Imtiaz - Gynecologist
MBBS,FCPS Obstetrics & Gynaecology, UKMLA1, UK(PLAB1), Registered Practitioner in Irish Medical Council | Islamabad
45 Positive Reviews
yes , need to discuss in detail, consult online dear
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Post Owner
probably 50 years
1 week ago