The Fight To Preserve My Uterus After Developing Fibroids
I swore I was about to bleed to death.
I was at work, standing in a bathroom stall frantically scrubbing my pinstriped lavender pants, shamefully unaware of the stain on them when I walked into the restroom for the umpteenth time and mad that I didn't wear black.
I caught my reflection on my way back to my desk to retrieve my cell phone. I was beginning to look gaunt. My iron count was so dangerously low that I was prescribed supplements, and I lost over 10 pounds – weight I worked so hard for years to gain, mind you – plus muscle all in one month.
I was suffering from uterine fibroids--benign tumors that grow within the uterus and a condition that disproportionately impacts 80% of Black women. While most women are asymptomatic and can continue life as normal, my symptoms--including frequent restroom breaks, lower back pain, and a hard, slightly round stomach equivalent to a 12-week pregnancy, according to my doctor – were a little more severe because of the fibroids' location and size. Fibroids can be as small as the width of a pea and as large as a grapefruit. Judging from the amount of blood loss, mine might've been approaching the size of a lemon or tangerine. I called my doctor for an emergency appointment because the bleeding wouldn't relent, and I was on track to pass out somewhere.
“It's been over three weeks," I said to the receptionist at my doctor's office.
The next morning, my gynecologist and I sat down to finalize a treatment plan. I was nervous about the whole idea of undergoing surgery, but I was relieved that I didn't have to have a hysterectomy, or the removal of all or part of the uterus and cervix. Unless it was cancerous, I didn't see the point of sacrificing a functioning organ, and according to an article in the International Academy of Pelvic Surgery, more women are opting for uterine preservation for reasons other than fertility: Sexuality and body image issues and personal and cultural preferences are presiding factors.
So it's important to know that a hysterectomy isn't a woman's only choice for fibroid relief, although many women think so and doctors may push for one as a solution when it should be the absolute last resort. In fact, the American College of Obstetricians and Gynecologists says that 76% of all hysterectomies performed today were unnecessary. But some doctors aren't exactly familiar with the newer medical advances, or they find them too “time-consuming," as my doctor once pointed out. Hysterectomies are routine, but patients face longer recovery periods, instant menopause, and bladder and sexual dysfunction. But despite the fact that my symptoms may have fallen on the more severe side of the spectrum, my GYN and I agreed that another option would be ideal.
Initially I had previously picked up a pamphlet for uterine fibroid embolization (UFE), partly to duck surgery. UFE, also known as uterine artery embolization, is a minimally invasive procedure that works by injecting contrast material – which may cause an allergic reaction in some women – into a woman's upper thigh to block arterial flow to the fibroids. It takes 1-3 hours and the patient is sedated – but not asleep – so she can follow any directions given by the interventional radiologist. Women can expect bleeding and pain from the breakdown of fibroid tissue from anywhere between a few weeks to a few months, although my doctor mentioned that some patients end up in the emergency room for “excruciating pain from dying tissue." In a few of those cases, women face emergency hysterectomies because of infections. But in best case scenarios, most women can resume usual activities in about a week.
However UFE isn't recommended for patients like me who do wish to preserve fertility because it shuts off blood flow that would be necessary for a future fetus. So I was left with the pill, myomectomy, or a combination of the two.
“I see the pill didn't work," my GYN said as he opened my chart.
The pill was supposed to have been the first step in controlling the profuse bleeding, and usually it does work for most women. It did for me, until my fibroids grew rebellious. Since I was already on oral contraception, my doctor just prescribed a different variation with iron. But to be honest, that pill was brown and looked funny (as in chalky-funny), and after years of taking the same tablets with no side effects, I was too stubborn to switch to a new one, anyway. Plus I convinced myself that I didn't drink enough water for my body to properly process iron, so that was that.
Ultimately I chose the laparoscopic, or robotic, myomectomy to remove the fibroids and keep my uterus intact. During this procedure, the surgeon makes a series of 3-5 one-inch incisions preferably along the bikini line but sometimes nearer the belly button where mine are located. A tube with a camera and small surgical instruments are then inserted into the abdominal wall. With the use of a “robot" or a separate console, the surgeon controls the instruments to cut the fibroids into “strips" thin enough to remove through the incisions. The surgery should've taken a few hours, but mine was nearly three times as long because my doctor and his colleague discovered more fibroids than were on the MRI once they were inside. But they were determined to complete the surgery without making a full cut across my abdomen. Some patients can go home the same day, however, I spent the night at the hospital, probably because I woke up late evening. I also needed a blood transfusion midway surgery, which UFE patients don't have to worry about. Recovery is about 6-8 weeks.
Three years later, at least one fibroid returned, which is a risk with both the UFE and myomectomy. But I still have no physical symptoms including fatigue, heavy bleeding, and severe anemia. I do try to practice a bit of self-care (again) because that was one thing that changed post-surgery. Now I'm more mindful of what I eat because some experts say what we put in our bodies – and on our bodies, like hair relaxers – can encourage the (re)growth of fibroids. It's possible genetics play a part, too. But there's no definitive answer.
There's also no cure for fibroids, and the only surefire way to get rid of them once and for all is through a hysterectomy, but that should still be a woman's choice. We shouldn't be led to believe we have no other recourse to both manage fibroids and maintain our uterus when, in fact, we do. Of course, treatment options vary depending on the patient, her medical history, and reproductive choices among other factors. This list of treatments isn't exhaustive, and as with any medical procedure, you should always consult your doctor and perform your own thorough research before making a final decision.
