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Second Opinions

Dr. Parker,

I am 49 yrs. old in good physical health. I walk or run several times a week, and am slim(5ft.115 lbs) and look youthful. However, I have a lot of stress-6 children, 2 with drug addictions, a difficult marriage, etc. I have a 10 cm fibroid that is putting pressure on my rectum. I had bleeding and huge clots but taking progesterone 10 days of my cycle has alleviated that. My gyn recommends hysterectomy. I am scheduled for this Thursday, Dec.16, but have a lot of anxiety about it, because I am depressed and worried about how it will affect my emotional state which is already terrible. When I called my gyn he was in his other office further away, and could not call me back. He told his office manager that he already went over everything with me, and to tell me a hysterectomy was the best course of action. He said a myomectomy would thin the lining of my uterus too much. He never mentioned UFE. He seems perturbed that I did go to another gyn for a second opinion. The other gyn said hysterectomy also, not mentioning UFE. I called an interventional radiologist and they said they could see me. Have I broken the doctor-patient trust factor? Will he treat me differently now?

L,

Doctors should welcome a second opinion. You need to do what is best for you and getting a second opinion when surgery is recommended is always a good idea. UAE works very well for heavy bleeding and shrinks fibroids about 40%, so if this would help you, you should see the interventional radiologist to see what they recommend. Myomectomy is always possible and it will not thin the uterine lining no matter what the size of your fibroid. A 10 cm fibroid can be removed laparoscopically as an outpatient by a skilled laparoscopic surgeon.

If the doctor does treat you badly because you got a second opinion, you should consider getting another doctor.

Bill Parker, MD

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Disclaimer: The ideas, procedures and suggestions contained on this web site are not intended as a substitute for consulting with your physician. All matters regarding your health require medical supervision.

4 Comments

  1. Posted January 21, 2011 at 11:36 am | Permalink

    If i need a second opinion do i have to tell my Dr. about it or i should go see the Dr. i want. I have PPO insurance where i can pick any specialist.
    Thank you Dr. Parker for your help.

  2. Posted January 21, 2011 at 11:54 am | Permalink

    You can see the doctor you want to see and get a second opinion. If you want to return to the first doctor, you can tell them about the second opinion and they should be accepting of the fact that you wanted a second opinion. If you like the second doctor, you do not necessarily have to tell the first doctor, but you can talk to her/him and see if they have any comments about what you were told and what you plan to do. It’s your body, so you get to do whatever you want to do.

    Bill Parker, MD

  3. Ellen goldfarb
    Posted January 27, 2011 at 8:20 am | Permalink

    I am having a partial hysterectomy also for a 10cm fibroid, I was told by 3 doctors that laproscopic surgery was out of the question
    The UFE radiologist told me my fibroid would only shrink about 59 percent and no guarantees more would not grow in its place

  4. Posted January 28, 2011 at 8:57 pm | Permalink

    Myomectomy is absolutely possible for a 10 cm fibroid and I usually remove these laparoscopically as an outpatient. You need to get another opinion from a surgeon who regularly performs myomectomy surgery or a skilled laparoscopic surgeon who has experience with laparoscopic myomectomies. You are not getting good advice.

    Bill Parker, MD

Fibroid Doctor William H. Parker

Dr. William H. Parker is a board-certified Fellow in the American College of Obstetricians and Gynecologists. Dr. Parker is an internationally recognized expert in fibroid surgery and research. Based in San Diego, California, he is considered one of the best fibroid surgeons for abdominal and laparoscopic myomectomy in the United States and abroad. He has been chosen for Best Doctors in America and Top Doctors every year beginning in the late 90's.

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