Welcome to Health IQ Live Q&A: Everything You Want to Know About FIBROIDS

Dr. John Lipman of Atlanta Fibroid Center is interviewed by Phyllis Frempong (live Q&A by Rolling Out). In this video, Dr. Lipman shares a lot of important information about fibroids, symptoms, treatment options, and UFE (uterine fibroid embolization) that is a safer, less invasive, and very effective treatment for symptomatic fibroids. Non-surgical fibroid treatment solution.
Learn more about UFE procedure:
atlii.com/uter...
FAQs about UFE:
atlii.com/uter...
To make an appointment with Dr. John C. Lipman, please call Atlanta Fibroid Center at 770-953-2600 or book an appointment online:
atlii.com/appo...
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[@mindlifeheart2906]

Where have you been all my life. 🥺😭😭😭 everything you just said I have lived with since my I started my period. I am 32 going on 33 and I was diagnosed with hyperplasia not sure what type. But I haven't been told I have fibroids. For years I have suffered from PICA. Before my iron levels got better a year later from my treatment I used to eat ice and baking soda. A few months ago I had to get a blood transfusion because I was discovered with severe anemia. I started loosing my hair and I always feel fatigued, ive had even suicidal thoughts, and depression in the past. You have answered so many questions for me and now I have new questions for my Dr in my next appointment. Thank God I found your video. Thank you for all you do. ❤

[@aylajane4136]

I am 25 years old and have recently found out that I have a 10cmx8cm fibroid behind my uterus so this was very interesting to watch, thankyou. I have had no periods for the past 2 years and no symptoms, other than severe bloating. I look pregnant most of the time and just put it down to weight gain until now!

[@elmeechowa5242]

Me medical student at 23 diagnosed with fibroids 3cm the largest one ...me also have no symptoms only missed periods for 1 month ..going though medication..for 3 month...will go for ufe at this stage?

[@Kamil-po3cc]

God please protect snd bless this Doctor 🙏

[@tahorahbenyamin4948]

I consulted with Dr Litman and he’s honest. Thank you

[@Pattytrees7]

You are amazing fibroid queen and Dr. I have done the diet and you are absolutely right Into for 6 months 🙏

[@lauracerezo7623]

Just had an OBGYN appointment today, the Dr said my only option for my large fibroid was a Hysterectomy.. Omgeee now I’m not so sure! I will check out UFE .. Thank you!

[@Atlii]

Almost every single patient that has been told that hysterectomy is their only option is a candidate for UFE. Losing your uterus has consequences and sometimes the "cure" is worse than the disease. UFE is safer, much less invasive, much less recovery, and you get to keep your uterus! Learn more about this at ATLii.com. #DontLoseUrU Good luck.

[@sarahrichter5023]

I have 2 fibroids, 10x15 cm, been waiting two years so far for surgery, at first I didn't even know they were there, but now too much lifting and I am in extreme pain. The only thing the docs here are willing to do is push pain meds. Instead of putting pressure on the surgeon to get this done.

[@Atlii]

You may be able to avoid surgery altogether. I would consider getting a 2nd opinion consultation from an experienced Interventional Radiologist. These are the type of physician that performs UFE. Good luck.

[@odym6090]

Wonderful video !! Thank you so much ! Very informative !

[@Robert-n3x]

Doc you are amazing God bless you

[@Atlii]

@@Robert-n3x Thanks for your kind words. We want women suffering with fibroids to know that they don’t have to have surgery.

[@cheried3148]

I am 37 years old and I have a 14cm fibroid and my gynecologist is recommending I take Lupron, then getting a myomectomy. I don’t want surgery and I want to preserve my uterus as I still hope to have children. Should I seriously consider a UFE?

[@leonierattigan1136]

Thank you guys for sharing wish I know this before I did surgery

[@zappersmasher8544]

You are lucky to have the myomectomy, most doctors don't even want to perform the myomectomy anymore. The prefer doing the hysterectomy and put women onto it. It just looks like the options are hysterectomy or embolization and embolization does not usually work.

[@Atlii]

90% of embolization patients get significant or complete relief. Acessa is surgical and doesnt treat all of the fibroids and most insurance companies dont pay for it because there is very little long term data on it and is therefore considered investigational/experimental.

