Uterine fibroid treatment?

[Anonymous]

I was recently diagnosed with a 5 cm intramural fibroid that is stretching out my uterus - causing horribly heavy periods and anemia. I'm 35, no kids yet, but hope to start ttc in the next year or so.

My regular OB-GYN referred me to Dr. Nancy Durso who recommended major surgery to remove the fibroid. I like her and her staff, and I've heard good things about her ability to perform this procedure and have women go on to conceive. I am not thrilled about the idea of such a huge surgery and long recovery time, but my top priority is preserving my fertility and Dr. Durso is on the same page in that respect.

This morning my mom sent me a link to the Center for Innovative Gyn Care. It looks like they use a hybrid method to remove fibroids that involves laparoscopy without morcellation called LAAM myomectomy. Does anyone have any experience with this procedure or with the doctors at this practice? Dr. Natalya Danilyants and Dr. Paul Mackoul?

I had kind of accepted the fact that I would be getting major surgery, and now I feel like I am second-guessing myself after reading about this new procedure. Any insight or recommendations would be greatly appreciated!!!

[Anonymous]

I went to MacKoul for a different type of surgery. He is fantastic. I would at least go for a second opinion with them.

[Anonymous]

Thank you! That's good to hear. I'll get in touch with them.

[Anonymous]

You might want to go to GW for a second opinion. I had a 10cm intermural fibroid that was distorting the shape of my uterus and preventing me from getting pregnant a second time. Cheri Marfori at GW removed it laprascopically. Recovery was very easy. You will need to wait 6 months before getting pregnant and probably need to have a C-section due to risk of rupture. My second kid went to full term with no issues and C-section was easier than vag delivery.

[Anonymous]

Thank you for the tip, I will check out both MacKoul and Marfori. Appreciate the input!

[Anonymous]

I went to Mackoul as well. He was okay---great in the office setting but then the day of my surgery he didn't remember why we were doing the surgery. I literally had to tell him what he was there to do. He could have at least reviewed his notes so he knew the slightest bit about me.

[Anonymous]

I had an operative hysteroscopy (?) to remove fibroids and they went through the cervix. Maybe that wouldn't work for you because of the size, but definitely get a second or third opinion. I got pregnant about four months after the procedure and had an uneventful pregnancy.

[Anonymous]

Anonymous wrote:I was recently diagnosed with a 5 cm intramural fibroid that is stretching out my uterus - causing horribly heavy periods and anemia. I'm 35, no kids yet, but hope to start ttc in the next year or so.

My regular OB-GYN referred me to Dr. Nancy Durso who recommended major surgery to remove the fibroid. I like her and her staff, and I've heard good things about her ability to perform this procedure and have women go on to conceive. I am not thrilled about the idea of such a huge surgery and long recovery time, but my top priority is preserving my fertility and Dr. Durso is on the same page in that respect.

This morning my mom sent me a link to the Center for Innovative Gyn Care. It looks like they use a hybrid method to remove fibroids that involves laparoscopy without morcellation called LAAM myomectomy. Does anyone have any experience with this procedure or with the doctors at this practice? Dr. Natalya Danilyants and Dr. Paul Mackoul?

I had kind of accepted the fact that I would be getting major surgery, and now I feel like I am second-guessing myself after reading about this new procedure. Any insight or recommendations would be greatly appreciated!!!

Get a second opinion. Make sure whomever you choose is serous about preserving your fertility. I had a myomectomy years ago - I was fine in 3 weeks. I have had two children since, both planned c-sections. I don't have a recommendation for a doctor, as I did not go local.