Can I Have an Abortion at a Clinic with Fibroids and Cysts?

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I have three uterine fibroids (4, 3, and 2 cm) and a 10 cm chocolate cyst on my ovary.
I accidentally became pregnant and am now 9 weeks along.
After consideration, I plan to undergo an abortion along with surgery for the tumors.
However, at a large hospital, I might have seen the wrong doctor, and the physician is referring me to another specialist.
I'm worried that the longer I wait, the larger the pregnancy will get.
Can I first go to a general gynecology clinic for the abortion and then have the tumor removal later, or is it more appropriate to have both procedures done at a large hospital, regardless of the size of the pregnancy?

Xiao B, 40~49 year old female. Ask Date: 2014/12/31

Dr. Lü Lizheng reply Obstetrics and Gynecology

Due to being 9 weeks pregnant and fearing that the gestational period will extend further, I support proceeding with a medical abortion first, followed by tumor resection.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2014/12/31

More Info

When considering an abortion in the context of existing fibroids and ovarian cysts, it is essential to approach the situation with careful consideration of both your health and the potential risks involved. Given your specific circumstances—having three uterine fibroids (measuring 4 cm, 3 cm, and 2 cm) and a 10 cm chocolate cyst (endometrioma)—it is crucial to consult with a qualified healthcare provider who specializes in gynecology, particularly one with experience in managing complex cases involving fibroids and cysts.

Understanding Your Conditions
1. Uterine Fibroids: These are non-cancerous growths in the uterus that can vary in size and number. While many women with fibroids can have normal pregnancies, they can sometimes lead to complications, especially if they are large or located in certain areas of the uterus.

2. Ovarian Cysts: A chocolate cyst is a type of endometrioma, which is associated with endometriosis. These cysts can cause pain and may complicate surgical procedures, including abortion.

Abortion Considerations
1. Timing and Procedure: It is generally advisable to have an abortion performed in a facility equipped to handle potential complications, especially given your medical history. While some clinics may perform abortions, they might not have the necessary resources to manage complications arising from fibroids or cysts.

2. Risks of Delaying Treatment: Delaying the procedure could lead to further complications, especially as the pregnancy progresses. The size of the fibroids and cysts may also influence the type of abortion procedure that is safest for you.

3. Consulting Specialists: It is recommended to seek care from a gynecologist at a reputable hospital or clinic that specializes in both abortion and the management of fibroids and cysts. They can provide a comprehensive evaluation and discuss the safest options for terminating the pregnancy while addressing your existing conditions.

Recommendations
- Seek a Comprehensive Evaluation: Before proceeding with an abortion, it is essential to have a thorough evaluation by a gynecologist who can assess the size and location of your fibroids and cysts. This evaluation will help determine the safest approach for the abortion procedure.

- Consider a Hospital Setting: Given the complexity of your case, it may be more appropriate to have the abortion performed in a hospital setting where surgical options can be managed more effectively. This is particularly important if there is a risk of complications due to the fibroids or cysts.

- Discuss Surgical Options: If you are considering having both the abortion and the removal of the fibroids and cysts in one surgical procedure, discuss this option with your healthcare provider. They can help you weigh the benefits and risks of combining these procedures.

- Follow-Up Care: After the abortion, ensure you have a follow-up appointment to monitor your recovery and address any ongoing issues related to the fibroids or cysts.

Conclusion
In conclusion, while it may be tempting to seek a quick solution at a general clinic, your situation requires careful consideration and specialized care. It is advisable to consult with a gynecologist who can provide a tailored approach to your healthcare needs, ensuring that both the abortion and the management of your fibroids and cysts are handled safely and effectively. Prioritize your health and well-being by seeking the right medical advice and support.

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