[@sarahsarah5279]

@@Atlii I had fibroids. Anc cervical cyst and ovarian cyst my ob gyne told me just benign.. But why I experienced back pain I lost weight... My leegs it's hurt. But that the symptoms of cervical cancer..

[@NaNa-er4sw]

Thank you both for your valuable info🫶🏾

[@Pattytrees7]

Dr all the information you have given have answered all the information I needed. After going to 5 specialist I have found one that was similar to your approach But you and more clearly 🙏 Thank you

[@yellowflowers8586]

My friend had a myomectomy and she was able to have a natural birth afterward but she got a midwife to prepare her

[@krimitou5]

I really need help understanding my case. Everyone who had a UFE got better and they bleeding reduced. I had a UFE in 2016 and the only good thing for me is the pain that disappeared, however I'm bleeding all the time, and randomly. I can bleed for 2 weeks, stop for a few days, then bleed again for 3 weeks. Sometimes I bleed for more than a month. Red, pink, brown.... I'm desperate, I can't even enjoy myself. Do I need another surgery?

[@lindagutierrez525]

I’m amazed thank you for all your wonderful information 😊

[@estherlamidi81]

How affordable would you say UFE procedure is, with or without insurance coverage?

[@ELLIEARKET1111]

Thank you so much for this video. I’m going through this now. I do have large fibroid that’s 7 cm and 4 and 2 MRI showed it’s not cancerous but gynecologist is pushing me into doing a biopsy. I have no bleeding. No major pain some discomfort from time to time and this gynecologist is saying biopsy and maybe taking out the uterus. Intuitively I don’t believe I need biopsy. I need a solution to the large fibroid either with hormone replacement therapy or something.

[@RS-bm5bq]

It's all about money that's why they push it...look into UFE and or get a second opinion 🙏

[@ELLIEARKET1111]

@@RS-bm5bq I did get a second opinion and guess what I don’t need to get the hysteroscopy the fibroids are stabilized and not growing that doctor was full of shit

[@RS-bm5bq]

@@ELLIEARKET1111 Awesome News, glad to hear that! 🥰 See what I'm saying, crazy! I went for my women's wellness a week ago and she ordered an ultrasound to see exactly what's going on because I told her I had fibroids before I was examined and she only mentioned myomectomy and said well you had your tubes tied (over 20 yrs ago) so obviously your not having anymore kids. First of all don't tell me what I'm not gonna do, secondly I'm a new patient how can you discuss any procedure without an ultrasound until you know what's goin on. I've already educated myself on this so if any only procedure I'm doin is UFE. Or I can go elsewhere!

[@ELLIEARKET1111]

@@RS-bm5bq WOW. It seems they want to give woman hysterectomy that you are not gonna have any kids !? so what’s the point of having a uterus just take it out. it is a very intrusive emotional procedure because you’re taking your womanhood out and I think these people are just completely bat shit crazy and I think they need to be arrested. I have completely lost my faith in doctors I never saw them in this light before. during the time I was freaking out about my fibroids I realized it’s all about money and how much they could make off of me by having me do different procedures etc. and they didn’t like me questioning them they just wanted me to get it done. NOW that I am awake to this reality. I won’t get the vaccine for covid either. They LIE

[@RS-bm5bq]

@@ELLIEARKET1111 Absolutely!! Stay well & safe🙏💛

[@annap1191]

Thanks for the great information. What is the maximum size fibroid UFE will successfully treat?

[@Atlii]

There really isn't an upper limit.

[@lorettaokoye5427]

How I wish doctor u can come to Nigeria here for this treatment ,because am interested.

[@sizz.6129]

If you can come to South Africa, they do the procedure here🙂

[@karenfigaro4201]

Hi, can you make a video to discuss how it can affect athletes and training. And what kind of changes must be made with diet and training please thanks!!!

[@marynathan71]

Dr Lipman I am a 51 year old woman with fibroids that measure 19cm, 5.9cm, 5.8cm, and 4.8cm I didn’t totally want surgery yet so my doctor prescribed Loestrin birth control pills I don’t feel like this is going to work I don’t like the bleeding for days I don’t like the big belly and plus my uterus is about 18 weeks in size of a pregnant woman. I’m stressed about it..I know you probably don’t want to give advice over the Internet but As afraid as I am of getting surgery I’m almost considering a hysterectomy. What should I do I was on the Internet researching fibroid treatment and causes and came across your channel My doctor did suggest UFE I’m afraid to get that as well (of pain) just wish I could be put to sleep

[@Atlii]

UFE is certainly safer, less invasive, and has a much shorter recovery than hysterectomy. Patients with a uterus above the belly button often have to be cut from breast bone down vertically to the pubic hair line for hysterectomy. For that same uterus, the patient gets a nick in the skin covered by a regular bandaid. Learn more at ATLii.com. Good luck.

