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Hi, It's Dr. C. Board certified Ob-gyne. I can help you today.
I'm very sorry to hear about your trouble with myomas. At age 53, it's usually just a matter of time before the myomas start to shrink on their own and stop causing trouble. Alternatives to hysterectomy include uterine artery embolization and the use of Depo-Lupron medication to speed the shrinkage. Normally we would not recommend myomectomy over those options because removal of each individual myomas requires "open" surgery ( not laparoscopic) with increased risk of bleeding and hard to guarantee that all myomas will be found and be able to be safely removed. I have extensive experience in managing such difficult circumstances so can answer all your follow-up questions in details. Please reply with further questions. I want to be sure you have the most helpful information for your situation.
In that case, the better options would be either uterine artery embolization or the use of Depo-Lupron. Of those 2, the Depo-lupron carries lower risks. It's a shot that's given monthly for 6 months and puts a women into menopause temporarily. Sometimes we can use it for longer than 6 months. This is especially true for black women. The reason is that the medication is not good for bone health and black women tend to have better bones than other races of women. The idea is that we would use this medication in the hope that you'd go into menopause naturally once the medicine wore off. Average age of menopause is 51 so hopefully you're not too far away. From what you've described to me so far, that seems like the best option to get the bleeding under control, get the anemia under control, shrink the fibroids and avoid hysterectomy.
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