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Fibroid Surgery

Berkeley Parents Network > Reviews > Health & Medical > ObGyns > Fibroid Surgery



Recovery for a myomectomy?

Oct 2006

I am scheduled for a myomectomy on Nov.30. As an active, just turned 50 local dance teacher, I would appreciate information on recovery time. How did you feel afterwards, and how long before your energy level returned? Any speedy recovery advice would be appreciated. Thanks


Hi, I had abdominal myomectomy in May 2003. The doctor has taken out 1 10cm (grapefruit size)tumor and 6-7 smaller ones. It took me 6 weeks to get back to my old self. I was in bed for 2 weeks and hardly sitting for another 2 weeks. I started driving in 4 weeks but did not feel better until after 6 weeks. I am sorry this is not the news you were expecting but I think myomectomy is a major surgery. Good luck and wishing speedy recovery to you. Suna akm
I also had a myomectomy, about 3 years ago. My surgery was performed by Dr. Donna Wiggins in SF--who did a fantastic job. The scar is barely visible now. After surgery, I stayed in the hospital for 3 nights. The first night is definitely the worst -- as part of your recovery, the nurses make you turn on your side (alternating sides) every few hours and that is extremely painful. (My friends who have had C-sections say it's exactly the same surgery.) After the first day, the pain subsided and when I was released on the 4th day, I didn't even take any pain meds. I was walking around with no problem and went on a major vacation a month later. I was a little tired but that's about it. If you're healthy and in good shape (which is seems like you must be if you're a dance teacher), you'll be fine. Good luck! laura
I had a myomectomy about 5 years ago, when I was 39, and had 9 fibroids removed. I found the recovery process quite similar to the two c/sections I had subsequently. In all 3 cases, I stayed in the hospital for 2-3 days, then home to rest for about a week, on pain meds. Within a couple days I could walk around somewhat, and off all pain medication within about two weeks. Energy came back gradually, but I think I remember going back to my (mostly sedentary) job about 10 days-2 weeks after my myomectomy bcs I felt well enough. (altho I think official medical advice was for closer to 6 weeks) I can't really recall how long it took to feel ''normal'', but probably on the order of several weeks. I think it helps to start walking as soon as you can post-op, take regular pain medication initially to allow yourself to keep moving (don't allow pain to get too bad-- also, I found NSAIDs like ibuprofen just as effective as the narcotic at relieving my pain, and it made me a lot less woozy), take bowel softeners to ensure you don't get constipated (I wasn't able to have a BM for a week after my myomectomy and that became extremely uncomfortable after awhile). Good luck-- hope all goes well. fellow myomectomy patient
Hi -- I had a myomectomy when I was 34. At the time, I was fairly active (rode my bike to work nearly everday). I was told that 6 weeks recovery time was standard, but I felt fine after about 2-3 weeks. It would be very helpful to your recovery if you could have someone take care of you for the first few weeks so that you could sleep as long as you need. For me, it was my mom. She cooked and did my laundry, which was incredibly helpful. You may feel fine right when you are discharged, but that's the drugs wearing off. Take it easy the first few weeks and you may feel fine. Good luck! p.s. try to get a private room at the hospital; it'll make all the difference Cheryl
I had a myomectomy Aug. 30, 2006 @ Kaiser in Walnut Creek. I lost a lot of blood during surgery and became anemic as a result (had to take iron pills). I stayed home from work for 6 weeks - only short walks the 1st couple of weeks, longer walks and driving the last 4 weeks. NO bending, laundry, vacuuming, cooking, or picking up anything over 10 pounds. I tired very easily, but otherwise healed fast and well.

The key for me was in doing EXACTLY what my doctor recommended and not pushing the envelope like some patients do as far as moving around, working out, etc. I'm now 2 months postmyo and back at work and working out, feeling great. Be patient and don't try to do too much too fast!

Also, you may want to join the uterine fibroids group on Yahoo! Groups (uterinefibroids[at]yahoogroups.com), where you'll be able to get recommendations from others with the same condition. Mari


Fibroid during pregnancy

April 2006

I'm hoping for some perspective on my current dillema. I'm pregnant with twins. At 23 weeks, one of the twins experienced fetal demise, so now I've got one living baby, and one deceased baby to deliver. I also have a 9 cm fibroid that sits in my uterus, bascially almost on top of my cervix. This wasn't discovered until my first ultrasound.

