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Legislation Reform Needed Update:

FAQs section # 1 is Uterine Fibroid discovery research questions.

FAQs section # 2 is Uterine Fibroid treatment research questions. 

FAQs section # 3 is
Advanced Uterine Artery  Embolization (UAE), uterine fibroid, and recovery questions. 

Hope Waltman, Founder of Hope For Fibroids Organization.The three (3) sections consist of questions about uterine fibroids that I have researched and received from women for this web site.  We hope this information will help other uterine fibroid sufferers with their research on the different uterine fibroid treatment options that are currently available. – Hope 

Please feel free to e-mail your uterine fibroid questions to Hope For Fibroids hope@hopeforfibroids.org.  Thank you for sending your questions and comments to Hope For Fibroids.

   
 
CariGES website

CariGES.Com  - Barbados
 

Lapscope.Com
Dr. John George
       Philadelphia Clinical Research               

  Philadelphia Clinical Research - Uterine Fibroids and Heavy Bleeding Study  (PDF

What is the difference between a Nabothian Cyst and a uterine fibroid?

A Nabothian cyst is a cyst in the cervix.  Nabothian cysts do not need to be treated. 

Uterine fibroids are benign tumors of the uterus. They are not cancers,  but can cause symptoms such as excessive bleeding during or between periods, pressure on the bladder or rectum, discomfort during sexual relations or interference with fertility. Symptoms from fibroids, the most common of which is excessive bleeding, can be anywhere from mild to disabling.  -  Robert Worthington-Kirsch, M.D.

To Ovarian Cysts and Uterine Fibroids photos.

Refer to Dr. Paul Indman's web site: www.sexwithoutpain.com/gyn_problems.htm 

Will polyps interfere with a UAE procedure?   

Polyps are overgrowths of endometrial tissue - like a skin tag growing inside the uterus.   They are usually benign, but can be a cause of abnormal bleeding.  Hysteroscopy or D&C should remove the polyps that are present - but more may grow. 

In women who have abnormal bleeding and both fibroids and polyps, a D&C is probably a good first step to clear out the polyps and see if the fibroids are causing the bleeding.   If bleeding continues to be a problem, then evaluation for UAE is reasonable.   Polyps do not interfere with or increase the complication risk of UAE.  UAE generally does not treat endometrial polyps. - Robert Worthington-Kirsch, M.D.

I am 30 years old and have a polyp in my uterus. The doc wants to inject me with Lupron for 3 months prior to the operation to stop my period all together due to my anemia. Are polyps cancerous?

It is very rare for endometrial polyps to be cancerous.  Are you sure this is a polyp it is unusual for a polyp to cause bleeding heavy enough to cause anemia. 

Short-term hormonal therapy with various forms of progesterone could be used along with iron therapy to improve anemia.  - Francis L. Hutchins, Jr., MD

My doctor wants to remove a polyp that is approximately 7mm (it is located at the top of my uterus and the doctor feels it may be preventing me from getting pregnant).  What procedure could be used to remove the polyp (less invasive)?

There is no clear relationship between endometrial polyps such as described here and infertility.  Having said that, if no other cause for infertility can be found one cannot argue with the concern that this may be a factor.  The standard method for removal of these polyps is hysteroscopy, a minimally invasive procedure which may be able to be performed in the office. - Francis L. Hutchins, Jr., M.D.

Do polyps (cervix) always need to be removed by forceps or do they sometimes twist/die, tear, and fall off?

They may fall off.  They only need to be removed if they are causing spotting. -  Francis L. Hutchins, Jr., M.D.

While taking a pap smear my GP observed a 2mm polyp on my cervix.  The gynecologist is recommending a D&C to make sure it is not hanging on a string from the womb.  Is it necessary for me to have a D&C? 

Polyps are rarely cancerous and are frequently on a stalk.  Causing them to retract back into the cervix. An office hysteroscopy would be more informative. Observation is also a possibility especially since the original observation could be incorrect - there may be no polyp. - Francis L. Hutchins, Jr., M.D.

