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Fibroids and endometriosis

Sep 9, 2012

I am living with HIV and I had a ceasarean birth in June 2011,seven months later i had a laparascocpy because the gynae diagnosed me with endometriosis.After laparascopy i still have pains on my right side which stretches to the back as well as a brown discharge for days after my periods.I consulted the gp and he discoverd i also have a fibroid of 6x8 cm in size.I consulted the local hospital and it was confirmed i have a fibroid.I would like to know if the pain is caused by endometriosis or fibroids.Im scheduled for another operation of cutting the fibroid in 4 days time and do not know whether i should only have the fibroids cut or should i do hysterectomy as i believe i will not have endometriosis as well as fibroids anymore.To add on this ,i dont want kids anymore and i wont have to worry about cervical cancer.Do you think is advisable to remove the womb (keep the ovaries)at the age of 32 based on my hiv status,1 fibroid and endometriosis?To your experience do you think removing the uterus will have negative effects in the future?Will my sex life change?Im on Lamzid and aluvia

Response from Dr. Holodniy

Sounds like you have thought about this a fair amount. It is a difficult question to answer as to what is the right approach. Its also hard to put it all together as to what may be causing the pain. Both fibroids and endometriosis can cause pain by themselves. If only the fibroid is removed, you could still be left with pain as a result of the endometriosis. I think it is best to have that discussion with the gynecologist or surgeon who will be performing the procedure.

Various concerns on HIV medication?
CD4 drop. A cause for concern?

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