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  • Uterine Polyp - Issues w/Anxiety & Very Scared

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    Old 09-30-2013, 05:14 PM   #1
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    Uterine Polyp - Issues w/Anxiety & Very Scared

    First of all...any advice, experience with uterine polyps, etc. is greatly appreciated.

    I am 44 years old and had my routine pap done about 6 months ago. I told the doctor at my appt. that I was having some break-through bleeding (which I've never had before) and that my periods weren't as regular as they used to be. My periods have also always been pretty heavy but even heavier after having kids. She suggested I consider ThermaChoice or Mirena (spelling?). My pap came back normal (I've never had an abnormal pap).

    I went home and read about ThermaChoice and Mirena and decided on ThermaChoice. By the time I decided on what I wanted to had been 6 months so my doctor wanted me to have a transvaginal ultrasound and biopsy to make sure there were no new issues that had come up since my pap. During the ultrasound, a small uterine polyp was found. My ovaries appeared fine but the technician did mention that the lining of my uterine was pretty thick. She asked when I would be starting my period and I told her in a couple of days. She said that was probably why my lining was so thick.

    I'm not able to take any kind of hormones to help with any hormonal issues as I had a TIA several years ago and my doctor is trying to stay away from them due to this.

    I have now been scheduled for a D&C in a couple weeks and she is going to insert the Mirena IUD.

    I have A LOT of trouble with anxiety (especially when it comes to my health). Needless to say...I'm freaking out. I'm not as freaked out about the surgery as I am the possibility of cancer. She said 95% of all uterine polyps are noncancerous. Is that accurate?

    Also, I read somewhere that removing the polyp (if it is cancerous) could make it spread to other parts of your body. Is that true?

    Thanks in advance.

    Very worried...

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    Old 09-30-2013, 11:16 PM   #2
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    Re: Uterine Polyp - Issues w/Anxiety & Very Scared

    Hi, I've been where you're at and I just wanted to tell you not to worry. It's going to be ok. I've had recurring uterine polyps which I've had removed at least 6 times. The last time I did it, I got the Mirena. It's great because it helps make your heavy bleeding turn into spotting and then eventually you may not have any bleeding (which is awesome).

    It is highly unlikely for a pre menopausal woman to have uterine cancer in general. So, whether it was a polyp or a fibroid, the chances of it being cancer are slim to none. I know how freaky it is to have to wait for pathology to come back negative but there truly is no reason for you to think it was cancerous. And the thing you heard about it spreading if you get the polyp removed is false. Because a polyp is just a benign growth in the uterus which grows on a little stalk. The doc can just snip it off at the base of the stalk and that's all there is to it. What's left of the stalk just ends up shriveling up and gets reabsorbed into your uterus. There is no way for that to spread anywhere because it doesn't have the mechanism to do so.

    Trust me, I've been through this so many times that I'm actually thinking about writing a book about it. I also had a nasty fibroid that I want to include in there and of course my experiences with the Mirena. I like the Mirena as an option to control heavy bleeding because it works. The problem with thermachoice or any of the other ablation procedures is that in a large majority if women who are under the age of I think it's either 45 or 47 or something, they end up having to get a hysterectomy within 2-5 years after the ablation due to complications. It sounds like its only a good option for women who are truly on the cusp of being done with menopause and no one else. Mirena is awesome and I wish more women would try it because its a great alternative that is reversible and it works.

    If you have any other questions don't hesitate to ask. I have no doubts that you're going to be totally fine and you'll see it will be a breeze. I wouldn't say that if it wasn't true. If you said you were having a fibroid removed I'd be straight up and tell you that's a lot more invasive and harder to recover from. But a polyp and d&c is like -- snip snip and you're done. And you'll be asleep anyway so you won't feel a thing. It will be fine, you'll see.

    Old 10-01-2013, 06:42 AM   #3
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    Re: Uterine Polyp - Issues w/Anxiety & Very Scared

    Thanks so much for the information, Kszan. This makes me feel much, much better!! I really appreciate you sharing your experiences with me. :-) I'll be sure to post how everything goes. Thanks again.

    Old 10-01-2013, 07:46 AM   #4
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    Re: Uterine Polyp - Issues w/Anxiety & Very Scared

    All good points by Kszan. Ablation can cause long-term problems because ovarian hormones will still cause the lining to build. But the blood gets trapped behind the scarring caused by the ablation and has nowhere to go. This causes engorgement and chronic (often intense) pain. Sometimes the cervix can become stenotic from the ablation procedure also causing engorgement. I've read where women have had to have their cervix dilated to let all the accumulated blood out. But this doesn't solve the engorgement of blood behind the scarred lining.

    Removing the polyp may resolve your spotting and heavy bleeding. But it's hard to know if the polyp has been the sole cause of the heavy periods.

    You mentioned that you can't take hormones. The Mirena emits a low dose progestin so I assume this isn't a contraindication of having had a TIA? There are also some non-hormonal options for heavy bleeding - OTC or Rx NSAID's such as Aleve or Motrin and Rx tranexamic acid or cyklokapron (brand name Lysteda).

    Hope the procedure goes well and treatment is effective.

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