On top of all the grief and difficulty of dealing with loss while hoping for a healthy life, I am now petrified of the delivery. Because of the position of the fibroid, I will need a c-section, but today my doctor explained that it will be a difficult surgery because of the position of the fibroid.

Apparently they cut the uterus down low not simply for aesthetics, but because it is thinner closer to the cervix in preparation for birth. Since they cut very near the location of the fibroid, they have to get ''creative'' with my surgery and there is a chance of tremendous blood loss.

When I heard this, I just broke down. I have a 4 year old son, a loving partner and the idea of possibly dying in childbirth is almost more than I can bear.

I suppose I could get a second opinion about the surgery...but not sure how that would help. I'm scheduled to deliver at Alta Bates.

So, I'm looking for reassurance if you have any.

Thanks. Jenny


I don't have any specific advice about your surgery, but I would say: not only get a second opinion, seek out the best surgeon to do it, don't just stick with your OB. I'd bet that in the Bay Area, you can find someone who has done this kind of surgery (more complicated, with a fibroid) many times and is even an expert in it, with a good reputation. Seek that OB or perinatologist out! As with any specilization, some OBs are better surgeons than others...
Oh Jenny!!! Poor you! Really, in general Alta Bates is good. I had a massive fibroid clean out with the incision you are talking about and the recovery was the same as a regular C- section. Having it at the same time as your delivery? WOW Jenny, I am so feeling for you. The loss of the twin....oh sweetie!!!! poor you. But, they are so good at this there at Alta Bates.I don't think you will actually die. But do write a will and make it all very clear about care for your child.

Can you borrow a walker from someone or get one at the goodwill? It is hard to stand up afterwards and a geriatric walker helps. You would only use it a couple of days but it sure makes it easier.

They went in from the belly button and bikini and cervix for mine. 3 entry points. I had to have IVF afterwards because the fallopian silia can't work after the area has been routed out.....not the same set of things as you of course, it was sort of one at a time for me.....fibroid clean out first, then, I did have 2 healthy IVF pregnancies and C-sections....maybe doing it all once is preferable? The recovery is hard, but pretty fast. You will be very delecate for a month or so.

Remember to breathe. Just keep breathing in and out. It will calm you down. The nurses there are great. The food is especially good at Alta Bates....Your hormones will be surging. You will be so wrapped up in your baby, but your hormones are going to be wild. So, don't take yourself totally seriously.

ASK FOR HELP. Get someone over to help and ask your moms group to do meals on wheels for you. People jump at the opportunity to help and it makes them feel good to do it. I know you won't want people near your baby when it is so little. But do let them help YOU

. I have a 4 year old and can help with taking yours to the park etc...if you like...... AD


Your post troubled me, as a twin Mom myself and having a Fibroid removed just before pregnancy , i feel a 2nd opinion would be a MUST, You should see a Perinatologist, if your not already... So sorry for your loss and prayers for your upcoming birth.. Deb
gosh, I'm sorry you are in this difficult and scary situation. I also had fibroids with both of my pregnancies and required c- sections both times. I think ultimately this actually made everything easier bcs it was all more controlled and prepared, and also I could better prepare myself psychologically and otherwise. I did bleed quite a bit the first time,as the Ob cut thru one of the fibroids apparently in getting the baby out,but I did not require any special treatment nor transfusion-- just a lot of IV fluids and rest, and eventually my blood count came up on its own. Everything is open and visible during a c- section, so an experienced surgeon can readily control whatever comes up. During my second c/s, I still had some small fibroids, but minimal bleeding for whatever reason. (the ob made sure there was blood previously typed and crossed as needed though, just in case). In both cases, the babies were just fine. the other thing which I did which helped me was to sit quietly and meditate as I could during my pregnancy and actively visualize the c-section-- occurring with minimal blood loss, drama, and happy baby. Maybe I will also mention that I actually had about 10 fibroids removed prior to getting pregnant at all, and that surgery was the least bloody of all-- so I don't think it's by any means a sure bet that you are going to bleed a lot during the c-section. Best of luck to you-- another fibroid mama
First, I'm sorry to hear that one of your twins died in utero, that's got to be awfully tough to deal with.

