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.
Archives for June 2009
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.