Treatment options for abnormal uterine bleeding and fibroids

Treatment options for abnormal uterine bleeding and fibroids


>>Susie As-sanie: My name is Susie
As-Sanie and I’m the Director of the Minimally Invasive Gynecologic Surgery
Program at the University of Michigan. Today I’d like to talk a little bit about
treatment options for abnormal uterine bleeding. Abnormal uterine bleeding is a common condition
that affects many women and it’s very important to see your doctor to determine
the cause of bleeding. Once the cause of bleeding
is identified you can discuss with your physician what treatment options
might be best suited for your particular needs. One of the most common treatment options
for abnormal bleeding is hormonal therapy, which is a very safe and
effective therapy for many women. There are many different methods of using
hormonal therapy and some can be as simple as taking a pill every day, using a patch
once a week, there are various different types of injections, as well as local treatments
within the vagina and or the uterus. If a hormonal treatment option is
not considered appropriate for you, or if that treatment option does
not seem to be working for you, there are many different surgical
options that might be best. There are three surgical approaches to
the treatment of abnormal uterine bleeding and these include endometrial
ablation, myomectomy, which is removal of uterine fibroids, as well
as hysterectomy which is removal of the uterus. Endometrial ablation is a simple
outpatient surgical technique that essentially destroys
the lining of the uterus. There are many different methods of performing
a endometrial ablation and you should talk to your physician about which
method might be best for you. Endometrial ablation can be done in the office or in an outpatient surgical
center with very light anesthesia. Most patients go home the same day and can
go back to work within two to three days. The risks of this procedure are generally
minimal and its best used to treat patients with regular but heavy menstrual bleeding. Some patients might also find that
their uterine cramping associated with their heavy bleeding might
also improve after this procedure. A second surgical approach to abnormal uterine
bleeding is myomectomy which is surgical removal of uterine fibroids when they are
considered the source of abnormal bleeding. There are many different approaches to
myomectomy and this primary depends on the size and location of uterine fibroids. Uterine fibroids can be directly
in the lining of the uterus and these can often be removed vaginally through
a procedure called hysteroscopic myomectomy. If this treatment option is
thought to be appropriate for you, this is an outpatient surgery option in which
the patient can often go home the same day and back to work within two to three days. When uterine fibroids are more deeply
infiltrating into the muscle of the uterus or the surface of the uterus, hysteroscopic
myomectomy may not be an option, but patients might still be a candidate
for a minimally invasive approach through a laparoscopic myomectomy. At the University of Michigan, we perform
many robotic myomectomy’s for the patients with abnormal uterine bleeding and or
infertility related to uterine fibroids. This procedure is an excellent
treatment option for many patients because it is a minimally invasive approach,
in which patients can go home the same day, and usually back to work
within ten to fourteen days. Small incisions are made on the abdomen,
and the uterine fibroids are removed, and the uterus is repaired to
restore its normal anatomy. Again, many patients go home the same day and
are back to work within ten to fourteen days. This option is an excellent option for
women who wish to preserve their fertility as pregnancy can still be a choice
after this surgical approach. The final surgical approach for abnormal
uterine bleeding is hysterectomy. Hysterectomy is a surgical removal
of the uterus and possibly the cervix and does not necessarily mean
that the ovaries will be removed. As long as the ovaries are retained,
a patient would not be in menopause and may continue to produce her own hormones. If a patient chooses to undergo hysterectomy
for the treatment of abnormal uterine bleeding, most women are actually candidates
for a minimally invasive approach. Minimally invasive options
include vaginal hysterectomy, laparoscopic hysterectomy,
and robotic hysterectomy. If a patient undergoes a minimally
invasive approach to hysterectomy, she’s usually in the hospital
for less than twenty four hours and goes home for a four to six week recovery. Many patients can go back to all of their
usual activities within that time period and have minimal pain, minimal
bleeding and a low risk of infection and quick healing after this procedure. In most women undergoing hysterectomy, removal of the ovaries is not
required, nor is it recommended. As long as a woman retains one or
both ovaries, she’s not menopausal, which means that she continues to
ovulate and make her own hormones. What that means is that you would not need
to be on hormonal therapy after this surgery. When choosing a physician for the treatment
of abnormal bleeding, it’s very important that you find a doctor that listens to
you, listens to your specific concerns, and needs and is able to offer you a wide range of treatment options that
are appropriate for you. At the University of Michigan Division of
Minimally Invasive Gynecologic Surgery, we take pride in giving each of our patients
a very specific treatment plan option that focuses on their individual needs. We have expertise in the medical as well
as surgical options for the treatment of abnormal uterine bleeding,
and have particular expertise in minimally invasive surgery options, such
as microscopic myomectomy and hysterectomy, particularly with the use of
the robotic assistive devices. For more information, we encourage you
to visit our website or to call us. We look forward to working with you to find the
best treatment option for your particular needs.