I'm not a doctor, but from what I understand, there are a variety of ways to do the incision. The preferred method is that low, horizontal, ''bikini smile'' incision these days, but when my mom had me via C section 35 years ago, the standard incision was vertical, starting right below the belly button. So there is obviously leeway in where they can place the cut. Your situation may not be optimum, but that doesn't mean you are doomed to terrible complications, either.

It sounds like you need to call back your doctor and clarify what he or she meant by ''chances of extreme blood loss.'' Ask if you can bank your own blood (or the blood of a like-typed relative) in the event of needing a transfusion during surgery. If possible, have the doctor give you the stats on the rate of complications of people who have similar scenarios as yours. Most of all, ask what the doctor is planning to do to try to AVOID those problems, or SOLVE them if they do end up occurring.

I would definitely get a second opinion if I were in a very high-risk situation. Good doctors are not offended by second opinions, and you'll be able to make a better-informed decision with more information. Best of luck. E in Oakland


First of all, I'm very sorry for the situation you are in and I really admire your courage to face it.

I'm 33 weeks pregnant and I've had some problems with my pregnancy as well even though much milder than what you are experiencing now. If you need a second opinion, I really have to recommend my doctor, Dr. Laurie Green in California Pacific Medical Center who is an amazing professional. She has practiced OBGYN for more than 25 years and she is dealing with difficult situations with a lost of expertise, calm and kindness. I've had a surgery, everything went really well and Dr. Green and her nursing team was by my side making sure all was fine. As far as I'm concerned, I have always really felt in good hands with her. I hope this will be helful to you. I wish you all the best. Nathalie


Uterine fibroid - alternate treatments

Oct 2003

I've been told that I have a uterine fibroid the size of a lime (that's not very big, apparently), and that due to the placement of it, it may be causing constipation (which I have noticed). I'm suspicious that it might also be causing the lower back tailbone-area sharp pain I've been getting more and more, which is pretty disabling when it happens. I see a lot on the parents' network about alternative fertility treatments...but what about treatments besides surgery (my symptoms aren't bad enough yet for this) for fibroids? I can't prove that my symptoms are from this thing, but it's a strong suspicion. I'd love not to have to have the dreaded ultrasound, since I have the world's smallest bladder, and it's the ultimate in torture for me. Has anyone out there tried acupuncture or Chinese herbal medicine or any other sort of treatment, and had good results reducing or eliminating such fibroids? anonymous sufferer


I don't know about alt. treatments, as I'm a western-medicine women's health provider, but I just want to let you know that you don't have to have a full bladder to have the ultrasound you need...it's done vaginally so there's no need to have a full bladder to push the uterus up into the abdomen. You might get some important answers from it. Good luck.
As I understand, fibroids can come and go. My Dr. was concerned a while ago because I had a fibroid, she said, as big as an orange, though I didn't feel it....the next ultrasound we did, it was gone. I suggest trying to solve your lower back pain another way and see if it goes away (do you have a good chiropracator or massage therapist?). If you can solve it through bodywork, exercise, posture changes, then it's probably not a result of the fibroid. How is your diet? Do you drink plenty of water? Eat fresh fruits and vegies, get lots of fiber? If you do all that and are constipated, then maybe the fibroid could be the culprit. Those are the things I'd address first....process of elimination (no pun intended) and see what you can find out that way....then maybe you can just live with a fibroid. It's not going to hurt you as long as it doesn't get too big. Good luck. June
Hi, I know that acupuncture has been able to help many people, but not all, with uterine fibroids. Also, some dietary changes can support this sort of care. The acupuncturist I have known and seen for over 10 years has remarkable success: Pam Heaton, on Park Blvd, 530-9128. As for the tiny bladder syndrome, I was advised that supersaturating the body the day before, AS IF you are having the ultrasound that day can prepare your body for the next day event. That means drinking the 48 ounces in 1/2 hour the day before AND the day of. It worked for me so well that the technician was very skeptical I had drunk enough. Nori Hudson
There are a number of treatments for fibroids. One that is widely used in Europe is the Mirena IUD, which has a small amount of hormone. It is now available in the US. anonymous
Hmmn. After going through infertility, I had approximately, um, fifty ultrasounds??? They're really not that bad. Please don't let a pea-sized bladder scare you with regard to an ultrasound. I'd get one, so that you can see exactly what's going on with regard to the pressure. Also, the most effective way of getting rid of these, as far as I have heard, is surgery, but chinese meds might work (although it is very big for that.) Good luck. only had a small one, but have been there
Hi, I had fibroids last year. I did a lot of research on them. I didn't want to do surgery either. The GYN I went to (Dr. Angelyn Thomas) was open to alternative treatments which helped me to feel that I could cover all ground. I went to an Chinese accupuncturist/herbalist and a wholistic doctor. My main problem was excessive bleeding, like my periods never stopped at one point. I had no pain, but was becoming very anemic. I also read Dr. Christiane Northrup's book, Women's Bodies, Woman's Wisdom-- very enlightening!! I ended up having the surgery, which was very sucessful and still see the wholistic doctor and herbalist in order to maintain balance to keep them from coming back. I did a lot of introspection about issues that came up for me during some bodywork treatments. I have also changed many aspects of my lifestyle which were also blocking energy flow. That part of your body (the uterus) is the center of your creative energy (in every sense of the word). I just joined a gym, am trying to cut out all caffine and alcohol, only eat meats and dairy without hormones, and very little soy products. I trying to do artwork when I am moved to and not put it off. I have come to terms with having had only one child (I'm older and now single). And my sex life is more active!

