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Patient with advanced uterine fibroids!

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Hello all! I was wondering if anyone has had any luck treating advanced

uterine fibroids? I have a 49 year old patient that is suffering from

two uterine fibroids. One of them on the left is 4 inches in length

size by two and the other on the right is two by two. This women had

these before and they were surgically removed unfortunatly they grew

back. I have been treating her now for two months and feel that the

fibroids have not changed much in size but have moved lower about two

inches in location. This patient is a very busy lady overworked with

her job and she suffers from fatigue. I am wondering if these are just

too advanced to reduce and get rid of them? I do not want my patient to

waste any of her time if surgery is the only solution? I would

appreciate any feedback.

 

Thank you,

 

Jamie

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Western herbs can be successful. Not sure about that

size. Chickweed and Black walnut together. I have

seen it work with fibroids. Learned from Phyllis

Light, prominent herbalist in Alabama.

 

Connie

--- jlshutt <jlshutt wrote:

 

> Hello all! I was wondering if anyone has had any

> luck treating advanced

> uterine fibroids? I have a 49 year old patient that

> is suffering from

> two uterine fibroids. One of them on the left is 4

> inches in length

> size by two and the other on the right is two by

> two. This women had

> these before and they were surgically removed

> unfortunatly they grew

> back. I have been treating her now for two months

> and feel that the

> fibroids have not changed much in size but have

> moved lower about two

> inches in location. This patient is a very busy lady

> overworked with

> her job and she suffers from fatigue. I am wondering

> if these are just

> too advanced to reduce and get rid of them? I do not

> want my patient to

> waste any of her time if surgery is the only

> solution? I would

> appreciate any feedback.

>

> Thank you,

>

> Jamie

>

>

 

 

 

 

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Hi Jamie,

 

First of all you must determine a differential diagnosis in order to know

what to treat. They can be attributable to any number of patterns and, of

course, combination of patterns from a Chinese perspective including liver Qi

stagnation, blood stasis, toxic heat, phlegm accumulation, or Qi and/or blood

vacuity. Chinese medicine and acupuncture work slowly, but they can be very

effective in resolving fibroids. However, from research I have done, and my

experience, emotional issues must be dealt with as well. I have personally seen

and read of many cases of women wanting so much to have babies, that their

bodies have imprinted this message, and unless they can release it, they will

continue to produce them fibroids.

 

Sincerely,

 

Yehuda

 

jlshutt <jlshutt wrote:

Hello all! I was wondering if anyone has had any luck treating

advanced

uterine fibroids? I have a 49 year old patient that is suffering from

two uterine fibroids. One of them on the left is 4 inches in length

size by two and the other on the right is two by two. This women had

these before and they were surgically removed unfortunatly they grew

back. I have been treating her now for two months and feel that the

fibroids have not changed much in size but have moved lower about two

inches in location. This patient is a very busy lady overworked with

her job and she suffers from fatigue. I am wondering if these are just

too advanced to reduce and get rid of them? I do not want my patient to

waste any of her time if surgery is the only solution? I would

appreciate any feedback.

 

Thank you,

 

Jamie

 

 

 

 

 

 

 

 

 

 

 

Got a little couch potato?

Check out fun summer activities for kids.

 

 

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Without any TCM dx info to go by, difficult to give any specific recs.

However, in general, I have had good success in treating uterine fibroids.

The fact that a woman has uterine fibroids is not in and of itself

problematic. The issue becomes what symptoms/problems are they causing? For

example, if the patient is having excessively heavy bleeding for long

periods of time with little break between menses then you must address the

bleeding first and foremost, imo. Also, make sure she is not becoming

anemic. (My assumption here is that you are in a sense " co treating " the

patient as she is most likely under care of her gynie as well.) Use your TCM

diff dx here. In addition to the usual suspects, look for any evidence of

shi & /or xue heat.

 

I always incorporate customized herbal therapy into their treatment plan.

Also, give it at least 3 complete cycles to determine efficacy (although you

should be seeing evidence that you're headed in the right direction as you

move along). I usually treat w/ acupx & herbs for the first 4-5 weeks and

then continue with herbal therapy for the next couple months with acupx

scheduled as necessary depending on the patient.

 

Also, sometimes uterine fibroids can cause a structural problem - for

example their size/location can interfere with bladder evacuation

contributing to incomplete voids making the patient more susceptible to

recurrent UTI's. You'll need to address that symptomatically but can also

use that as a benchmark to see what/how the fibroid may be changing as a

result of treatment. Remember to refer if necessary. (as an aside, I keep

urinalysis test-strips on-hand for quick in-office diagnostics.)

 

On the extreme end of things, fibroids can grow so large as to out-grow

their blood supply, becoming necrotic. This is a surgical issue. The

necrotic tumor can become gangrenous and is of course a critical situation.

Of the cases I've seen, the patient usually exhibits prodromal symptoms such

as unexplained fatigue, an vague sense of feeling " ill " but not really able

to define why, and possiblely abdominal/pelvic discomfort. I don't know if

that presents in all cases. Refer back to the patient's gynie for a r/o dx

if at all unsure.

 

Keep in mind that in many cases, if a woman is " close " to menopausal age and

the fibroids aren't causing any critical problems, many MD's will just

suggest a " wait and see " approach hoping that as estrogen levels naturally

decline, the fibroids will begin to shrink on their own. We really have so

much to offer these women!! Don't be afraid to treat - just be safe and make

sure all appropriate follow-up diagnostics are being done if necessary.

 

J

________

Joy Keller, LAc, Dipl.OM

Board Certified in Acupuncture & Oriental Medicine

Ramona Acupuncture & Oriental Medicine Clinic

Phone: (760) 654-1040 Fax: (760) 654-4019

www.RamonaAcupuncture.com

 

 

 

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