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Gynecology

Anterior intramural fibroid

03/04/2008

Question:

A US TRANSVAGINAL W/PELVIS was performed and I was informed that I had an anterior intramural fibroid that measures 13 x 12 x 18mm with a pattern of myometrial cysts. My uterus measures 126 x 65 x 78mm, diagnose adenomyosis. Will a hysterectomy be my only option. I do not plan to have anymore babies.

Answer:

The diagnosis of adenomyosis can be suggested by ultrasound, but it is not absolutely correct. Hysterectomy is usually the only effective treatment for severe adenomyosis. Treatment should only be considered if symptoms of heavy bleeding or painful menses is severe. Medical treatment should be tried first before considering hysterectomy.

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Response by:

Thomas  A deHoop, MD Thomas A deHoop, MD
Formerly Associate Professor of Clinical Obstetrics and Gynecology
Director, Medical Student Education
No longer associated