I think every case may be different. You didn't say if you have had an ultrasound (not the kind in the doctor's office that you get when you are pregnant, but at the imaging place-for lack of what's it's really called). That was very helpful to get a PICTURE of what was going on in there. I would recommend getting one and then asking what the surgical options are from your main GYN, also if she does the surgery. I haven't heard of anyone's fibroids shrinking, but the ones I had actually dropped out of the uterus and that made it much easier to operate, but also almost sent me to the hospital with the bleeding. I made a HUGE effort to regain the blood and iron levels with vitamins and iron-rich foods. I was terrified of surgery and the anesthetic, but I made it through and am glad to be rid of them. If you would like to talk more in-depth please email me. Good Luck! anon


I don't have experience with fibroids but am dealing with breast cancer and the Women's Cancer Resource Center on Telegraph and 57th has a ton of good resources on all sorts of women's health topics. They sponsor a support group about alternative/ complementary treatments and the group leader is very knowledgeable and may lead you to the kind of advice you are seeking. Best, Margi
I didn't see the original post but have a lot to say about fibroids...When I was first diagnosed I got a lot of contradictory information, and finally sorted it out. First of all, though a lot of people wish they could find a connection to some source (e.g. birth control pills, diet) I have not heard of any conclusive ones to anything, a large number of women over 35 have them and don't even know them for instance. One issue though is where they are, They can be inside theuterus (i.e. on the lining, where an egg would sit when fertilized), they can be in the wall of the uterus (inside the wall) or they can be hanging off of the uterus in the abdominal cavity or where the uterus sits. The treatments for the 3 can differ, and md's seem to disagree violently about what is possible and what is not. You can ''scrape'' the ones off of the uterine interior lining, but the other two types need to come out with more invovled surgery, either laparascopic or more invasive (revoery time for laparscopic is about 2 weeks, but they can get out some that are pretty big by basically chopping them up). Unfortunately the more invasive surgery I believe works better, otherwise you can miss some that are small and haven't grown yet (or miss more rather). They tend to recur.... because little ones keep popping up. But for fertility it is good to know where they are, if they are hanging off of the outside of the uterus they might not be in the way at all, for instance. been and still there!
I had an abdominal myomectomy two years ago after two years of trying alternative treatments. I modified my diet by eliminating alcohol, most meat and only ate hormone free dairy. I also took Chinese herbal medicines. These treatments improved my symptoms of excessive bleeding, pain and anemia but they did not shrink the fibroids. I wanted to have a child so my doctor, Richard Rudd recommended a myomectomy. The surgery was a complete success and I now have a 15 month old daughter and delivered vaginally. I was astounded at how much better I felt after the surgery. Fibroids develop over time and you get used to the symptoms incrementally. I had no idea how much they were affecting my life until they were gone. The myomectomy was not anywhere near as painful or scary as I had anticipated. My doctor is an excellent surgeon and that really helped me feel more comfortable with the whole process. I wish I had done the surgery sooner, although I am glad that I did try other treatments that at least helped my symptoms. Good Luck Glad I Had Surgery
i also didn't see the original post or even the follow ups, so this may be extraneous, but i just came back from a visit with a friend who has had very successful treatment for her fibroids (thank goodness). She's been working with an acupuncturist who is also a massage therapist and apparently also just an amazing healer. Her fibroids are almost all gone. if you are interested in getting this woman's information (or the name of the acupuncturist, who is actually a few hours away from here), feel free to email me. good luck and blessings. s

