Understanding Abnormal Uterine Bleeding: Part 2

" I'm -- thank you for joining us on the webcast today we are discussing abnormal uterine bleeding and his connections have fired Reuters. Five boys are denied muscle tumors are usually grow in the uterus -- they can occur elsewhere causing in some cases pain and infertility. As many as 2050%. Of all women actually developed that. If you are suffering from abnormal bleeding you may have what's known as a suddenly coastal fibroid. "

" You're talking about fat is a gynecologist and one of his patients. To my left is doctor Martin Goldstein using associate clinical professor of obstetrics and gynecology at mount Sinai hospital. And next to him is Valerie C a fifteen year old mother of two. Who has agreed to join us we have not showing her face because of the sensitive nature of this topic but she is willing to share her story thank you very much for coming here are we appreciate it. Started -- let's begin with you you have to go to a number of different steps to make this diagnosis and and determine what in fact you're looking at. Through that for instance Valerie turns into you what does that work for -- Valerie presented."

" Herself with severe Anemia which had been corrected by transfusion. My feeling was it was imperative -- be certain that it was not a good bowel problems such as you colorectal cancer. Or an upper GI bleeding from an ulcer. Warrant and another was a bloodless so Valerie went through a colonoscopy. And upper GI series and human illogical valuation. So based on this is Valerie and said we knew -- is -- production was correct was adequate. And she did not happen cause bleeding coming from the intestinal tract. And then me have to -- the most common cause blood loss and a woman would be menstrual bleeding. We performed we performed -- history program. Which is test where we place. In radio opaque liquid liquid that doesn't allow extra to penetrate and we actually haven't uterus I don't a slow what that is and how that -- it looks like. Walk us through how the test for how long it what does it -- history grimaced and X ray test it is done by placing the small balloon catheter. In the bottom of the uterus and the end of the shadow on the bottom of this picture demonstrates the balloon catheter. Through the balloon catheter. Avery opaque liquid which shows up and white is injected into the uterus and -- uterus which you see here between these three dark marks. There is a footprint shape it. Irregularity. That represent a mucus vibrant. Uncertainty could strive for in this case is fairly large sparsely five by seven centimeters which is about the size of tennis more. So there are large scrolls were talking about yes. This is a large growth and it was provoking significantly heavy bleeding. In addition to recently started right on me this program we also -- small polyps which doesn't show -- as well but it's. It's after 11 o'clock position in reference to the fiber is how long did it take you find himself after he Ari can -- We had these. We had a -- reforms soon is -- stuff leading to several days after she saw me. To provoke. Further cessation of bleeding -- medication called -- wrong. This is a medication that works by inhibiting. Estrogen production from the over. And temporarily will make a woman -- a plausible. Pure revenge stops producing estrogen. -- will shrink because fiber stimulated -- move grow from estrogens. -- frequently will grow if somebody's on birth control pills. One of the first ways of treating. Heavy vaginal bleeding. We've been seized by many doctors to put the -- on birth control pills. I think is very important to make a diagnosis before you started treatment. Because in some cases the management treatment can aggravate him an official. Process that is happening dollar less for you to this again why are going through this -- cup's first off physically what are you feeling are these diagnostic tests."

" Painful uncomfortable. And none of them work painful uncomfortable. I was fine what about psychologically obviously concerned. The psychologically. I was concerned but I was relieved that I was getting -- who's going to become healthy. Oh I am my outlook in my and well being. I was beginning who. To be more reassured it."

" You -- the conclusion that there is try to be the ones are indicated. I felt it was us or movie myeloma. We knew that Valerie did not have a malignancy we did a biopsy and -- lining we found that there was no malignancy present we -- has program which demonstrated to large so you can find right. Being the cause of the bleeding it was necessary. To produce something to remove the -- The options were either to remove -- to uterus -- a -- hysterectomy which Valerie did not want is an option. -- to do some procedures to remove the fibroid. The options during the during any distrust of being witches and not in minimally invasive technique. We're no incisions are required. Or doing an abdominal -- actually -- you would require an abdominal incision. Which would require major surgery. Make incision into the uterus removed firebird reconstruct theaters in the closing abdominal incision. This would require probable three to Florida socialization. And two to four -- recovery time. If we would be able to remove the fibroid history Scott quickly. Without making an incision and then application would be able to go home the day of the procedure. Which isn't that what happened with our. Fortunately removed this procedure mistress optically. And Valerie was very pleased with the procedure went intrusive to return to work. Concertos and Ari does on Friday and get straight and you were returning to work on Monday."

" I returned to work on Monday could have returned to work gone the next day. It's it was a day I was working. There was no pain I looked at the hospital. And I didn't need any pain medication at home and although. I was advised by Martin who left. Just relax and stay home and take it easy I didn't need death bed dressed I had done. We -- leading the suns and I was healthy. An Angel and it's not an -- donors are really important really important for people who know."

" You do not obviously want to have a hysterectomy. For I would imagine the main reasons -- and one -- Right there was no reason -- the through music through that -- had surgery. Confident when it isn't this procedure indicated. The procedures not. Doable mr. Scott quickly fibroid is not within the in -- cavity we don't have -- fibroid. And we can't get these -- out history Scott quickly it's a firebird would be within the muscle and only a small portion of it. Penetrating into the cavity we might not be able to remove 600. With the recent scope. So it's important no obviously what you're dealing with here what about the risks I mean any time -- had any kind of circular risks one of the chief ones whether voters -- most surgery the first risk is anesthesia. In has optic surgery many times we can do this -- monitor anesthesia care which is local anesthetic plus intravenous sedation. And times of the fibers large. We will have to use general anesthetic. General anesthetic usually gives a rapid rapid onset is rapid recovery. He risks -- the procedure itself all are one the risk of damaging -- her for a commuter assuming the whole commuters as you place the -- scope. To prevent this risk. To print this from happening -- eleven area which is a way to -- leaving the -- slowly. Over 24 hour period sort of limitations in the operating room. We don't have to use these steel instrument to -- cervix the cervix is already open and most medical history scope. Overall -- we're talking about a procedure that is fairly safe. Distrust of being if done by people who are experienced in doing it and no complications and risks and take steps to avoid these complications and risks this is safe procedure. Doctor Margolis thank you very much for joining us and for that important information and Valerie thank you as well for sharing your story. Again you have questions about abnormal -- bleeding you are asked to consult your doctor. Thanks for joining us."