38 year old Susan came to the out-patient clinic of the Obstetrics and Gynecology department of the hospital with complaints of heavy bleeding for the past 5-6 menstrual cycles. The cycles were irregular and the duration of bleeding in each cycle lasted between 7- 15 days.
On many occasions blood clots were noticed in the pads. Susan suffered from lower abdominal discomfort and pain during the period of menses. Past history was uneventful. The lady delivered 2 children through vaginal delivery and her last pregnancy was 6 years ago.She had no abortions. There was no history suggestive of diabetes mellitus or hypertension. There is no family history of uterine fibromyoma, endometrial cancer, cervical carcinoma or ovarian tumors.
General and physical examination of the lady was unremarkable. Susan was advised some investigations to evaluate the cause of menorrhagia. They were ultrasound of the abdomen and pelvis with special emphasis on the uterus, transvaginal sonography and pap smear. She was also advised to get a random blood sugar done.https://healtheappointments.
com/medical-terminology-4-essays/The ultrasound examinations revealed 3 moderate sized fibroids, 2 in the anterior wall of the uterus and one on the posterior wall. The gynecologist informed Susan that these fibroids were the cause for her bleeding and that the only way to treat the condition was to perform a partial hysterectomy. Susan was worried and asked the doctor “what are fibroids and why are they caused? ” The doctor replied “fibroids are basically non-cancerous growths of the uterine muscle tissue and they are also known as myomas or leiomas.
Most of the times, there may not be any cause for this condition. In some cases, genetic predisposition or elevated estrogen levels may be the cause. ” Susan then asked the doctor as what the procedure actually was. The doctor replied, “in partial hysterectomy only the uterus part of the female pelvic organs will be removed and both the ovaries and the cervix will be left intact. By this procedure, you will continue to have natural ovarian hormones in the body and will also be able to lead an active sexual life. ” Susan then enquired “what are the alternatives to surgery?” The gynecologist replied “selective myomectomy of each fibroid or fibroid embolisation can be done, but, in your case, since there are 3 moderate sized fibroids, it is best to go ahead with subtotal hysterectomy. ” A week later, Susan underwent partial hysterectomy under general anesthesia.
Post-surgery, she was monitored in the post-op ward for a couple of hours and then shifted to the ward. Four days later, Susan was discharged home. It is about 6 months since the surgery and Susan is leading an active life with no complaints as far as her health is concerned.