Male surgeon for laproscopy and fibroid removal

June 2003

Hi, I need a recommendation for a good male surgeon gynaecolgist for a laproscopy and fibroid removal, located preferably in Berkeley and performs his operations at Alta Bates Hospital. Thank you A

Recommendations received:

  • Richard Rudd (2) East Bay Fertility OB/GYN Medical Group
  • Hank Streitfeld (2)
  • Angelyn Thomas
  • Kurt Wharton Berkeley-Orinda Women's Health

    Acupuncture for fibroids?

    March 2003

    I have just been to my gynocologist who recommends that I have a hysterectomy for my fibroid tumors. I'm hoping to get a second opinion from someone who will work more with me on finding less invasive alternatives (but who will be realistic and competent if surgery does seem to be indicated). Does anyone have recommendations for a gynocologist in the East Bay? Also, does anyone have experience with the use of acupuncture in reducing the pain associated with fibroids? thanks! LO


    When I was in my twenties, I had large fibroid tumors. After one year of acupuncture, ultrasound tests showed that the tumors had not become smaller. I then had myomectory surgery done by Dr. Kent Farney in Alameda who at that time was considered the ''miracle'' baby doctor. Tumors are somestimes compared size-wise to fruit, and I had two grapefruits, an orange and a lemon removed. Dr. Farney then reconstructed my uterus, and fixed my ovaries and tubes, all in the same operation. A few months later I became pregnant and am now the proud mother of a teenager. I'm in my fifties and the fibroids have come back, but they are not as large or trou ANON
    I had an abdominal myomectomy to remove fibroids in 2001 done by Dr. Richard Rudd. He is an excellent surgeon and I was very happy with his straightforward manner. He was never condescending and answered all of my questions with lots of detail and information. My surgery was a success and I had a baby girl this year and have had no reocurrence of the fibroids.

    My fibroids were very painful and I had very heavy problematic bleeding. I did not try acupuncture but I did try many other alternative treatments in hopes that surgery would not be necessary. I cut out all hormone containing meat and dairy and stopped drinking alcohol. These dietary changes alone made a big difference in my pain but did not affect bleeding. I was also on birth control pills but this made no difference with the pain or the bleeding. I went to an osteopath for spinal manipulation and that helped my pain tremendously. In the end my fibroids did not stop growing and I decided that surgey was best allow me to have a child. Once the fibroids were out I was amazed at how much better I felt. I could not believe I had put up with that level of pain for so long. Recovery from surgery was quick and not as painful or scary as I thought. I can't say whether or not you should get a hysterectomy or not but haveing my surgery really improved the quality of my life and I wish I had done it sooner.

    Good Luck to you and I hope you get some advice that will relieve the symptoms. Feel free to contact me if you need more information. Julie


    I feel for you. I just went through a big thing with fibroids also. I had a lot of bleeding, but not the pain. It went on for about a year. I wanted to try natural and alternatives methods including accupuncture and chinese herbs. I went to Dr. Gabriella Heinsheimer in Albany for most of my treatment (herbs and basic overall examinations), and also to a great Chinese doctor who does accupuncture and herbs. She is an older woman who is a teacher of Chinese medicine as well. It seemed to me that the herbs were the key for controlling my bleeding. Her name is Dr. Li and her number is 510 835-1428 on 15th st in Oakland.

