For your reference, we’ve included below a summary explanation of many of the diseases and conditions we treat in our practice. While these are by no means comprehensive, we list them to offer you an introduction to many of the female health issues that might occur, and which you may be seeking treatment for at our practice.
Fibroids occur in 40 percent of women at some point in their lives. They tend to run in families, so if your mother and sister had fibroids, you have a good chance of developing them too. They are almost always benign, but nevertheless can cause very heavy menstrual bleeding, bleeding between periods or simply pain and pressure, due to the space they take up. A woman can have just one fibroid or many. Sometimes, one fibroid can grow quite large.
The most common reason for having a hysterectomy is because of fibroids. If the fibroid uterus is large, a vaginal hysterectomy can be difficult. A laparoscopic hysterectomy is generally possible in these cases, unless the uterus is enormous. But even if the uterus is very large, drugs such as Lupron can be used for a few months before the procedure to shrink the uterus and make a laparoscopic hysterectomy possible.
You might ask, “Why not just use Lupron to shrink my fibroid and not do surgery?” It’s because Lupron will only temporarily shrink a fibroid uterus. As soon as the Lupron is stopped, the uterus will go back to its previous size. Likewise, Lupron is not a drug that can be used over a long period of time due to its side effects. It creates a temporary state of menopause which causes hot flashes, night sweats, mood swings and bone loss. For a short period of time, Lupron is tolerable and safe, but not for more than a few months.
Women with fibroids are the largest group of females who undergo laparoscopic hysterectomies. Thankfully, most fibroid uteri can be removed laparoscopically, and the recovery is much shorter than a hysterectomy that involves a large incision.
Interested in knowing a little more about some of our medical and surgical procedures at Dr. Deborah Wilson & Associates? Following is a summary explanation—and a video—regarding laparoscopic hysterectomy surgery.
Adenomyosis is a disease in which the glands that normally line the muscle of the uterus, and bleed off monthly during periods, grow backwards into the muscle. Adenomyosis is a benign condition, but can cause cramping and bleeding that can become quite severe and debilitating. A uterus affected by adenomyosis might be only slightly enlarged or it can expand to become very large. Again, laparoscopic hysterectomy is a good solution for this problem.