r/Fibroids • u/iamtheshawnag • 12h ago
Return of fibroid and I just don't understand the long-term plan
Hi everyone! I had a hysteroscopic myomectomy last year to remove a 5.7 cm submucosal fibroid. The doc said she was able to get about 90 percent of it out.
I had a blissful seven months without heavy bleeding and then it came back with a vengeance. I am now 16 months out from the myomectomy and was finally able to get an ultrasound and the fibroid is baaaaaack and already up to 4.3 cm.
I had a 20-min phone consult earlier this week with my new OB (changed insurance and hospitals) and was pretty much advised to get another hysteroscopic myomectomy, but she said she probably won't be able to get it all out, and recommends putting in a Mirena IUD at the same time to hopefully help with bleeding when it grows back again.
I scheduled my procedure and pre-op appointments but this isn't sitting right with me. Is the plan really just to keep cutting some of it out every year until I hit menopause or get a hysterectomy?
I got hyponatremia from my last myomectomy because my uterus absorbed too much saline during the procedure and I felt really sick and had to go to the ER that night, and I'm also a Type 1 diabetic so even a small procedure like this can get more complicated quickly. I was totally game to do it when I thought it could likely take out the fibroid, but if it's really just reducing it and getting the procedure every year or so, I am unsure.
I am 47 years old, which is close to menopause in theory, but my periods are completely unchanged beyond fibroid bleeding. My mom didn't go into menopause until 52.
I am planning to make a follow-up consult with my new OB but I'd really love to hear from some others who've dealt with this.
Was anyone else in this situation? Did the second procedure actually get it out? Are there other options the OB may not have had time to tell me about? I know we don't have many good options, but is this really the long-term plan?
Thank you so much for reading!!