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Large Fibroid: 50-Year-Old Woman Worries About Irregular Menstruation and Subserosal Fibroid

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1145 Answers  |Ask -

General Physician - Answered on Apr 05, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - Apr 04, 2024Hindi
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Hello Madam. I am 50 year old lady. now mestruation periods are not regular. in medical checkup i got report that subserosal fibroid 8.7 * 8.3*6.7 cm in cervical region. (large Fibroid). is it harmfull.

Ans: Yes.Large subserosal Fibroid can be a concern for torsion.But menstrual irregularities may not be due to this.Please check with your Gynec
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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I am 51. I have been diagnosed to have multiple fibroids. 3 Months ago, my bleeding did not stop and was told it was due to my fibroids and had to be given hormones treatment to stop. But, since then I had 2 normal periods. Right now, I am not taking any medicines. What further action I need to take for my fibroids issue. Please advise.
Ans: Hello
You are 51 with fibroids, with menorrhagia
Firstly,
1) We Need to get usg 3 D pelvis done with fibroid mapping.
2) Blood test to see for CBC, tsh , prolactin, tsh level
Since you are 51 and if your hemoglobin is maintained and bleeding controlled, we can wait and observe with regular usg monitoring for fibroids
Since you are 51, there are chances of you being in perimenopause and menopause, so there are chances fibroids reduce in size, and you become asymptomatic because post menopause estrogen level drops and fibroids are estrogen dependent.
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a) Cyclic Oc pills or continuous Oc pills to create pseudoamennorhoea which will control dysmenorrhea and bleeding
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Uterine fibroid embolization:
This minimally invasive procedure involves injecting small particles into the uterine artery to block blood flow to the fibroids.
Radiofrequency ablation (RFA):
This treatment uses microwave energy to treat smaller fibroids in people who haven't reached menopause.
Progestin-releasing intrauterine device (IUD)
This option is for women with fibroids that don't distort the uterus. It can reduce heavy bleeding but doesn't treat the fibroids.
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I am 32 and I have been working really hard to build my career. I love what I do, and I've invested a lot of time and energy to grow in my role. But somehow, at work, especially during informal conversations, people often ask me questions like, 'When are you planning to settle down?' or 'Any baby plans on the horizon?' or even worse, 'You should start thinking about family before it's too late.' Sometimes these are casual remarks during lunch breaks, after meetings when the tone turns casual. Surprisingly, it's not always from older colleagues. Even people my age do it. It's personally frustrating because the underlying message seems to be: Your career is fine for now, but surely you will slow down or quit once you get married or have kids, right? It feels like no matter how well I perform or how passionate I am about my work, there's always this unspoken assumption that it's all temporary. I don't want to snap or sound defensive because that often backfires. At the same time, I also don't want to smile politely and let these questions continue. I want to protect my boundaries while still being professional and graceful.
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To be in a position where you are today and say, ' I love what I do', is simply stupendous, congratulations!

In the context of you being 32 and still unmarried will definitely get you the comments that you are receiving... and like you said they are happening informally casually... so just treat them that way, casually... answer them, don't avoid them or don't show annoyance. Just answer them with a ,"not happening anytime soon, ask me after 02 years", or any other casual remark you deem fit.

I can understand the frustration...forget about what other people are trying to imply etc , they are just casual remarks and take them that way.
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Dear sir, Greetings.My son got a rank 1681 in TSEAPCET examination and wants to study B.Tech (BioTechnology) IN JNTU,Hyderabad.He is a BiPC student in Intermediate.Please guide us regarding the prosperity in Biotechnology and how much it is good for professionwise.And what jobs he will get and how much approximate remuneration he will get.He attended NEET exam also and likely to get a seat in MBBS in B category in Telangana.But he shows inclination towards B.Tech (Bio Technology).His point is Medical stream takes more years to complete with post graduation and super speciality.Please give your opinion.Next point is B.Tech(BioTechnology) started in JNTU only 2 years back.Will there be any disadvantage of lab facilities and infrastructure and if so,how will it affect the student"s educatuion and job skills/understanding in the college.Please guide me. Thanks and Best Regards. NVRSrinivas
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If desired, he can pursue higher studies (M.Tech, MSc, PhD) later in India/Abroad to enhance expertise and salary potential. Meanwhile, the current job market for biotechnology graduates is expanding, with roles in pharma companies, research labs, healthcare startups, and agricultural biotech firms. Job

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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