    I highly recommend getting Dr. Christiane Northrup's book, Women's Bodies, Women's Wisdom. She talks about our symptoms in a deeper way to help us get at the root of the matter. I found it to be really enlightening and helped me to understand myself better on an emotional level, seeing the body/mind connections.

    I also went to a ''regular'' GYN, (Dr. Angelyn Thomas) . She recommended an ultrasound and was open to me trying anything I wanted. I did end up having her surgically remove the fibroid leaving the uterus in tact. She is very professional, compassionate, straightforward, AND conservative as far as keeping body parts! I would encourage you to get a second opinion about the surgery. I know it is all individual, but surgery can be done to remove the fibroids without removing your uterus. We need our parts, and fibroids are NOT cancerous.

    Good Luck to you!! Email me if you want to talk about it some more. nadja


    I have a great friend who was told she needed a hysterectomy. She got a second opinion from Dr. Laurie Green in San Francisco who did not perform a hysterectomy and cured my friend's problem with a minor procedure. You might want to give her a call. R.L.
    I asked a friend of mine to reply to this post as she ended up with an emergency hysterectomy after using alternative treatments for her fibroid problem. Here is what she wrote:

    Well, I did enjoy the acupunture treatments I received, unfortunately I can't say that I had positive results. They say that acupuncture can help if the fibroid is smaller than an egg. Mine was much larger. I can warn people about putting off surgery. Fibroids can make your life hell. Terry


    Uterine Artery Embolization (UAE) for fibroids

    February 2003

    I'm interested in hearing from women who had Uterine Artery Embolization for uterine fibroids, a relatively newish procedure that involves cutting off blood supply to the fibroids. I've just been diagnosed with large and numerous uterine fibroids which have been causing a lot of irregular bleeding. It seems that they need to be dealt with, and the three options looks like: myomectomy (surgical removal of fibroids only), hysterectomy (wahhh! I do not want to do this, even though at 44 I am reasonably sure I'm done with childbearing) and UAE. Have you had it? Who was your doctor? Confused & Nervous


    Contact Dr Bruce Lee in Monterey, CA. He's in the phone book. If you can't find him, let me know and I'll dig it up in my old medical files. I believe he does this kind of procedure and in fact, may have even pioneered it. linda

    Myomectomy to remove a large fibroid

    March 2001

    I'm looking for information from people who have had either a myomectomy or a hysterectomy to remove a large fibroid. I'm trying to help support a friend who needs to make this decision, but I don't feel I have enough (any?) information, not knowing anyone who's "been there". If anyone would be willing to share their experiences, I'd really appreciate it! Thanks!


    I had a moderately large fibroid removed via myomectomy about two years ago, as part of fertility treatment. Because of its position, the surgeon needed to go through my abdominal wall (rather than vaginally), which I understand makes this surgery midway in invasiveness and recovery between a C-section and a hysterectomy.

    I recovered at about the rate the doctor predicted, most of the way in six weeks, the rest over a few months. This wasn't a lot of fun and required time off work and lots of sleep. You can't pick anything up (nor do you want to) for a couple of weeks, and getting out of and into bed is a challenge. (Hint: bring knees to chest, roll over on to your knees and exit the bed feet first; reverse these motions to get in bed.) It's important to have assitance during the first few days at least.

    I had one complication; apparently a blood vessel was not sealed off properly, resulting in a puddle of blood under the skin that broke open (blood all over the floor!) shortly after I noticed it. Because the incision opened across a couple of inches, they had to leave the wound open to heal. This takes longer, you can't really bathe, we had to insist on nurse visits since my husband was not up to cleaning the wound daily, etc., otherwise it was more exciting than serious.

    What bothers me most is that I have a band of numbness aroung the incision, which I understand is more common than not and which nobody mentioned before the surgery. It took awhile to get used to this in an intimate context. And my stomach is distinctly dimpled (the scar looking like a creek at the bottom of a valley across my formerly flat tummy).

    Otherwise I've had no long-term effects. As part of fertility treatment, the surgery was less than useless, but it didn't cause me serious damage. In particular, I've experienced no change in sexuality. Given what I've heard about hysterectomy, all else being equal, your friend might be better off with myomectomy.


    The best advice I could give for your friend is to make sure to get a second (and possibly a third) opinion from a physician who is not in her physician's practice.

