The doctors at The Women’s Health Center, located in Fountain Valley, California, help women from throughout Orange County and the Greater Los Angeles area who have uterine fibroids.
Fibroids are noncancerous growths that develop in the uterus. Fibroids grow to be as small as a pea or expand to the size of a grapefruit, and in rare cases even larger. Fibroids can grow on the uterine walls or inside the uterine wall tissue. Some patients may have no symptoms while others can have a variety of uncomfortable symptoms.
• Menstrual changes
◦ Longer, more frequent, or heavy menstrual periods
◦ Menstrual cramps
◦ Vaginal bleeding between menses
◦ In the abdomen or lower back
◦ During sex
◦ Difficulty urinating or frequent urination
◦ Constipation, rectal pain, or difficult bowel movements
• Enlarged uterus and/or abdomen
When meeting for a consultation, a simple pelvic exam may indicate a fibroid uterus. We can obtain a pelvic ultrasound which allows us to visualize the uterus and ovaries.
• Birth control pills and other types of hormonal birth control methods—used to control heavy bleeding and cramps.
• Gonadotropin-releasing hormone (GnRH) agonists—stop the menstrual cycle and can shrink fibroids. Because GnRH agonists have many side effects, they are used only for short periods (less than 6 months). After a woman stops taking a GnRH agonist, her fibroids usually return to their previous size.
• Progestin–releasing intrauterine device—This option is for women with fibroids that do not distort the inside of the uterus. It reduces heavy and painful bleeding but does not treat the fibroids themselves.
• Hysteroscopy—This technique is used to remove fibroids that protrude into the cavity of the uterus. A resectoscope is inserted through the hysteroscope. The resectoscope destroys fibroids with electricity or a laser beam. Although it cannot remove fibroids deep in the walls of the uterus, it often can control the bleeding these fibroids cause. Hysteroscopy often can be performed as an outpatient procedure (you do not have to stay overnight in the hospital).
• Endometrial ablation—This procedure destroys the lining of the uterus. It is used to treat women with small fibroids (less than 3 centimeters).
• Uterine artery embolization (UAE)—In this procedure, tiny particles (about the size of grains of sand) are injected into the blood vessels that lead to the uterus. The particles cut off the blood flow to the fibroid and cause it to shrink. UAE can be performed as an outpatient procedure in most cases.
• Myomectomy is the surgical removal of fibroids while leaving the uterus in place. Because a woman keeps her uterus, she may still be able to have children. Fibroids do not regrow after surgery, but new fibroids may develop. If they do, more surgery may be needed.
• Hysterectomy is the removal of the uterus. The ovaries may or may not be removed. Hysterectomy is done when other treatments have not worked or are not possible or the fibroids are very large. A woman is no longer able to have children after having a hysterectomy.
"Follow up is always fast and over 17 years, I have not ever experienced anything but friendliness, compassion, and caring from everyone there."
"Been going here for over 15 years. Never had a bad experience. The doctors have all been compassionate and helpful."
"I really like this place! I came here before I got pregnant and now I keep it as my primary care during my pregnancy. I would recommend The Women's Health Center."
"I went here for my pregnancy and received very good care. Doctors and Nurse Practitioners are highly professional and nice. I would highly recommend this practice."
"The staff was always very kind, friendly and helpful and, best of all, I seldom had to wait very long for my appointments."
"I have been a patient in this office for 5 years and during that time I have had the opportunity to consult with 3 of the doctors--all of them were wonderful."
"Dr. Nguyen is amazing and the hubby and I are so thankful I have her as my OB. I can say that she is extremely genuine and caring and it makes everything better."
"You can trust Dr. Nguyen when you have any concerns or questions during pregnancy. What I love about her is that I didn't feel rushed."
"I was so happy when I found out I was having twins this year cause I knew she was gonna be my doctor! She takes her time with her patients and is so smart and kind."
"Dr. Nguyen herself is very knowledgeable, very very informative, answers all my questions (small and big), so reliable, and had a great personality."
"Dr. Tracy never failed to be honest, discuss risks with us. She is also such a genuine and caring person and doctor."
"I've been following Dr. Tracy for over 14 years. She is an excellent OBGYN who has performed 3 of my C-sections."
"Dr. Tracy is extremely knowledgable and thorough. She is able to answer all my questions. I can definitely trust her with my life. I recommend her."
"I honestly feel that Dr. Tracy is like an old friend--we get to catch up once or twice a year. I feel comfortable talking to her about anything."
"My last pregnancy was amazing with no complications and Dr. Tracy was great!!"
"She is so calm and caring. I loved being able to be 100% myself when I had an appointment with her."