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At least 811 records · Page 45Linked to original sources
PubMed2000

By the way, doctor. I am 59 years old, in good health, and have been on HRT (estrogen and progesterone) for about 10 years. I have tried several different preparations, but despite this, have developed a uterine fibroid, experienced indigestion, gained 20 pounds, and had one abnormal mammogram (with, thankfully, a negative biopsy). Because there is heart disease in my family, my doctor wants me to stay on HRT for the rest of my life. Can you suggest any alternatives?

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Female↗
PubMed2000

Myomectomy and tuboplasty performed at the same time in cases of distal tubal obstruction with associated fibroids.

OBJECTIVE: To compare pregnancy rates and outcomes in patients who underwent tuboplasty alone versus those who had simultaneous myomectomy and tuboplasty for distal tubal occlusion. STUDY DESIGN: One hundred eighty-eight patients underwent tuboplasty alone. An additional 56 were treated by both myomectomy and tuboplasty, and 8 others underwent tuboplasty, leaving the myomas in situ. RESULTS: Of the 188 patients who underwent tuboplasty alone, 47.90% (90 patients) became pregnant; of these, 24 (26.7%) had a spontaneous miscarriage, 14 (15.6%) developed an ectopic pregnancy, and 52 (57.7%) achieved a viable birth. By comparison, of the 56 patients who had both tuboplasty and myomectomy, 53.6% (30 patients) conceived: of these, 11 (36.7%) miscarried, 7 (23.3%) developed ectopic pregnancies, and 12 (40.0%) achieved viable births. Of the eight patients who underwent tuboplasty while leaving the myoma in situ, five became pregnant, resulting in three viable births (37.5%) and two spontaneous abortions (25%). The number of pregnancies, ectopic gestations, miscarriages and viable births in the two former groups showed no statistical differences. (For the eight patients with the myoma in situ, the number was too small for statistical analysis.) CONCLUSION: Because there is no disadvantage to performing myomectomy at the time of tuboplasty for distal tubal occlusion, the combined surgical approach should be the procedure of choice rather than performing myomectomy in a separate operation later.

Fallopian Tube Diseases↗
PubMed1999

Fibroid face-off.

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Embolization, Therapeutic↗
PubMed2000

[Electroresectoscopy in submucous fibroids, intrauterine adhesions and uterine malformation treatment].

182 hysteroscopic operations with electroresectoscope use performed in Ist Department of Obstetrics and Gynaecology (Warsaw) between 1996-1999 were analyzed. Myomectomy was performed in 117 patients, resection of uterine septum in 25 and deliberation of intrauterine adhesions in 40 patients. Abnormal bleeding and infertility were the main indications for hysteroscopy. In 70% of patients normalization of menstrual bleeding was obtained and 24% of patients got pregnant. In 3 cases uterine wall perforation was noted, increased uterine bleeding was observed in 7 patient and there was only one case of fluid overload.

Adult↗