January 3, 2011 – 6:15 pm
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.
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 […]
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.
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, […]
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 […]
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 […]
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.
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.
By Bill Parker, MD
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Tagged after treatment, bleeding, fibroid removal, fibroids, how women feel after treatment, hysterectomy, myomectomy, symptom relief, UAE, uterine artery embolization
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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%.
Dr Parker’s Comments: There have been very few studies examining the effect of fibroids on women’s sexual satisfaction, and even fewer on the effects of different treatment options on sexual satisfaction. For that reason, the current findings that women with fibroids have more pelvic pain with intercourse and that myomectomy appears to help many of these women are good steps in helping women understand their symptoms. Similar research with regard to other treatment options including uterine artery embolization, focused ultrasound, mefipristone, etc, are sorely needed.
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.