    I had a myomectomy many years ago for removal of fibroids--which I now believe was unnecessary (my fibroids were small; my physician was eager). The myomectomy is the same level of surgery as a hysterectomy (cutting into the abdomen under general anesthesia, three-day length of stay in the hospital, many weeks needed for recovery)--so it shouldn't be done unless absolutely necessary. There are physicians who believe that mymectomies aren't always clinically indicated because the fibroids often grow back. Of course, any symptoms of pain or infertility may warrant surgical attention, but a second opinion is definately warranted.

    A hysterectomy always warrants serious deliberation for obvious reasons. Good luck to your friend. Linda


    I had a myomectomy 5 years ago after experiencing 10 years of intermittent but debilitating pain. It was a life-changing surgery for me, as I no longer was incapacitated for a week of every month. My Gyn was [and is] Laura Stachel, with the East Bay ObGyn group on Regent Street. The surgery was pretty minor - I opted for a spinal instead of a general anesthesia, which probably made recovery easier and faster. It was also kinda cool, when Laura brought that monster of a tumor over to show me. I'd be happy to talk to anyone who might have questions. Jean
    I had a grapefruit sized fibroid removed in July of 1997 while living in central New York state. I was first diagnosed at an annual exam with a physician's assistant at Planned Parenthood (she said, Hmm--could be cancer). I then saw an OB/GYN in town who said that myomectomy was a bloody, dangerous surgery that often resulted in hysterectomy (I was 27 years old). She did a hysterosalpingogram (maybe this is how its spelled) and couldn't really figure out position of the fibroid. She advised waiting, trying to get pregnant, and seeing if I miscarried. I felt like she had no clue what was going on, and didn't really know what to tell me.

    I finally found a reproductive endriconologist (a type of OB/GYN) who looked at the whole case from the very beginning, found other things that were wrong and causing some of my symptoms, did more tests (a much better hysterosalpingogram) to figure out if the fibroid could be causing problems. I did eventually opt for the surgery because of the fibroid's position. The surgery lasted over an hour and I spent 3 days in the hospital. My recovery sped up as soon as I got out of bed and started walking the halls of the hospital. I took pain killers for the ride home and then was off those too. I was back to work part-time in three weeks. My main complaint is that I still have numbness in my lower stomach. Because the surgery involved cutting through all of the muscle layers of my uterus, my son was delivered in 1998 via c-section.

    Basically, I went to three different practices seeking treatment for my fibroid. Two in the same town, and then one an hour and a half away. The two physicians had completely different takes on treatment and further tests. Definitely get a second opinion and if you decide on surgery, make sure you are comfortable with the surgeon's level of experience. Also, even though I was not trying to get pregnant at the time, the Repr. Endo. OB/GYN was a fertility specialist. He was very focused on treatment that would maintain my fertility and keep my organs intact.


    My uterus was about 4 times normal size due to one very large fibroid and 8 or so smaller ones. I was in considerable pain for about one week of every month and I suffered from many of the side effects of a large uterus (such as small bladder capacity, etc.). I was very concerned about having surgery (myomectomy), as we very much wanted to have a vaginal childbirth experience, and the extensive amount of surgery necessary to remove the anteriorly-located fibroids would probably necessitate a c-section (if we were ever able to become pregnant). About careful consideration and research, I opted for a myomectomy under general anesthesia, even though most physicians would have not performed this extensive surgery on my deformed uterus and would have recommended a hysterectomy. My OB/GYN (out-of-state) was wonderful, talented, and very sensitive to my and my husband's hopes of having children. The surgery was major (apparently my uterus looked like "hamburger" afterward), but I recovered quickly and returned to work after about two weeks and felt really good after about a month. (Probably the most uncomfortable part was the drug treatment before the surgery that induces "menopause" in order to temporarily shrink the fibroids before the surgery -- the preview of "hot flashes" and vaginal dryness was quite enlightening.) I felt great after the surgery - it was wonderful to be pain-free again. Not only that, but we become pregnant only 2 1/2 months later (after trying unsuccessfully for over 3 years before the surgery). The pregnancy was wonderful and uneventful. Our healthy boy was born by c-section (the surgical scars and placenta previa made this necessary). The same physician who did the surgery did the c-section and said that my uterus looked great. Recovery from the c-section was much, much easier than from the fibroid surgery (I had a spinal (instead of general) and I requested TENS, and I don't know if either helped!).

