Thursday, August 28, 2014

Dealing with uterine fibroids

First, this is a huge issue and my blog should not be your only source. But I did see an overview, WSJ Aug 10, 2014.

Fibroids are growths that latch into the lining of the uterus. They can cause pain and interfere with conception.

The controversy has been over something called power morcellation--small incision into the uterus and then use of a special tool called a morcellator to crush up the growths so they can be removed in pieces.

There is evidence than in some cases, the crushed fibroids may be cancerous and the cancer may spread from the crushing.

The FDA esimates that one in 350 women with fibroids has uterine sarcoma, or cancer, mixed in. Yet, the FDA advised against morcellation, but did not ban it. The device was removed from the market voluntarily by Johnson & Johnson.

Still, this may be the best option for SOME women. Ask your doctor, they say.

For one thing, a laparotomy--large incision--can be less optimal for heavy women and has a long recovery time. Sometimes the uterus is removed through the vagina--but some physicians steer away from this.

Some docs are also performing morcellation inside a bag, thus "catching" cancer if it's present. Most do not know this technique.

So--talk to the doctor and decide. It's your body.

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