Abdominal Myomectomy at 40
Posted , 5 users are following.
I have had heavy bleeding non-stop for 20days. My haemoglobin levels are at 10.5 which normal levels would be 12. I turned 40 this year and want to have kids asap. My surgeon said that my fiberoid is not so huge 4.5cm and I only have one but its so far back in my uterus that laproscopy may not be successful and that he will probably make an open abdominal myomectomy. He also said the fiberoid would not have prevented pregnancy but it has to be removed to stop my uterus from bleeding. My surgery is in a few days and I'm dreading it.
1. The Dr. said because of my age and heavy bleeding I have slim chances of getting pregnant after mymectomy but he will do his best to avoid damage to my uterus.
2. I have no idea how they can do the surgery with all my heavy bleeding still going on.
3. I have no idea what to expect with open abdominal myomectomy surgey except after reading blogs that the pain is huge.
4. I'm already panicking and the stress factor has hit the roof with me today. I am still heavily bleeding with huge cramps and really bad headaches.
5. I keep thinking to look for another surgeon but this Dr. is the chief surgeon in the gynecological unit of the hospital and I really dont have much choice here as the bleeding has got to stop asap.
Would appreciate some advice.
0 likes, 12 replies
helen21211
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cathy_b helen21211
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helen21211 cathy_b
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cathy_b helen21211
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Anamaria16 helen21211
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There is website called British Fibroid Trust, if you would like to take a look. I think there are other options involving lasers, ultrasounds etc. Have a read in this website for different options. Also why don't you talk to your GP to see if there is some medication or change of diet or suplements to manage your heavy bleeding. Also, I think as a patient you have the right to have a second opinion, if you are not very happy with your team of gynaecologist in one hospital, talk to your GP to see if you can change to another team of gynaecologists in another hospital. Have a read in NHS websites of right of patients to a second opinion, I also think there is a phone number.
I would research properly and read websites and I would consider as many options as possible to make a proper and well informed decision.
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tanza31791 helen21211
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Second there are few none surgery option that you should consider before considering myo.. surgery should I think be last result in my case it was and believe me I saw 5 different consultant before I decided to have this op.
If you have any doubts I would get second third option in my case 5 lol do not feel pressured into going for something you are not 100 percent. Has in my case dr wanted to do hystro and felt pressure from them to do this. But I stood my ground and went with meyo.
Don't get me wrong now iv had the meyo I'm feeling so great and so glad i had it done!!
But for someone who has no kids yet and a small fibroid I defo think u should explore all the option go online and write down all the none surgery option and present them to the dr sometime they don't give you these option unless you ask, I only was turn down for none surgery cause mine was a huge monster lol
Please don't worry I spent the best part of 1 year worried sbout
tanza31791
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You just need to way up your options and do what's right for you.
I do wish you all the best and hope everything works out for you.
helen21211
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to be honest I dont know what to think.....
fibroidy helen21211
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On a good note, your iron levels are good.
Some of my thoughts:
Where is the fibroid located as the size of it does not sound problamatic ? as i know you can get pregant and have fibroids but doubt there is anything happening to make a baby with all the bleeding ;(.
Secondly, when i first saw a gyna (im mid 30s), she said if i wanted to have kids i should do it now, as she was not willing to operate on the fibroids as the resulting scars can be an issue if wanted to get preg.
To solve the bleeding, have you tried Tranexamic acid, as some on here have used it to reduce bleeding. Not ideal for you, but the contraceptive pill can stop bleeding.
I would really echo what tanza has said as it sounds like a very small fibroid, when i was diagnosed mine were 7cm, now grown to 11cm. Could you get a second opinion before you jump into surgery
helen21211
Posted
I took your advice and seeked a second opinion. I found a surgeon that specialized in minimal invasive surgery for myomectomy. He was 100% confident that he would not have to perform an open abdominal surgery. Open surgery was my biggest worry. So I booked the surgery with him.
Today is my third day fiberoid free. I have three small cuts on my abdomen, nothing major....the gas they pumped into my abdomen hurts more than the surgery itself. My fiberoid was 5cm and was an part intramural situation far back very near my fallopian tubes. During the surgery he found three other very small fiberoids that the ultrasound did not initially pick up and removed those as well. He showed me photos of the entire surgery which were taken laparscopically. The biggest fiberoid looked pretty evil and glad its out.
I am still bleeding but the Dr. said I will continue to bleed for two weeks post surgery...also my period is due soon...so more blood :-(
Now many might ask why I chose surgery over medicine. Firstly I am 40 years old and want to have a baby. Unfortunately I discovered this problematic fiberoid after I came off the pill and my period came and would not stop. In fact I was literally flooding blood for almost 30 days. I cant get pregnant while bleeding and my uterus was completely deformed and would not hold a baby. I did not want to risk a miscarriage or have it compete with a growing fiberoid. Being 40 also doesnt give me time to watch and wait for meds to work or not. So I opted for surgery and in 2 months the dr. said it would be safe to become pregnant. I have about 2 years to get pregnant now as the Dr. estimates the fiberoids may return after this period.
Im glad I did the surgery, now my uterus is free of these evil monsters and on its way to healing and hopefully at some point be able to grow a baby.
cathy_b helen21211
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phoebewhite helen21211
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Good luck. :0)