Is a hysterectomy the only option for CIN 3 with a fibroid?

Question

Hi doctor,

My wife is 51 years old, and she weighs 132 lbs and is 5 feet tall. She took a Pap smear test and found out that she has neoplasia 3 and a fibroid of 2 inches. We consulted a gynecologist, who advised removing the uterus and ovaries. Please advise. Is removing the uterus the only option?

Kindly help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I will also advise on surgery since the Pap smear shows grade 3 changes. Preserving the uterus is only advised in young women requiring fertility, who also need lifelong follow-up later. In your wife's state, since she is already 51, what is the point of preserving the uterus and always living under the threat?

These surgeries are quite common and can also be done through laparoscopy. Which means she will have far less morbidity in the postoperative period and a very short hospital stay. In some centers, they are even discharged on the same day.

Hope I have answered your question.

Thanks and take care.