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Fibroids after C-section

I have a large fibroid, about the size of a grapefruit. I am in my late forties. I haven’t been to see my gynecologist in well over a year. He has recommended a hysterectomy. I wouldn’t be too bothered by this but have had 2 c-sections in the past and dread the thought of additional scarring. However, I have a lot of discomfort such as stinging pains like pin pricks, and an enlarged uterus. Should I toughen up and just get the surgery or go for a pap smear and try to hold off for menopause. Any help you could offer would be appreciated. Also, I wish in the future that more research could be done for a medication for fibroids to help other women. Thank You.

T.

T,

The fibroid will shrink about 50% once you get to menopause (average age is 52).  A skilled laparoscopic surgeon should be able to remove either the fibroid (laparoscopic myomectomy) or the uterus (laparoscopic hysterectomy) if that is what you want. Either of these procedures involves a 0-1 night hospital stay and a 2 week recovery to normal activity. If your symptoms are bothersome, you should consider getting a second opinion.  I agree – a lot more research is needed in every aspect of taking care of women with fibroids.

Bill Parker, MD

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