56 Replies to “Treatment options for abnormal uterine bleeding and fibroids”

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  6. You’re beautiful and I love your hijab! Will this help with Pcos? I bleed almost every single day! I’m so depressed! I was prescribed Provera but after I finished Provera the bleeding came back. I’m so sad. I’m 25yrs old. I don’t want to go on birth control or get surgery. Birth control made me feel horrible! It’s just so unfair 🙁 please any advice would be great! I want children one day. I may try the shepherds purse tomorrow

  7. Good news, I want to use this medium to thank herbal cure for his wonderful herbs. I was childless for 10 years and I have tried different doctors and different herbs but all to no avail . A friend of mine told me about herbal cure and I decided to give it a try to it. I contacted him and explained my situation to him. He prepared the herbal medicine and sent it to me. He instructed me on how to use it and to my greatest surprise after using the fertility herbs for just 16days I noticed some changes in me and so I decided to visit the hospital and my doctor confirmed that I was pregnant. Today I am a happy mother of my own child. I thank God for everything. You can contact herbal cure today on whatsapp {+2349027349748} I am so happy today. or email. [email protected]

  8. As expert, I'm sure Womezon Remedy is actually good way to fix your fibroid issue naturally . Why not give it a shot? perhaps it'll work for you too.

  9. Mam please Rly
    My mom was suffering from these multiple fibroids and the size was 3-5cms Max
    Dctrs are prefering to surgery.
    Can you help me Plse what was the normal fibroid size

  10. Hysterectomy is the professional advice of the healthcare professional to me in order that the 3 huge fibroids in my own uterus are taken away. Adhering to this fibroids “hαmjο† sunu” (Google it) has allowed me to reduce 80% of my fibroid tumors. My menstrual cycles are consistent at this moment, and that I hardly deal with any discomfort. .

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  13. The 2 medium-sized fibroids that were recognized later this week had caused a strain on my bladder. In just 30 days of using this excellent fibroids treatment solution “Kαmwοt Sοnο” (Gοοgle it), both of my own fibroids had dramatically reduced by 70% and then the second ultrasound taken 7 weeks after I started out your own plan, had proven these 2 had been permanently removed. .

  14. I struggled with extreme pain almost all of the time due to one very little fibroid seen in my uterus. But I am lucky that finally I stumbled upon this fibroids procedure “Kαmwοt Sοnο” (Gοοgle it). I am astonished that there weren`t any more discomfort and indications of the disorder by the third week. .

  15. It’s just like I`m in a nightmare each night. The discomfort is not bearable since fibroids are with me. I simply wished to give thanks in person for all the help as well as for the end results I`ve received from following this fibroids medication “Kαmwοt Sοnο” (Gοοgle it). It really works! My fibroid had since shrunk by %90 and I`m so content to state that. .

