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Multiple fibroids in uterus ULTRASOUND. Is MIRENA effective?

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I had multiple Laproscopic myomectomies, removing 4 fibroids (intramural) from my uterus on 23 Jan 2014. I never had any symptoms of the fibroids, like heavy bleeding or anything prior to my laproscopic myomectomies. The fibroid was detected during general examination by my dr, as a hard mass in the abdomin. I got ultra sound done thereafter and found I was having fibroids in uterus.
The largest was of the size of 11cm (at the fundus).

During Laproscopic myomectomy an incision was given at the bottom to take out pieces of fibroids.

Thereafter, I conceived my first baby in May'15 (LMP - 15 April 2014). I had elective C section delivery on 24 Dec'14 at 36 weeks, owing to the fact that I already had Laproscopic surgery earlier and my Gynae did not want to take risk with my Uterus (as she feared it may rupture due to labour pain) . No problem during pregnancy.

Now after delivery my dr is recommending me to get Mirena implanted in my uterus for contraception. She says it will keep fibroids in check. It lasts for 5-7 years and gives good protection.Please advise is Mirena Safe to use. I never had heavy bleeding prior to laproscopic myomectomy (23 jan'14) or after that.

Apart from Mirena what all contraception options can be recommended for me keeping in mind my fibroids.

Category: OBGYN

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Category: Infertility Specialist
 23 Doctors Online

Hello
Thanks for your query at DoctorSpring.com
I understand your concern
Your doctor is absolutely correct.
Fibroids have a high rate of recurrence.
Mirena is ideal for contraception after childbirth, and it prevents recurrence of fibroids to a great extent.
It is quite safe.
There are some side effects such as scanty menstrual bleeding , but overall it is an excellent choice for contraception as well as for keeping fibroids in check.
Other options for you, considering the history of fibroids , would be the progesterone only pill, such as Celeste.
However, that has a liability of taking pills daily, and if you forget a pill, you are in trouble.
The Mirena eliminates that risk.
So please go ahead with it, lots of women do.
All the best
Please feel free to discuss further.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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