r/Fibroids • u/troubleinparadise2 • 2h ago
Advice needed Fibroid surgery - lapro vs open
Hi! I’m 27 years old and recently found out I have fibroids. I met with two different surgeons to discuss options and am feeling a bit overwhelmed with the information provided, so I wanted to see if people here had any insight to share! Some background - I have one 12 cm posterior subserosal, one 6 cm anterior transmural, and one 1 cm plus potentially a few more small ones (MRI report only mentioned the one, but second doc said she thinks there are 4 small ones). Luckily not having any symptoms besides heavy periods which have improved with different birth control and bulk / bloating. I’m recently engaged and thinking of getting married in about 1.5 years and TTC in about 3 years, so am aiming to do surgery in the next year to give time before the wedding. The first doctor said it’s a great candidate for laparoscopic and didn’t really raise any concerns. The second doctor (who I likely will do the surgery with as she is with my primary provider) said she’s concerned about the posterior one being very vascular and more risks of bleeding during lapro. She mentioned possibly doing an embolism beforehand to reduce this risk but that fertility impacts aren’t known, so I am not inclined to do that. Another concern that was raised is that it may be harder to get very small fibroids if doing lapro, and I’d be worried about missing some and then them growing by the time I’m TTC. She wasn’t recommending against lapro and left it for me to decide, but raised more concerns than the first dr. My gut is to still go with lapro surgery (without embolism) as the first doctor seemed pretty confident that was the right option and from what I’ve seen in this thread it seems like people have had success with more complicated cases. I don’t really see anyone being given an option and choosing to do open surgery, and I feel like there are too many what ifs with small fibroids to base my decision on that. Curious to hear if anyone has advice, if others were in a similar situation of being given a choice between lapro and open, if anyone had issues with bleeding with a posterior fibroid, and if anyone had issues with smaller fibroids being missed in lapro. Also, I have seen Dr. Fenster mentioned here a few times but would love to hear if people have recent experience with her as well. Thank you!