[@guryarasheed9495]

Hi Sir ! Want to know can fibroids & cysts treated through UFE procedures

[@ms.blenman2789]

Good question because I have both

[@angeldove1988]

Are there any side effects after the UFE?

[@anacristinanicolaie7595]

Thank you for the informatie, i have my uterus the size of 5 month pregnant, iam in Nederland and i have o surgery in 2017 ,2 fibroids war taken from the cavity,but now i find that half of my uterus is full of smaller and bigs fibroids .i did 3 IVF but was not a succes. Iam preparing for UFE ,becouse i trust you again thanks for all informatie.

[@margaretadomah4887]

God bless you for yoru help

[@lovelight5608]

I was in the hospital for something else and I'm a literature of my MRI and it said suspected 3.9 CM fibroid does that mean the MRI can tell it's just the fibroid or it could be cancerous cyst in my uterus

[@megb9700]

I am curious about a possible connection between having fibroids and being lactose intolerant. I would like to see research on why fibroids happen and prevention. My fibroids caused my son to have hip dysplasia.

[@Atlii]

I'm not aware of any connection between. fibroids and lactose intolerance.

[@ciao2315]

Does anyone have essentially no symptoms besides bloating? I had heavy periods/cramps all through my teens and twenties but as I’ve gotten older they aren’t AS bad. For about three months I’ve had the bloat and only noticed bc my jeans wouldn’t zip up. I walk daily, eat mostly healthy and haven’t had anemia. Fibroids run on my moms side of the family. I have had an abdominal ultrasound and that’s when they found that. Going to an ob/gyn referral soon.

[@ferrairanifay7126]

Hi doctor I have two fibroid and two cyst No pregnancy yet A few months ago my OBG offered IUD I am not feeling comfortable and asking her to remove she is not able to remove for first time Second time she asked me to take 500 mg misoprostol tablet ( 2) of them six hour prior to my procedure and she couldn’t able to remove it Now she is recommending major surgery I scare to dead I never had surgery What is your recommendation for me? She said your fibroid getting big and pushing back my IUD

[@julieatkins2946]

❤wow!!! Great interview! I learned so much!!!!

[@MP-nj1qy]

My GYN told me UFE causes infertility, and suggest myomectomy. Even a simple Google search also says that. I'm not sure what to do. I have been watching the fibroids grow for 6 years now, they're getting to big to ignore.

[@Atlii]

Your GYN is wrong. There are some women who dont menstruate after UFE. That doesnt occur for women under 40 yrs of age. For 40-45yrs its 1-2%. There is usually a higher chance that a myomectomy patient wakes up from her surgery with a hysterectomy than a UFE patient over 40 doesnt menstruate after. I would recommend getting a 2nd opinion from an experienced Interventional Radiologist before deciding on surgery. To learn more about this, please go to ATLii.com. Good luck.

[@jackysanchez1069]

How will you know if its just benign if not surgery? I am having thoughts on what treatment to choose

[@collegegirl3429]

Dr. Lipman i scream when i saw reply thank u some one so busy ,,.i dont know what to say with tears i did surgery they said do another surgery i should go back this month for surgery preparations nightmare without sleeping ,doctor please i watched you and shelly ann weeks on you tube do you plan to come to Jamaica for fibroids related, and do you think maybe you could select persons to come do the UFE operations, i dont know just hoping something happens so i am pitching an idea ,i know you are busy just a suggestion because i am desperate who knows maybe i could get lucky ,my respect

[@fairefacesbyrosemary8166]

Hello Dr. Lipman… I appreciate you sharing all of your expertise on how to deal with this chronic issue that is so prevalent in our society. I am wondering if you could do a video on how women over 60 who’s fibroids are still growing and still have what you call crime scene bleeding should handle their fibroids. I called your center and they say UFE is not recommended for over 60 but could you please explain how you were treat someone presented with fibroids that cause unrelenting hemorrhaging… would you at this point recommend hysterectomy and would it be a full hysterectomy? thank you

[@yasminrevilla6061]

This question is legit. I’m in the same boat with several fibroids and over 60. Did u ever get a response

[@supercare9555]

Doctor please I'll like to know if the vision loss I am experiencing is as a result of fibriod , my symptoms got worse with heavy bleeding and lengthy flow from 6 days to 8 days and then I noticed my vision is poor...I visited my optician and she's saying it's Glacoma...I don't believe her, I think my hormones and fibroid is responsible for this.

