Should I get a Myomectomy or a Hysterectomy? - TheFibroidDoc - Dr. Cheruba Prabakar

Do I get a myomectomy or a hysterectomy?
Now, myomectomy is a procedure where we remove your fibroids, and a hysterectomy is a procedure where we remove the uterus along with the fibroids.
Many patients think hysterectomy is a more complicated, difficult, time consuming procedure,and this is not always the case. Sometimes the myomectomy is the more difficult, time consuming procedure and can also be quite bloody because we're actually removing the fibroid, cutting it out of the wall of the uterus, taking it out, and then suturing the spot where we took it out from. And we repeat this for multiple fibroids or maybe a few large fibroids. So this can actually cause a lot of blood loss. So sometimes the myomectomy can be the harder procedure. So do not choose based on just like, oh, well, the hysterectomy is a harder and longer procedure. Again, that is not always the case. So what should you choose based on, then?
So I have two thoughts.
1.Fertility: If you are not done having children or you've never had kids and you want a child, then, well, the answer is easy. You definitely have to keep your uterus. You have to preserve the uterus. So hysterectomy is off the table. You want to do a myomectomy. It may take a long time. It may be a little bloody, but that's the only option you've got. Okay?
2. Your tolerance to your symptoms: So if your fibroids are causing very heavy bleeding or maybe it's causing pain, pressure, constipation, and you're just done with it, like you never want to deal with this again. You've taken all the pills, you've done the minor procedures, and you've been dealing with it for years, you have a very low tolerance for these symptoms anymore, and you want to be done then. You want to go with the hysterectomy because you don't want to risk the fibroids growing back or not being able to take them all out, etcetera.
On the flip side, if you're a patient who wants to preserve every organ in your body to the last moment, your emotion attached to your uterus, you don't want your uterus to leave your body. And you have a pretty high tolerance for your symptoms. So, yes, it's bothering you. It's annoying you. You've dealt with it for a long time. But you don't want to take it out, you don't want the finality of taking out your uterus, then you may be somebody who wants to consider a myomectomy or just removing the fibroids. So, again, there's no clear right or wrong.
There are some other nuances that your gynecologist will discuss with you. But these are the top two things you want to think about. Number one, fertility. And number two, your tolerance to these symptoms, or tolerance of these symptoms, and you want to spend some time thinking about this prior to your consultation with your GYN, so you can really come to a conclusion on what the best course of action is going to be for you.
If you are in California and you have fibroids and you're thinking about this, you're going to get a myomectomy, should get a hysterectomy. You're looking for a doctor to do these procedures, come and see me.
I'm in Lafayette, and my number is 925-74-7473, and I'll be happy to see you for a consultation.
If you are not in California, you're somewhere else in the country or the world, and you just want a trustworthy person to answer all your questions about a hysterectomy or myomectomy or fibroids. You can set up a coaching session with me, email: [e-mail], and we can set up a time and go over all your questions.
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#choices #myomectomy #hysterectomy #fibroids #roboticsurgery

[@KeyahD]

Thanks for sharing. I am in the hysterectomy category. I have had two UFE procedures that shrank my fibroids but not enough to stop the symptoms. I am about to turn 45 and no children and no plans to have them. I have thought about it for months and consulted with my GYN doc. Your explanation has helped me to know I am on the right track. I live in the Washington, DC area and I am currently waiting for an appointment to be schedule, but I am open to recommendations.

[@TheFibroidDoc]

@ccbl0001
Looks like you have really thought this through, awesome! Don't have direct recommendations in DC, but you are always welcome to come to CA :)

[@mariap.3304]

Hello . Loved your video . Ive been suffering from all fibroid symtoms . Do you recommend any in south west Florida?

[@TheFibroidDoc]

Dr. Jessica Ritch is great. Please look her up. instagram.com/enritched/