I am menopausal, and I have been diagnosed with endometrial polyps.  How are polyps taken care of - surgery, recovery time, and will changing my diet help?

Endometrial polyps are relatively common and rarely cancerous. They are often associated with abnormal bleeding and in your situation, because you are menopausal, would require at least a biopsy of the endometrium.  This can be done best by hysteroscopy since removal of the polyp would be desired. Hysteroscopy is commonly done in the office under local anesthesia or in an outpatient operating room.  Sedation can be used if desired.  Post-operative recovery in the case where no sedation is used is immediate.  With sedation it is several hours depending on the dose used. 

Whether polyps can be treated by diet is not something that has been studied to the best of my knowledge and therefore cannot be recommended.   If however there has been postmenopausal bleeding a biopsy of the endometrium and removal are required. - Francis Hutchins, Jr. M.D.

I have been menopausal for 10 years.  I started to have pain and my doctor scheduled a pelvic ultrasound.  The doctor said I have polyps in my uterus.  Can polyps cause pain?

It is rare for polyps to cause pain, unless they are huge. – Paul Indman, M.D.

(Refer to "Molly's Persistent Bleeding" - a 66-year-old woman had bleeding due to polyps. - William Parker, M.D.

What is the size of a normal uterus and how much does it weigh? - Harrisburg, PA

A normal uterus is about 8 x 6 x 4 cm and has a volume of 75-200cc.  This is about the size of a woman’s fist.  It weighs 100-200gms (there are 28 gms in an ounce).  - Robert Worthington-Kirsch, M.D.

I have at least one large fibroid, which will result in a full hysterectomy.  What is the weight of an 11cm fibroid?   

To estimate the overall size of a fibroid uterus one would need the complete set of measurements of the uterus with fibroids, i.e., ht, width and depth so that the volume can be computed and compared to known gestational age equivalents.

Having said that, an 11cm fibroid certainly could make the overall uterus seem the size of a 13wk. pregnancy or greater.

The bigger question is why would this require a hysterectomy?  (Refer to Treatment Guide.)  - Francis L. Hutchins, Jr., M.D. 

What are the risk factors that can influence fibroid growth?

The tendency to form fibroids appears to be largely inherited. However, the degree to which fibroids cause symptoms appears to be determined by both genetic and hormonal factors. Anything that increases the level of estrogen in a woman’s system may cause fibroids to be more bothersome or to grow faster or larger. Some of the things that increase estrogen levels are the onset of menstruation before the age of 12 (which prolongs the time a woman is subject to estrogen), being overweight, never being pregnant, smoking, and a sedentary lifestyle.  - Robert Worthington-Kirsch, M.D.

What percentage of women have uterine fibroid tumors?

By age 35, about 80% of African-American women and about 35% of Caucasian women in the United States of America have been diagnosed with fibroids.  Uterine fibroids cause symptoms in about half the women who have them.  - Robert Worthington-Kirsch, M.D.  

What are cervical fibroids and what symptoms do they cause?  Are they cancerous, can they cause infertility, and what treatments work for cervical fibroids (does UAE)? 

Cervical fibroids grow from the cervix, are relatively rare, generally are not involved with infertility, like all fibroids they are benign and UAE would likely affect them like all other fibroids.  They are not a particularly significant entity.  - Francis L. Hutchins, Jr., M.D.

Is UAE one of the treatments for cervical fibroids?  Do the cervical fibroids have a better chance of being sloughed because they are so close to the cervix opening? 

Yes, cervical fibroids respond to UAE.  The risk of slough may be higher than background.   The risk of complications of myomectomy is also higher than normal, since they are usually near the largest blood vessels supplying the uterus. -  Robert Worthington-Kirsch, M.D.

Is there an age restriction to having the UAE (i.e. UFE) performed?  I have heard women say they were diagnosed with uterine fibroids in their early to mid 20’s.  Have any of your patients been in this age group?  What is the age of the oldest woman you have performed the UAE procedure on? - Millersburg, PA

There is no age restriction.  I have treated women as young as in their  mid 20s, and I have performed UAE on a few women in their late 50s and early 60s. These women were post-menopausal, but continued to have symptoms from their fibroids that were aggravated by Hormone Replacement Therapy. In general, menopause is a final cure for fibroid symptoms in most women. - Robert Worthington-Kirsch, M.D.