[@collegegirl6115]

Dr. Lipman please help me in Jamaica,I have done surgery before for fibroids it came back and now they want me to do surgery again,there's no uterine fibroids embolization in Jamaica please help us ,dr.,lipman

[@Atlii]

We have had conversations about this with Shelly-Ann Weeks of the Her Flow Foundation in Kingston.

[@sashabrown752]

​@@Atlii just start reading i am in jamaica my period stop 8 years ago and i am 51 now but told 12 years ago about my fibroids now going to rest room 15 times a night what can i do?

[@jesssa1991]

Pre UFE i had extremely painful period cramping but my periods were light or I would skip periods. Post UFE my menstrual cramps went away but I’m on my 3 cycle and my periods are heavier than what I was used to. Is this normal? I had multiple fibroids with the largest being the size of a grapefruit. All of my other fibroid symptoms have essentially gone away since surgery. I hear most saying there’s got lighter I just don’t know if this should be a concern. I have another follow up in a month. My period is heavier than it’s ever been.

[@Atlii]

While the first period after UFE may not be better, the 2nd should be, and the 3rd even better. It's important to have your Int Rad see you. An MRI with and without IV contrast is real important to see if all of the fibroids are dead.

[@nidaali4691]

@@ericadunn7234 can i buy how can i approach i am from pakistan

[@marynathan71]

So when your fibroids get as big as mine 19cm do you still suggest NO surgery?

[@nicoleoneil4135]

Oh darling!!!! I have a 5cm one. I have no idea how you are dealing. God bless you and I really pray you get the help you need.

[@michelleinfo-vlog2449]

I hope you get an answer to your question b/c some have 20+ cm size fibroid.

[@LHayes-qw1zj]

Do you now do it through the radial artery? I was a patient of yours some years back. I believe around 2015 or 2016. We attempted the procedure but it couldn't be completed because you said my vessels were very torturous. At that time you went through the femoral route. I have seen now that some docs are doing it radially. Would it be a different outcome going that way instead. I had a myomectomy in 2017 and I think they have grown back.

[@fantaconteh7215]

Will fibriods come back after UFE?

[@Atlii]

Not likely; but particularly low if woman is >40yrs of age when embolized.

[@nidaali4691]

@@ericadunn7234 please suggest md link

[@stephanieslater5582]

What's the difference in a D & C and UFE are the Same

[@Atlii]

Two totally different procedures. UFE is a nonsurgical procedure that treats fibroids no matter where they are in the uterus.. D&C is a procedure where the cervix is dilated and an instrument is placed inside the uterine cavity to scrape the uterine lining. This can diagnose/treat abnormal lining tissue. Both conditions can treat abnormal uterine bleeding with fibroids being the most common cause.

[@normasmith1370]

Iam taking vitamin b and I have forbried and the gynecologist want me to take a apparition I am

[@ShyBabyxoxo]

Does this procedure cause any risk for blood clots? Especially for someone dx with mild protein S deficiency?

[@Atlii]

The risk for clotting is much lower than surgery due to shorter procedure time and much quicker mobilization with UFE. Our patients are walking around 2 hours after UFE. The surgery patients are still on the surgical table at 2 hours and are in bed for an extended period of time after that. Learn more at ATLii.com

[@ShyBabyxoxo]

@@Atlii thank you for this response!!

[@matildagarcia7381]

How about if ur 65 n diabetic n I have fibroids.

[@ms.blenman2789]

Can you provide a support group, I eat ice a lot along with the white rocks. I need help with the fibroids I was just told I may have to do surgery 😭😭😭😭. The pain is crazy I had to leave work today because the pain was unbearable.

[@barryartis4397]

What's the name of the houspiller she needs to contack

[@Atlii]

@@barryartis4397 She can reach us on the web at ATLii.com or by phone [phone].

