Many of our patients try supplements and herbal formulas prior to seeking a medical consultation. Although these therapies can help reduce symptoms temporarily, they will become ineffective over time as the disease spreads. Supplements and herbal formulas are not regulated by the FDA and therefore quality, strength and dosage cannot be guaranteed. Delaying appropriate treatment can sometimes be detrimental. Fibroid tumors, adenomyosis and endometriosis all require surgery is remove the disease…treating symptoms does nothing to treat the condition or the tumors. Using these alternative therapies, after surgery , may be helpful in preventing recurrence, but should not be the only source of treatment. Consult your physician and do some research about what is the best course of treatment for your disease.
What is a D&C? It stands for Dilatation and Curettage. This is a minor surgical procedure that is often recommended by healthcare practitioners to treat heavy bleeding. The cervix is dialated and a small curette is used to scrape the lining of the uterus away. This can significantly reduce bleeding until the lining is regenerated. Unfortunately, a D&C is used all too often as a treatment for fibroid tumors and adenomyosis. This procedure can temporarily reduce the bleeding symptoms but does nothing to actually treat the primary diseases. Women often get a false sense of security once the bleeding is reduced…..take care, the fibroid tumors and adenomyosis are still growing.
We have many many women hoping to preserve their fertility when they arrive for fibroid tumor surgery. Pedunculated tumors are fibroids on a stalk extending from the uterus into the abdomen. They are often assymptomatic pertaining to monthly bleeding, as the endometrial lining is not effected. These are the best tumors to have when considering fertility options, as they do not damage the uterus. The larger pedunculated fibroids become they can press on surrounding tissues and organs and produce abdominal discomfort, bloating and pain, but as mentioned, they do not effect monthly periods. Depending on size, the tumors may be able to be removed via laparoscopy.
Routinely in my consultations, I get asked to explain some of the minimally invasive treatments for fibroids. Today I want to discuss Endometrial Ablation. This is a very common procedure often recommended by the gynecologist for patients with heavy bleeding. This technique basically destroys the lining of the uterus, known as the endometrial lining. It can be destroyed using various different techniques with either heat or cold. All ultimately do the same thing…..this procedure significantly reduces bleeding but if the ablation is incomplete…lining can regenerate over time and bleeding return. This is a treatment for heavy monthly periods, but not a direct treatment for fibroid tumors or adenomyosis.
Fibroids,also known as myomas or leiomyomas, are noncancerous tumors of the uterus. They are strictly found in and around the uterus, nowhere else in the pelvis. There are several common types based on location: Pedunculated, Subserosal, Submucosal and Intramural. Pedunculated tumors are attached to the uterus with a stalk and free float in the abdomen or the endometrial cavity. They are not within the muscle of the uterus. Subserosal are those tumors just beneath the outer surface of the uterus. Submucosal are tumors deep within the muscular layer of the uterus and often are adjacent to and impinge on the endometrial lining. Finally, Intramural myomas are found deep within any area of the uterine muscle. All can be successfully removed with our surgery.