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PAST HISTORY : Dear Doctor,
I am 38years old. I have 1 son who is 14 years of age, and one is 9 years of age. I was having a little bit of bleeding after my periods. On going to my local Gynec., I was told to do a sonography of which reports I am herewith attaching. I would like to know if I would be needing to go through a operation or if I can be cured by medication only. Please advise.
Best Reagrds,
Thanking you in Advance,
Manisha Dmello
Dr. Ritu Sethi answered : 12 years ago
Hi!!
In your case if the symptoms are not severe you can try medical management in the form of drugs like oral contraceptive pills or other hormonal preparations which can be used to decrease the size of the fibroid.But the drawback of medical management is that the fibroids regrow back once the treatment is stopped.So one has to be prepared to take medication for a long time.
Surgery is an option your gynaecologist will suggest if the fibroid is causing troublesome bleeding .He/she can recommend removal of the fibroid ( myomectomy) or removal of the uterus depending on your report.
Another method to decrease the size of the fibroid is MIRENA-which a hormone releasing device inserted in the uterus .It can be inserted uptil 5 years and the fibroids usually shrink due to the local effect of the hormone