This is a medication routinely used to reduce heavy bleeding associated with fibroid tumor disease. As a secondary benefit it will temporarily shrink fibroids due to its anti-estrogen effect. Basically, this injection reduces estrogen production by the ovaries, and should be limited to a 6 months course of treatment. Symptoms associated with Lupron can be the same as menopause…hot flashes, depression, difficulty sleeping, and headaches. Once discontinuing the drug, the ovaries should once again begin to produce estrogen resulting in regrowth of fibroids. Lupron is a “temporary fix” and does not produce long term positive results.
This is one of the newer hot topics in surgical treatments. Considered minimally invasive, this technique uses several small incisions to remove tumors and repair the uterus. It requires special training prior to implementation. The physician operates instruments via a control panel and does not have direct hands on the patient, unlike open or laparoscopy procedures. Although recovery is much quicker than the traditional myomectomy, treatment can be limited due to the possibility of extensive bleeding during the procedure. The robot can be very successful for pedunculated and subserosal fibroids, but does have limitations for deep, larger intramural fibroid tumors.
To get straight to the point, Ablation therapy does not treat fibroid tumors. Endometrial Ablation only treats the symptoms of fibroids like heavy bleeding and clotting. The technique only destroys the lining of the uterus (endometrial lining) but does not access or treat intrauterine (submucosal, subserosal or intramural) fibroids tumors. Ablation may stop the bleeding but the procedure is a false sense of hope for dealing long term with fibroids. The tumors will continue to grow as long as they remain in the uterine muscle and are fed with an estrogen supply. Treat your disease, not your symptoms!
Endometrial biopsies are a fairly common minor procedure performed in many gyn offices when patients are experiencing heavy painful periods. The technique involves sticking a needle into the uterine lining to obtain a small tissue sample; it can be very painful and often produces inconclusive information. Blind biopsies, via either needle or currette, can very easily completely miss the area in question, rendering an inaccurate outcome. When dealing with fibroids and adenomyosis, biopsies of the lining do not render any information as to the make up of the tumors. The biopsy is strictly giving information about the uterine lining. The procedure is rather like sticking an needle in an orange to try to locate a seed…..probably not successful. If you have fibroids, or adenomyosis, taking a blind biopsy of endometrial tissue does not render a conclusive diagnosis about your disease….
This is a sad but very honest posting. We recently had a prospective patient that decided not come for our surgery because we would not guarantee fertility after fibroid tumor surgery. No surgeon can give that guarantee. We told her our philosophy was to remove her tumors without leaving any intentionally, offer a video viewing of her surgery to ensure we did everything possible, with no blood transfusions and no hysterectomy….she elected to go to a local gyn who promised all the same things AND fertility. Sadly, we heard the day after surgery that the bleeding was to intense they had to stop the surgery and left several large tumors….although transfusion was suggested and warranted, the gyn elected not to. The patient had to stay three extra days due to dangerously low blood pressures and dizziness…had multiple fainting spells once discharged home and was unable to have visitors for 2 weeks due to weakness. They have recommended IVF treatments to attempt fertility in a few months. This is just bad medicine….this patient was promised something that could not be delivered…and suffered in the process. Fertility is once again in question and she will no doubt require more fibroid tumor surgery. Make sure you know what your surgeon is capable of..the procedure you are having and the potential complications.