Fibroids

“Its like rehearsal for giving birth”
“I had cesarean birth for my childbirth too, it’s okay”
“Its a common operation”
“Less than 1% chance of being cancerous”

I was overwhelmed recently while making a decision. So much comments, some kindly given, some carelessly given.

I would like to make a clear distinction.

When you go to birth a child, you come home with yes, the pain of recovery, but you don’t come home alone as you’re bringing your love bundle into the world. Basically, you come home to a party.

For those exploring options for fibroids, the search is pretty scattered, so here’s a summary of options from what I have learnt, I don’t proclaim to know all the facts, so please do your own due diligence.

  1. HIFU (High Intensity Focused Ultrasound)
    My preferred option due to the fast recovery and non invasive method. I have found that this is commonly utilized in China and I have heard of a case with 100% removal of 5cm in China, but it is only known for purpose of shrinkage purpose in Singapore from 30-40% ( I heard and don’t proclaim to know it all). This is what I know in Singapore, there seems to be at least 2 known practitioners, both previously from KKH. I was really keen on this procedure but was not able to proceed as it is not covered by insurance. I was told that before Dec’2020, it was covered by some insurers than it was put on hold by MOH. In May’2021 it was approved for usage again, however no insurers covers this procedure at the moment and the cost starts from $8K.
  2. MRgFUS
    I found this article on Magnetic Resonance-Guided Focused Ultrasound Surgery (MRgFUS) of Uterine Fibroids in Singapore and I wrote to the author of the published article. Apparently the machine at SGH and KKH has been decommissioned.
  3. Laparoscopic
    There was a case in US where a patient’s fibroid was a stage 1, somehow when it was shredded for removal, it was spread unknowingly. Apparently the action upgraded the cancer level due to area of spread. You can google along this thread “laparoscopic fibroid removal may spread unseen cancer”. Secondly the mincer/ shredder seems to be retired.
  4. Open abdominal
    Finally the only available choice. Longest down time, most painful, most expansive and most invasive. Get a good surgeon who know what you want and cares.

Tips for preparation of your surgery or things to bring if you will be inpatient:
-Get some postpartum mesh panties, it is way more comfortable (I got mine from asterbaby on shoppee)
-Bring some wingless pads
-Bring a thermal cup for your late night sips as post surgery, I experienced major throat irritation from the intubation which causes coughing (imagine this with the stiches-unbelievable pain)
-Make sure your house is prepared for when you are checked-out, as the major pains last about a week+, longer than childbirth as removal involves cutting muscles and caesarean births’ cut can be at the thinnest part of the womb. In my opinion, I took way too much pain killers and was still in pain.
Order food delivery, wear disposables, keep warm. Receive the love from around you.
-Lastly, go the easy way as much as you can.

For anyone finding more information, I wish you all the best.

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