Two years ago I had a laparoscopically enucleated uterine myoma, over 8 cm in size. I was 27 then. It was the only muscle I had. Within just a few months of surgery, a myoma was detected, about 1 by 2 cm in size, in the exact same place as the removed myoma. I have consulted several doctors and none of them was able to say whether it was a new myoma or a remnant of an old myoma (the postoperative scar was very large). Today I went to a gynecological consultation and the ultrasound showed that the myoma is 2.8 by 3.4 cm and it is highly vascularized. I only have one myoma, no other changes have been detected. Recently, I have had a very irregular period and relatively strong menstrual pains. The doctor suggested embolization. In the future I would like to have children, but at the earliest in 4-5 years. I have read that embolization is not recommended for women planning to have children in the future. However, surgical removal also did not turn out to be a good solution in my case, because the myoma grew back shortly after the operation and continues to grow. What would be the best method for me at the moment? Can myoma embolization cause fertility problems? Should I decide on this treatment?
You can extract the myoma, but the tendency to their formation will not be removed. Hence, I would consider another option - only observation and symptomatic treatment of ailments. Comparing your age with the tendency to develop fibroids, I would advise you not to postpone getting pregnant.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Barbara GrzechocińskaAssistant professor at the Department of Obstetrics and Gynecology at the Medical University of Warsaw. I accept privately in Warsaw at ul. Krasińskiego 16 m 50 (registration is available every day from 8 a.m. to 8 p.m.).
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