I went in for my annual (which I was late on scheduling) last week. I had been having very heavy bleeding during my period-going through super, super OB's and a pad in less than an hour for the first 3 days. My cycles also went from 5 days to 10 plus and then days of spotting. He did a transvaginal ultrasound and saw what he described as a "very, very large polyp". He said the area all around it had severely thickened and the polyp looked like it had been there awhile. It has a very hearty blood supply. He has ordered a biopsy next week, however he said if it came back with hyperplasia, he would likley recommend a hysterectomy.
If there is no hyperplasia-he said he can't remove the polyp-a different specialist will have to-due to its size and chance of causing major bleeding.
My question is-with a very large polyp like this-what are the chances they will end up doing a hysterectomy anyway, due to bleeding and maybe the way the uterus will react after its removal? And if a hysterectomy may be needed, am I a candidate for laparoscopic? I have had 4 abdominal surgeries-two c/s; one laparotomy for ovarian tumors and a laparoscopy for severe adhesions that had twisted my ovaries and stuck them to my intestines. I had read due to previous surgeries, etc. some doctors would prefer open hysterecomy.
Thank you in advance! I am 41-with two children, both via emergency c/s due to pre-eclampsia.
Since we don't have access to the results of the tests, we really can't tell you whether this will end up in a hysterectomy or not. You'll need to wait until the results from the biopsy next week come back for more information.
At that time you can discuss whether (if a hysterectomy becomes necessary) this can be done laparoscopically.
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