MRI guided surgery and Endo Ablation

Therese_

I have my first appt with a gynecologist oncologist today and have been researching alternatives to hysterectomy for fibroids. I am post menopausal so if the doctor is adamant about that route, I’m fine with it. However, I’m wondering if anyone has ever had MRI guided surgery that is apparently non-invasive and destroys fibroids with sound waves. I had a failed EMB but several fibroids were found causing the bleeding. Also read ablation is an alternative. Any experiences with these procedures would be greatly appreciated.

NoTimeForCancer

Therese, I have nothing to offer on this question but wanted to acknowledge the ask. Perhaps someone else will be able to chime in.

Forherself

I am wondering why you are seeing a. gynecological oncologist if you haven't been diagnosed with cancer. That is the usual progression. If you do have cancer in your uterus ablation can spread it according to articles I have read. If you just have fibroids, ablation seems to be for endometrium and heavy bleeding. and not fibroids. I have not heard of ablation to remove fibroids.

Therese_

https://csn.cancer.org/discussion/comment/1722483#Comment_1722483

My gynecologist did an EMB that didn’t take. He referred me to the gynecologist oncologist so that he can do a frozen section D&C and perform the hysterectomy. He felt the oncologist would be the best next step for me. My fibroids are causing me to bleed heavily and I have cramps too.

oldbeauty

Therese, I can understand your concern and confusion. It sounds like your regular OB/GYN wants to hand off your case, which is admirable IMO. Were it I, the question I'd be asking myself is "am I willing to have a hysterectomy now?" I was post-menopausal and never wanted children, so I had no deep attachment to my uterus. Other women, I know, are quite emotional about that organ. But if it does turn out to be cancer, you may find yourself wondering what might have been different if you'd had the hysterectomy sooner and not spent time seeking solutions for fibroids. (That pre-supposes that hysterectomy is a complete treatment for fibroids.) You might ask about sparing an ovary if you are concerned about losing an estrogen source, but then it could turn out to be a cancer that is fed by estrogen. No easy answers and you have some tough decisions. Best wishes, Oldbeauty

ilovedaisies

Hi, Therese,

It sounds like you’re trying to become as informed of your options, as you might, before any upcoming surgery. Good for you. It’s what I would do. From the two new techniques you’re describing, it seems you’re finding some possible options? I’ve put out feelers to both my friend and niece, as I’d mentioned, but not sure if they’ll want to share. It’s such a personal thing.

An invasive hysterectomy isn’t something to be taken lightly. Of course, for those with cancer, it’s a done deal; hoping only it’s done fast enough to avoid any spreading. Undiagnosed, however, as you and I, so far, it’s important to consider all the ramifications, such as it being a major surgery, and one with potential long-term consequences, as well.

Here’s but a few cursory looks. Again, having some time (it seems), I’d urge you to educate yourself as much as you can. And I’d use the usual portals to write either doctor with those unknown questions — such as why this or why that — to get answers there, as well.

Blessings on your homework,

Linda