Uterus1: Why are there so many options to treat fibroids instead of just one standard procedure?
Dr. Ignacio Armas: Not every woman with fibroids is the same. There are different variables that determine how you council the patient. First, and most importantly, is whether they want to have future fertility or not. The other thing is how symptomatic they are. Some patients have uterine fibroids that are extremely symptomatic, others have very minimal symptoms. The other issue you have to take into consideration is the size of the fibroids, whether they’re bleeding heavy and causing them to be anemic or not. If they come in and they’re extremely symptomatic we go through the options – which in some patients may include endometrial ablation, it may include embolization, it may include myomectomy, and in some patients the only option is hysterectomy. Some patients do come in with an extremely large uterus and there’s no other option available to those patients. But for the most part, you catch the fibroids early, you lay out the options for the patient, and you make a decision about what is the best option for them at that particular time.
Dr. Ignacio Armas: Not every woman with fibroids is the same. There are different variables that determine how you council the patient. First, and most importantly, is whether they want to have future fertility or not. The other thing is how symptomatic they are. Some patients have uterine fibroids that are extremely symptomatic, others have very minimal symptoms. The other issue you have to take into consideration is the size of the fibroids, whether they’re bleeding heavy and causing them to be anemic or not. If they come in and they’re extremely symptomatic we go through the options – which in some patients may include endometrial ablation, it may include embolization, it may include myomectomy, and in some patients the only option is hysterectomy. Some patients do come in with an extremely large uterus and there’s no other option available to those patients. But for the most part, you catch the fibroids early, you lay out the options for the patient, and you make a decision about what is the best option for them at that particular time.
Dr. Ignacio Armas
Dr. Ignacio Armas was born in Cuba and moved to the United States with his family when he was 10 years old. He attended medical school at the University of South Florida and currently practices Obstetrics and Gynecology in Brandon and Plant City, Florida. While practicing medicine for over 20 years, Dr. Armas has witnessed many changes in his field. He credits the use of minimally-invasive surgery, the practice of preventative medicine and cancer screening for improving the quality of women’s lives today. Dr. Armas has a special interest in laparoscopic surgery, menopause management and pediatric and adolescent gynecology. He is an advocate of patient education, and he regularly speaks in the community about natural hormone replacement and alternatives to hysterectomy.
Dr. Ignacio Armas
Dr. Ignacio Armas was born in Cuba and moved to the United States with his family when he was 10 years old. He attended medical school at the University of South Florida and currently practices Obstetrics and Gynecology in Brandon and Plant City, Florida. While practicing medicine for over 20 years, Dr. Armas has witnessed many changes in his field. He credits the use of minimally-invasive surgery, the practice of preventative medicine and cancer screening for improving the quality of women’s lives today. Dr. Armas has a special interest in laparoscopic surgery, menopause management and pediatric and adolescent gynecology. He is an advocate of patient education, and he regularly speaks in the community about natural hormone replacement and alternatives to hysterectomy.
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