This entry was posted on Monday, December 20th, 2010 at 2:30 PM and is filed under Real Women's Fibroid Stories. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.
A 43 year old woman came to me with irregular bleeding despite being on birth control pills. She had a Mirena® IUD inserted previously, which failed to stop her irregular bleeding. We did an office hysteroscopy, and saw the IUD resting on the fibroid.
The IUD was removed. Since she was not planning any more children, we removed the fibroid by hysteroscopic myomectomy, and did an endometrial ablation at the same time as an outpatient procedure.
Comment: The Mirena® IUD (LNG-IUS) is often effective in treating heavy periods, but a fibroid inside the cavity can interfere. I always recommend doing a simple ultrasound exam in women with abnormal bleeding before deciding on a treatment. Other studies such as diagnostic hysteroscopy may also be done, as only with proper diagnosis can appropriate treatment be planned. In her situation a simple outpatient procedure was able to solve her bleeding problem.