What size does the uterus and uterine fibroids have to be for a woman to start having symptoms of severe pain? 

Even very small fibroids can cause severe symptoms if they are in the wrong location.  - Robert Worthington-Kirsch, M.D.

How should a doctor handle a patient who decides not to have a uterine fibroid treatment performed even though the uterine fibroids are growing? 

The decision to treat fibroids rests with the patient. Fibroids should be treated when the patient feels that her symptoms warrant treatment.  There are some women who will tolerate a lot of symptoms before they feel that the symptoms are bad enough for them to want to have a therapy. - Robert Worthington-Kirsch, M.D.

Did you ever hear of a procedure to get rid of uterine fibroids that requires the woman to fast and change her diet? - Harrisburg, PA

There are lots of claims about dietary changes and fibroids.  To my knowledge none of them have any scientific validity, and many of them are such extreme diet changes that it can be very disruptive to one’s life. - Robert Worthington-Kirsch, M.D.

Note:  National Center For Complementary and Alternative Medicine  http://nccam.nih.gov/

Some women are being told that if they eliminate all dairy products from their diets from puberty to age 30 they will not get fibroids.  They are being told to use calcium supplements.  Is this true? - Harrisburg, PA

I haven’t heard of this, but it’s obviously nonsense.  To my knowledge, there is NO relationship between dairy intake and fibroids, nor is there any theoretical reason to think that there might be. 

See how burdensome this diet would be – no milk, no cheese, no yogurt, no butter…? - Robert Worthington-Kirsch, M.D.

Will therapy from a naturopath who gives the woman supplements and getting acupuncture (along with some Chinese herbs) shrink the fibroids?  (Fresh vegetable juice with spinach and beets in it is for the iron.)

There isn’t any evidence that any of the alternative treatments have the slightest effect.  If patients are following fibroids that don't need immediate treatment, most of the alternatives are unlikely to hurt anything. - Paul Indman, M.D.

Some herbal remedies can contain harmful ingredients.  A woman should check the ingredients carefully before using them. - Robert Worthington-Kirsch, M.D. and Paul Indman, M.D.  (refer to Acupuncture)

To:  Case and Analysis

 

 


JUST THE FAQs - Section #1: 
 Uterine fibroid discovery and beginning research process  (Page 1)

Pages: 
 1 | 2 | 3 | 4 | 5 | 6 | 7

 

Robert Worthington-Kirsch, MD - Interventional Radiologist in Philadelphia, PA.
Robert Worthington-Kirsch, M.D.
 

Paul Indman, M.D. is a Gynecologist in Los Gatos, CA.
Paul Indman, M.D.
 

Francis L. Hutchins, Jr. is a Gynecologist - Plymouth Meeting, PA (Philadelphia).
Francis Hutchins, Jr., M.D.
 

William Parker, M.D. is a Gynecologist in Santa Monica, CA.
William Parker, M.D.
 

Mike Waltman, Co-Founder and Marketing Director
Mike Waltman
 Men and Family  Health Fairs


Benjamin Gocial, MD - Infertility Specialist, Philadelphia, PA
Benjamin Gocial, M.D.
 


Topics of Interest

Nabothian Cyst

Ovarian Cyst/Fibroid photos

 

Polyps
Normal size of Uterus
Size of fibroid Uterus
Fibroid growth risk factors
Percentage of women that have fibroids
Cervical Fibroids
Age restriction for UAE?
Diet
Supplements and Acupuncture
Medical Terms
Case Discussion and Analysis Listing
    

 

 

 

 

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Legal Note:  The material presented on Hope For Fibroids, Inc. web site is for informational purposes only.  It is not meant to be a substitute for physician care.  If you need medical advice on uterine fibroid disease or other medical conditions you should discuss them with a physician.  Hope For Fibroids, Inc.
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