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Tag Archives: fibroids

Reply to FDA regarding the use of power morcellators for fibroids

Jeffrey Shuren, M.D., J.D., the Director of the Center for Device and Radiological Health at the Food and Drug Administration, replied to an open letter from the Leiomyoma Morcellation Review Group.  You can read the original open letter here, and view Dr. Shuren’s reply in the images below. The Leiomyoma Morcellation Review Group sent the […]

An open letter to the FDA regarding the use of morcellation procedures for women having surgery for presumed uterine fibroids

In November, 2014 the FDA ruled that power morcellation was contra-indicated in “the majority of women” having surgery for uterine fibroids due to the potential risk of spreading occult uterine sarcoma.  Although problems with this ruling were immediately apparent, the passage of time has allowed for more clarity on the related medical issues. Prevalence of […]

Efficacy and safety of repeated use of ulipristal acetate in uterine fibroids

Authors: Donnez J, and others Journal: Fertility & Sterility. 2015 Feb;103:519-27 Study From: Brussels, Belgium and 12 other European medical centers Problem:  Ulipristal, currently available in Europe and Canada, is an oral medication that blocks the action of progesterone on fibroids and stops heavy bleeding and decreases the size of fibroids. In an earlier study […]

An Association between Thyroid Disease and Fibroids

Overt hypothyroidism is associated with the presence of uterine leiomyoma: a retrospective analysis. Eur J Obstet Gynecol Reprod Biol. 2014 Jun;177:19-22. Authors: Ott J, Kurz C, Braun R, Promberger R, Seemann R, Vytiska-Binstorfer E, Walch K. Study from: Medical University of Vienna, Vienna, Austria. Problem: Few studies have examined the relationship between low thyroid function […]

Why not biopsy fibroids before surgery to make sure they are not cancer?

Some people have recently suggested that all women have biopsies of their fibroids before surgery to determine which women have typical fibroids and which women might have a leiomyosarcoma (LMS). There are many problems with this idea. To start, I am going to use the word tumor throughout this post. When we hear” tumor”, most […]

How Common is Uterine Leiomyosarcoma? (LMS)?

There is a lot of confusing information circulating about morcellation and uterine leiomyosarcoma in the media since the FDA hearing on this issue a few weeks ago.  I plan to post my analysis of the information, in segments, over the next week or two.  This first post provides commentary about the numbers used in research […]

Morcellation – Write Congress

Joan, San Diego I’ve been feeling frustrated and concerned about the upcoming FDA meeting later this week on the power morcellator. My fear is that the FDA panel will get a very slanted view of the situation because not enough woman who have benefited from minimally invasive gyn surgery using a morcellator can take the […]

Fibroids and Thyroid Disease

Overt hypothyroidism is associated with the presence of uterine leiomyoma: a retrospective analysis. Authors: Ott J, Kurz C, Braun R, Promberger R, Seemann R, Vytiska-Binstorfer E, Walch K. Journal: Eur J Obstet Gynecol Reprod Biol. 2014 Mar 13 [Epub ahead of print] Study From: Medical University of Vienna, Austria Problem: A possible correlation between uterine […]

Using MRI to Determine Surgical Treatment Options for Women with Fibroids

The utility of MRI for the surgical treatment of women with uterine fibroid tumors Journal: American Journal of Obstetrics and Gynecology (in press, available now on-line for subscribers) Authors: William Parker From: UCLA School of Medicine, Los Angeles, CA. Problem: Fibroids can usually be diagnosed by pelvic examination and ultrasound, but neither gives us exact […]

Risk of Fibroid “Recurrence” Following Myomectomy

(Excerpted from http://health.groups.yahoo.com/group/uterinefibroids/) I prefer to have a myomectomy, but I only want to be cut on one time and since I have to have an abdominal myomectomy I thought it would be best to go ahead and do the hysterectomy since there is a very good chance the fibroids will return. This is an interesting […]

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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.

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 Los Angeles, 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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