    I would say that if the fibroids are not painful or are not the likely cause of infertility, leave them alone. Many, many women have fibroids that cause no symptoms or problems whatsoever. My experience with surgical removal was very positive - but this was probably due to a combination of factors. Good luck with your decision.


    I had a successful myomectomy experience with Laura Stachel of the East Bay Fertility Group in Berkeley in June 1998. I think Dr. Stachel is an excellent surgeon and she has also undergone similar surgery.

    I had been completely asymptomatic but was having trouble conceiving. As part of my fertility workup, an ultrasound revealed that I had a large fibroid which was attached to the outside of my uterus. I forget the term for these types of fibroids, but I understand that they are the easiest to remove.

    I obtained 3 other medical opinions about whether or not to have the fibroids removed and also consulted with a Chinese herbalist. I had been told that Chinese herbs can be an effective method of shrinking the fibroids, but was told by the practitioner that the process could take many, many months. I opted against this method because my clock was ticking and I wanted to get on with the fertility treatments.

    After considering all of the opinions, I decided in favor of the fibroid surgery since I was told that there was a significant risk of miscarriage if I were to become pregnant with the fibroids in place. I also considered having laproscopic surgery, but ultimately decided not to pursue it because I learned that the recovery time was not significantly shorter than for abdominal surgery and that laproscopic removal may not be an option if the fibroid was too large, which wouldn't be discovered until the surgery was actually done.

    The surgery itself was relatively non-eventful and not painful. I opted to have the surgery done under local anesthesia because I was frightened of general anesthesia. During the surgery I listened to music on my Walkman and was administered Versid (sp?), which put me in a pleasant, half-awake state, and Valium. I felt no pain or pressure during the surgery. I had banked 2 bags of blood with the Alameda county blood bank, but ended up not needing any.

    There was no bleeding or significant discomfort, but the major discomfort came from gas pressure in my abdomen after the surgery. Some of the nurses were not knowledgable about how to alleviate the problem. Finally I was told to drink warm fluids (I had been drinking ice water until them) and to put a heating pad on my abdomen, which helped. I think I also took Mylicon. I was in the hospital for 5 days, which seems like a long time, but really isn't when you're knocked out after surgery.

    The recovery period for me took a total of 8 weeks, with the first 2 weeks being the most difficult. I was in discomfort, but never in real pain. Modern medicine is very concerned about pain-management, so the doctors and nurses closely monitored by discomfort level and kept offering more drugs. By about 3-4 weeks post-surgery I was able to get around, but tired easily.

    In retrospect I am very glad I opted for the surgery. It turned out that the fibroid detected by the ultrasound was larger than indicated by the ultrasound (it was 13 cm). In addition, I had numerous other smaller fibroids that were not seen in the ultrasound, which were removed by the surgery. The only aftereffects I have are a little numbness around the incision line and a large scar, which is at the bikini line.

    As a happy coda, I became pregnant the following year and had a perfect pregnancy and delivery. I had a normal vaginal delivery and no complications from the surgery.

    Although the prospect of major surgery is very daunting, in my experience the surgery worked out very well for me and was not nearly as bad as I imagined. I hope it's the same for you.


    A few weeks ago in the S.F. Chronicle there was a 3-4 inch long article about a new technique of cutting off the blood supply of fibroids as a way to make them shrink. Sounds better than the surgeries we've been reading about here.
    Anyone who wants an alternative to myomectomy and hysterectomy - or who has any other type of chronic reproductive ailment such as endometriosis, etc., - might want to check out this website: www.nomorehysterectomies.com. I have done tons of research on fibroids over the twenty years I've had to deal with them and this is the first time I've heard anything that made so much sense. Hopefully, the website is up and running - there were temporary glitches a while ago - if not, keep trying - it's worth it. Also, Barnes and Noble has the paperback copy of the book "No More Hysterectomies" by Dr. Vicki Hufnagel, published in 1988. It has loads of information on all kinds of conditions. It is a greatly informative read and was just what I'd been waiting for all these years. I hope it is helpful to you as well.
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