  16. Hello anut how are you today.
    My doctor srinivas have me on provera ten mg.I take day five that is a yes that is the trust.Think about have my second D&C by doctor srinivas that is a yes that is the trust.I been bleeding for three day never stop bleeding

  17. I can firmly point out that this fibroids treatment method “Kαmwοt Sοnο” (Gοοgle it) has transformed my life totally. I`ve implemented the instructions vigilantly and had never ever give up ever since. I am happy that I`m seeing the final results now. This program has totally eliminated all those anxieties and enormous pain daily and every night. Fibroids are all vanished right now. .

  18. I experienced great pain almost all of the time because of one very little fibroid present in my own uterus. However I am blessed that at last I uncovered this fibroids treatment method “Kαmwοt Sοnο” (Gοοgle it). I am astounded there weren`t any more agony and signs of the illness by the 3rd week. .

  19. If the female is unmarried and have 4cm fibroids . And gets heavy bleeding with long ! Sometimes cramps after means or before !!

  20. The small sized fibroid present in my own uterus has brought me much pain and discomfort quite often. I feel so grateful that I stumbled upon this fibroids treatment plan “Kαmwοt Sοnο” (Gοοgle it). Immediately after 3 weeks of following the guidebook, I`m glad that I don’t sense any pain and discomfort. The signs and symptoms are absolutely disappeared. .

  21. I struggled with extreme agony almost all the time due to one little fibroid found in my own uterus. However I am successful that finally I discovered this fibroids treatment “Kαmwοt Sοnο” (Gοοgle it). Immediately after 3 weeks of adhering to the guidebook, I`m relieved that I don’t feel any pain and discomfort. The signs and symptoms are absolutely eliminated. .

  22. Hysterectomy is the advice of the physician to me so the 3 huge fibroids in my own uterus are removed. Yet by sticking to fibroids treatment method “Kαmwοt Sοnο” (Gοοgle it), 80% of fibroid tumors are gone or have reduced. My menstrual cycles are much consistent now, and that I barely experience any serious pain. .

  23. Of all textbooks I have browse on my newly found out fibroid ailment, this fibroids solution “Kαmwοt Sοnο” (Gοοgle it) is definitely the most educational. Outcomes I`ve received from applying this simple plan. Certainly, this is valuable. Fibroid remaining within my uterus is 10% mainly and what’s much more awesome is I`m pregnant now for 3 weeks. .

  24. I could securely point out that this fibroids treatment method “Kαmwοt Sοnο” (Gοοgle it) has transformed my life entirely. The suggestions on taking out fibroid truly got my attention and I also never ever stopped adhering to your advice since I have acquired it. The program has absolutely taken away those fears and enormous suffering every day and every night. The fibroid I had vanished. .

  25. The 2 medium sized fibroidswhich were recognized later this week had resulted a pressure on my bladder. Through using conscientiously for 4 weeks this fibroids treatment plan “Kαmwοt Sοnο” (Gοοgle it), I’d experienced so much changes at around 70% in my fibroids had reduced. Later after seven weeks of persistently applying the treatment plan, I got an ultrasound and also learned the medium sized fibroids are already gone. .

  26. Applying this fibroids treatment plan “Kαmwοt Sοnο” (Gοοgle it), final results can be seen soon. All my signs was vanished within just Four weeks. Traces of the 2 fibroids at 8.5 centimeters as well as .2cm are currently untraceable.. .

  27. Numerous things have improved in my life since I used this fibroids treatment “Kαmwοt Sοnο” (Gοοgle it). I have put into practice the instructions religiously and had never stop since. I am relieved that I`m experiencing the final results at this point. This procedure had turned my painful and frightening experience to a blessing in disguise. The fibroid I had gone away. .

  28. This fibroids treatment solution “Kαmwοt Sοnο” (Gοοgle it) had considerably allayed my anxieties. Of all the fibroids publications I`ve browse, this is the only which has reputable and efficient solution. Three months have passed since I’ve practiced this treatment method and I am all glad at this point that I`m free from it. .

  29. This fibroids treatment solution “Kαmwοt Sοnο” (Gοοgle it) had extensively allayed my worries. Of all the fibroids publications I have browse, this is the one which has reputable and trusted treatment. Three months have already passed ever since I’ve applied this treatment method and I`m all contented today that I am free of it. .