Have you had fibroids? What are some tips that you've learned to help with managing them?
Featured image by Getty Images
I write about lifestyle and women's health and wellness. When I'm not in front of a computer screen crafting stories, I'm in a kitchen crafting cocktails. Follow me on the 'gram @teronda.
ItGirl 100 Honors Black Women Who Create Culture & Put On For Their Cities
As they say, create the change you want to see in this world, besties. That’s why xoNecole linked up with Hyundai for the inaugural ItGirl 100 List, a celebration of 100 Genzennial women who aren’t afraid to pull up their own seats to the table. Across regions and industries, these women embody the essence of discovering self-value through purpose, honey! They're fierce, they’re ultra-creative, and we know they make their cities proud.
VIEW THE FULL ITGIRL 100 LIST HERE.
Don’t forget to also check out the ItGirl Directory, featuring 50 Black-woman-owned marketing and branding agencies, photographers and videographers, publicists, and more.
THE ITGIRL MEMO
I. An ItGirl puts on for her city and masters her self-worth through purpose.
II. An ItGirl celebrates all the things that make her unique.
III. An ItGirl empowers others to become the best versions of themselves.
IV. An ItGirl leads by example, inspiring others through her actions and integrity.
V. An ItGirl paves the way for authenticity and diversity in all aspects of life.
VI. An ItGirl uses the power of her voice to advocate for positive change in the world.
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Stress Awareness Month: Sneaky Workplace Triggers Affecting Black Women, And How To Cope
We all know about the major stress triggers of everyday life, from relationship woes to monthly bills to unexpected emergencies, but there are small, subtle triggers that impact Black women in a big way, especially when it comes to work. It’s good to be aware of these sneaky stressors in order to maximize your day and find ways to incorporate solutions into your self-care routines.
Since it’s Stress Awareness Month, we caught up with Keanne Owens, LCSW, founder of Journey To Harmony Therapy Center, to talk about these triggers and what Black women can do to manage and cope.
Owens is an experienced South Florida-based counselor and social worker who offers her services via Grow Therapy, a therapy and medication management platform. She has worked with Black women professionals to unpack issues related to workplace stressors. “One is the pressure to perform–having to meet deadlines and deliverables. And a lot of times, these subtle stressors from performance are put upon ourselves as Black women. We want to make sure we’re doing our best. We don’t want to be critiqued in certain ways.”
Excessive micromanagement leading to fear of overly critical bosses is another subtle trigger that can negatively impact Black women in the workplace.
“Whenever something is done wrong, or we experience some type of injustice and have to report it, it’s the fear of retaliation–[fear that] we won’t be taken seriously or [our words] will be taken out of context because of being deemed as the ‘angry Black woman,’” she said.
Black Women And Workplace Stress Triggers
Her sentiments are backed by research. A recent report by Coqual found that 28% of Black women (compared to 17% of White men) say their supervisor uses “excessive control or attention to detail” when managing them. There’s more: A survey by the National Employment Law Project found that Black workers were “more likely to have concerns (80 percent) and twice as likely as white workers (18 percent) to have unresolved concerns at work, with 39 percent reporting they were “not satisfied with the employer’s response or did not raise concerns for fear of retaliation.”
The survey also found that 14 percent of Black respondents said they “avoided raising concerns to their employer for fear of retaliation—more than twice the average rate of 6 percent for all survey respondents.”
Owens pointed to the fact that these subtle stress triggers can negatively impact our physical health and our career advancement. “A lot of time it’ll affect our productivity,” Owens added. “We start to have negative thoughts of ourselves. The stressors can also cause fatigue. We’re no longer meeting or working up to our desired potential.” Other challenges as a result include insomnia and increased insolation, withdrawal, and lack of motivation to apply for jobs or promotions even when qualified.
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How To Manage Subtle Stress Triggers
While there are systemic issues at play for Black women at work that has less to do with us and more to do with major overhauls that must be addressed by the powers that be, there are steps we can take for the betterment of ourselves and our mental health. Owens offered the following tips:
Tap into a support system, whether it’s a coworker you trust, a family member, an organization, or an outlet like a hobby.
Create a good work-life balance before burnout even starts. “Having certain boundaries [is the goal] such as, for example, if you get off at 5, you get off at 5. If your job description is this, you don’t go above and beyond because that brings you to a lot of burnout,” Owens said.
Prioritize self-care, whatever that means for you. “If you don’t have a routine, create one. Practice mindfulness and even some meditation,” she added.
Create structure in your life outside of work. “Even if you have a family, applying some structure in your routine helps relieve stress,” she said.
Get into grounding techniques. “Do a real quick square breathing exercise, that’s literally 30 seconds, or you can do a grounding technique that’s less than two minutes, right there where you are. You don’t need any other materials. That’s something you can do with just yourself and your body.”
Ask for help. “As Black women, we don’t ask for help enough,” she said. “Find where you need to ask for help. A lot of times, people think that’s indicative of weakness, but we need to rewrite that narrative. It’s okay to ask for help where you see fit. [If] you’re a mom, [it could be] every Wednesday from 5 to 6, your children are with the dad. You have to carve out that time.”
For more information on Grow Therapy, visit their website. You can also find out more about Keanne Owens, LCSW, via BeginYourJourneyToHarmony.com.
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