Fibroids

In this episode, Dr Jessica Dunning discusses fibroids, including symptoms, diagnosis, and treatment options. We explore the implications of fibroids on women's health, particularly regarding fertility and the various medical and surgical interventions available, along with the importance of individualised care.

Topics

Intro.
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Defining fibroids.
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Do fibroids come and go?
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Is a fibroid always benign?
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Symptoms to suspect a fibroid.
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Primary care examination.
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Next steps.
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Is the fibroid responsible for the symptoms?
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Treatment options.
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Recommending one progesterone over another.
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Impact on Mirena insertion.
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Options in secondary care.
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Impact on fertility.
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Who to refer to secondary care.
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What to expect upon referral.
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MHT and fibroids, is there a risk?
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Any new changes in this space?
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Take-home messages.
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Take home messages

Fibroids are really common and mostly asymptomatic.
You don't have to do anything unless symptoms are present.
If people do have symptoms, there are lots of treatment options available.
Management can be tailored to the individual's needs.
Be aware of the risk of sarcoma, but not everybody needs a hysterectomy just because of that potential risk.

Presenter

Jessica Dunning

Gynaecologist

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Jessica is a New Zealand-trained Obstetrician and Gynaecologist. She obtained her Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG) in 2021. She then completed two further years of advanced training in laparoscopic surgery in Auckland. Jessica also practices as a consultant Obstetrician and Gynaecologist at Te Toka Tumai Auckland as part of the minimal access surgery team. Her clinical interests are in the diagnosis and treatment of endometriosis, abnormal uterine bleeding and fibroids.