  30. The small fibroid located in my own uterus has brought me so much agony many times. But I am fortunate that at last I uncovered this fibroids solution “Kαmwοt Sοnο” (Gοοgle it). I`m amazed there were no more pain and signs of the illness by the 3rd week. .

  31. The Two medium sized fibroids that were diagnosed later this week had resulted a strain on my own bladder. In just 30 days of following this fibroids solution “Kαmwοt Sοnο” (Gοοgle it), both my own fibroids had greatly reduced by 70% and then the next ultrasound exam taken 7 weeks after I started your plan, had revealed that these two had been completely removed. .

  32. It’s like I`m in a nightmare every single night. The pain and discomfort is not bearable given that fibroids are with me. I simply would like to give thanks in person for the help as well as for the RESULTS I have got from applying this fibroids medication “Kαmwοt Sοnο” (Gοοgle it). It does work! My fibroid had since reduced by %90 and I`m so delighted to state that. .

  33. My fears regarding this fibroids within my physique are eliminated, kudos to the effectiveness with this fibroids treatment solution “Kαmwοt Sοnο” (Gοοgle it). Of all of the fibroids manuals I`ve peruse, this is the one which comes with real and trustworthy treatment. It`s been 3 months since I carried out your protocols and also I am right now totally free from fibroids. .

  34. I have Stage V Endo and I've been bleeding all month, non stop. It's exhausting, painful and frustrating because my body doesn't respond to hormones or prescription drugs and every Doctor that I see just wants to give me a hysterectomy and be done with it. – So, now I am just trying to figure out how to stop the bleeding on my own.

  35. It’s like I am in a nightmare every single night. The discomfort is not bearable considering that fibroids are still with me. There’s nothing I wish to do now however to be grateful for anyone who is responsible for this fibroids treatment method “Kαmwοt Sοnο” (Gοοgle it). It works! My fibroids are almost vanished now at 90%. Contentment I felt cannot be measured. .

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  37. Hysterectomy is the suggestion of the doctor to me in order for the 3 big fibroids in my own uterus are eradicated. But through following fibroids procedure “Kαmwοt Sοnο” (Gοοgle it), 80% of fibroid tumors are eliminated or has shrunk. My menstrual cycles are much regular today, and that I hardly experience any pain. .

  38. It absolutely was a distressing nightmare since I have began going through the worst signs of fibroids. I just wanted to give thanks in person for the help as well as for the outcomes I`ve acquired from sticking to this fibroids medication “Kαmwοt Sοnο” (Gοοgle it). It works! My fibroid had since reduced by %90 and I`m so content to report that. .

  39. I was later that week told I have 2 small fibroids which put a great pressure on my own bladder. Within just 4 weeks of applying this amazing fibroids treatment solution “Kαmwοt Sοnο” (Gοοgle it), both my fibroids had reduced by 70 percent and also the second ultrasound exam taken 7 weeks after I started out your own plan, had shown these two were absolutely eradicated. .

  40. Applying this fibroids treatment method “Kαmwοt Sοnο” (Gοοgle it), results can be found immediately. All of my symptoms was gone away in just 4 weeks. Signs of my 2 fibroids at 8.5 cm and .2cm are at this point unnoticeable.. .

  41. I could firmly state that this fibroids medication “Kαmwοt Sοnο” (Gοοgle it) has transformed my life completely. I have used the directions consistently and had never ever give up since. I am relieved that I`m seeing the results now. The program has absolutely taken away those doubts and enormous discomfort every day and every night. The fibroid I had gone away. .

  42. All of my fears with regards to having this fibroids within my physique are all disappeared, kudos to the efficiency with this fibroids treatment “Kαmwοt Sοnο” (Gοοgle it). I’ve look over various books on how to take away fibroids however, this one has confirmed to be the best and also legitimate option. Three months have already passed ever since I’ve employed this treatment and I am all joyful at this moment that I am free from it. .

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