Despite 50 years of myomectomy surgery, this is the first study to carefully evaluate whether women actually feel better as a result of having a myomectomy. So, now we have studies of women following treatment with UAE, myomectomy and hysterectomy that show improvement in quality-of-life. As I said on an earlier post, this leaves the decision about which treatment to have up to each woman, since these three treatments all help. And, since I perform mostly myomectomy surgery, this study validates what my patients have been telling me for years – they feel great after myomectomy.
Topics of Interest
- About Uterine Fibroids
- Symptoms of Uterine Fibroids
- Fibroids, Fertility and Pregnancy
- Watchful Waiting or Medical Treatment
- Do You Need Surgery?
- Fibroids & Cancer
- Laparoscopic and Robotic Myomectomy
- Abdominal Myomectomy
- Hysteroscopic Myomectomy for Bleeding or Infertility
- Vaginal Myomectomy for Cervical Fibroids
- Questions Everyone Should Ask Their Doctor Before Surgery
- Caring for Yourself After Surgery
- Fibroid Photos
- Using MRI to decide the best treatment option for you
- Can New Fibroids Grow?
- Do You Need a Hysterectomy?
- Uterine Artery Embolization, Focused Ultrasound
- Fibroid Treatment Options Based on your Symptoms
- Adenomyosis
- Resources
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Author Archives: Bill Parker, MD
The effect of myomectomy on health-related quality of life of women with fibroids
January 3, 2011 – 6:15 pm
Second Opinions
December 11, 2010 – 8:54 am
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. […]
The Extra Cost of Robotic Surgery
December 6, 2010 – 8:30 am
Cost comparison among robotic, laparoscopic, and open hysterectomy for endometrial cancer. Journal: Obstetrics and Gynecology. 2010;116:685-93. Authors: Barnett JC, Judd JP, Wu JM, Scales CD Jr, Myers ER, Havrilesky LJ. Study from: Duke University, Durham, North Carolina Problem: Robotic surgery has recently become popular, although the costs of robotic surgery are thought to be significantly […]
New Medication for Heavy Menstrual Bleeding
November 29, 2010 – 8:30 am
Oral tranexamic acid treatment was well tolerated and significantly improved both menstrual blood loss and health-related quality of life in women with heavy menstrual bleeding.
Outcomes from fibroid (leiomyoma) therapies: comparison with normal controls.
November 22, 2010 – 8:30 am
Journal: Obstetetrics and Gynecology. 2010 Sep;116(3):641-52. Authors: Spies JB, Bradley LD, Guido R, Maxwell GL, Levine BA, Coyne K. Study from: Georgetown University Hospital Department of Radiology, Washington, DC Problem: Despite the very common occurrence of fibroids, very few studies have evaluated the severity of symptoms caused by uterine fibroids, their effect on health-related quality-of-life, […]
Fibroids (leiomyomas) at routine second-trimester ultrasound examination and adverse obstetric outcomes.
November 8, 2010 – 2:17 pm
Journal: Obstet Gynecol. 2010 Nov;116(5):1056-63. Authors: Stout MJ, Odibo AO, Graseck AS, Macones GA, Crane JP, Cahill AG. Study from: Washington University, St Louis, Missouri Problem: Numerous studies have been conducted to see if the presence of fibroids during pregnancy affects the outcome of the pregnancy or the health of the baby. Most of these […]
Pregnancy after Uterine Fibroid Embolization
November 2, 2010 – 8:30 am
Journal: Fertil Steril. 2010 Sep 24. [Epub ahead of print] Authors: Pisco JM, Duarte M, Bilhim T, Cirurgião F, Oliveira AG. Study from: Department of Radiology, St. Louis Hospital; New University of Lisbon, Portugal. Problem: The safety of pregnancy following embolization (UAE) is uncertain because there have been few publications examining this issue. Study: In […]
Cancer Experts Agree: Keep Your Ovaries
September 13, 2010 – 8:30 am
Women who do not have the BRCA cancer gene or a strong family history of ovarian cancer should strongly consider keeping their ovaries, especially if they are not menopausal.
How Do Women Feel after Treatment for Fibroids with Myomectomy, Embolization or Hysterectomy?
September 6, 2010 – 8:30 am
At the beginning of the study, the women filled out questionnaires asking about their level of activity, energy level, sexual function, pain, social functioning, general health and mental health. Six and 12 months later, questionnaires showed that, after any of the three fibroid treatments, most women felt as good as women without fibroids. At 12 months, women who had a hysterectomy had fewer symptoms (no bleeding) than women who had myomectomies or UAE.
Vitamin D May Help to Slow Down Fibroid Growth
August 30, 2010 – 2:38 pm
Vitamin D interfered with the way human fibroid cells make enzymes that either use or block estrogen and inhibited the growth of fibroid cells by 47%.
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.
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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Read Dr. Parker's Blog
- Welcome Back to Fibroid Second Opinion
- New video showing how Dr. Parker performs an abdominal (open) myomectomy
- Myomectomy, not Hysterectomy – Dr. Parker gives lecture at MIT Science and Medicine Forum
- Petition – Residency Requirement Committee
- Dr. Parker Joining Faculty at UC San Diego
- View all blog archives
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