[@erikarodriguez-tj3wy]

Hello Doctor Lipman- I have fibroids just started having a lot of pain. Had my period 3 times in March had to have a blood transfusion also an iron infusion my levels were 6.4. My Gynecologist suggest I get a Lupron shot or a Uterine Leiomyoma. Is this the same procedure? Please advise.

[@Atlii]

A leiomyoma is another name for a fibroid. Lupron is a medication which is injected monthly for up to 6 months to put the patient temporarily in menopause (i.e. to stop the bleeding). This buys the Gynecologic surgeon time to build up the patient’s hemoglobin/iron to allow them to safely operate on the patient. Alternatively, instead of Lupron, you could get a 2nd opinion from an Interventional Radiologist to see if you’re a candidate for Uterine Fibroid Embolization(UFE). This is a nonsurgical, outpatient procedure that allows women to get the relief of symptoms, avoid the risks and long recovery of surgery, and keeptheir uterus! Learn more at ATLii.com. Good luck.

[@jeannelajoie2905]

When fibroid is shrinking. Do you feel any discomfort?

[@Atlii]

No

[@nasreensultana3552]

I am glad i am listening to this today. 2 days ago option given to me is taking my uterus out. I am 48, in france , can you kindly suggest any names practicing in paris?

[@Atlii]

Marc Sapoval is a IR colleague who is in Paris. He is the Chief of IR at Hopital Europeen Georges Pompidou University. Give him my regards for me. Good luck.

[@lolamoseslm]

@@Atliido you take international patients? Also do you have any recommendations for London, UK?

[@Atlii]

@@lolamoseslm We have but I would recommend Woodruff Walker Royal Surrey County Hospital. He is an excellent IR and friend.

[@lolamoseslm]

@@Atlii thank you for your quick response! I’ve been binge watching your videos, amazing content!

[@dianankenglack2735]

@atlii what about Canada, any recommendations? Especially in Ontario. Thank you for your informative video.

[@DWaltersTV]

I have Fibroids 8 of them . On a daily basis I feel fainted like am passing out. Supposed to get a surgery in May. It's unbearable at times.

[@Atlii]

Have you considered Uterine Fibroid Embolization (UFE)? Its nonsurgical and outpatient. Dont need to wait until May. Learn more at ATLii.com

[@DWaltersTV]

@@Atlii it would be nice if I could have get the UFE. But am located in Barbados 🇧🇧

[@anacristinanicolaie7595]

I need to no do you make an epidural ,or a spine anestezia to perform UFE?sorry for my english. Thanks.Anna

[@Atlii]

No. Epidural or spinal anesthesia is not needed for UFE. We use intravenous medications for our patients. They sleep through the entire procedure (which takes only 30 minutes). Learn more at ATLii.com.

[@jeannelajoie2905]

Hi Dr. What is the difference between fibroid degeneration and shrinking. Because i read that with degrneration it feels like a stabbing pain.

[@Atlii]

Fibroids change in size largely due to differences in estrogen. When a woman becomes pregnant her fibroids will increase and after delivery will shrink (not back to original size). When a woman goes in to menopause they’ll shrink; same post UFE. All of these occur without pain. Degeneration is the result of sudden loss of blood supply to a fibroid or fibroids whether spontaneously or after treatmebt by a procedure like UFE. This can be quite painful but usually is short in duration with prompt attention. Learn more at ATLii.com

[@jeannelajoie2905]

Thank you very for the enlightening answer. I was really confused.

[@lauriehunter6310]

Does a UFE help with adenomyosis condition

[@Atlii]

Yes it does.

[@dionnephillips7857]

Can a UFE get rid of a fibroid on a stalk?

[@Atlii]

UFE can get rid of the symptoms caused by a fibroid on a stalk.

[@limestone9928]

what UFE means?

[@Atlii]

UFE stands for Uterine Fibroid Embolization. It is an outpatient, nonsurgical procedure that will very effectively eliminate the symptoms caused by uterine fibroids. Learn more at ATLii.com

[@limestone9928]

@@Atlii thank you

[@estheroduma1487]

😮

[@barryartis4397]

Will she die if she don't get help

[@barryartis4397]

Plese give me your number plese my girl friend belly is so swollen

[@Atlii]

@@barryartis4397 Our office number is 770-953-2600 or online at ATLii.com