You were told that fibroids require surgery.
Here, the decision is clarified by assessing your reports, symptoms, age, fertility plans and imaging findings together.
Online gynecological second opinion
Second Opinion for Uterine Fibroids
Fibroid treatment is not decided by size alone. Location, bleeding, pain, fertility plans and the relationship of fibroids to the uterine cavity should be reviewed before choosing myomectomy, hysterectomy or follow-up.
An online second opinion with Assoc. Prof. Dr. Cengiz Andan in Nişantaşı, Istanbul helps review your existing reports, imaging findings, previous treatments and the recommendation you received before a final decision is made.
Fast response, fast appointment: Once you send your reports via WhatsApp, your request is reviewed and the online consultation is scheduled accordingly.
- Report review
- Surgery decision
- Alternative options
- Next step
Clarity before you decide
Who is this page for?
This page is for patients who want an online second opinion before a gynecological decision, based on the documents they already have. The aim is not to assess one report in isolation, but to consider symptoms, imaging, age, fertility plans, previous treatments and the proposed surgery together.
Hysterectomy was recommended but you want to preserve the uterus if possible.
Here, the decision is clarified by assessing your reports, symptoms, age, fertility plans and imaging findings together.
You are planning pregnancy or IVF and fibroids were found.
Here, the decision is clarified by assessing your reports, symptoms, age, fertility plans and imaging findings together.
Your ultrasound and MRI reports give different measurements or locations.
Here, the decision is clarified by assessing your reports, symptoms, age, fertility plans and imaging findings together.
Why a second opinion?
Big decisions should not be made on the basis of one-sentence recommendations.
The purpose of a second opinion is not to automatically reject the proposed treatment. It is to clarify the reasoning behind the decision, the missing information, the realistic alternatives and when an in-person evaluation is needed.
- Fibroid size, number and FIGO/location type
- Cavity distortion and bleeding pattern
- Fertility plans and pregnancy-related risk
- Laparoscopic, hysteroscopic or open myomectomy options
- When follow-up may be safer than surgery
- You were told that fibroids require surgery.
Key medical decision points
Which questions should a second opinion answer?
The table below summarizes the points that most often cause uncertainty in this topic. Every decision is assessed individually; the same diagnosis does not mean the same treatment for everyone.
| Situation | Key question | What can the second opinion clarify? |
|---|---|---|
| Is the fibroid causing the symptoms | Is the fibroid causing the symptoms? | Bleeding, pain and pressure are matched with fibroid position and uterine cavity findings. |
| Is myomectomy possible | Is myomectomy possible? | Uterus-preserving surgery is considered when medically appropriate. |
| Is hysteroscopy enough | Is hysteroscopy enough? | Submucosal fibroids may be managed differently than intramural or subserosal fibroids. |
| Could follow-up be reasonable | Could follow-up be reasonable? | Asymptomatic fibroids may not need immediate surgery in selected cases. |
What should you send?
Send whatever you already have.
You do not need to prepare a perfect file. Your existing documents are enough to start; if anything is missing, it becomes clear during the assessment which document may be needed.
- Recent ultrasound report and available images
- MRI, CT or other imaging reports, if available
- Pathology, biopsy, smear or HPV results when relevant
- Blood tests, tumor markers or hormone tests if performed
- Previous operation notes and discharge summaries
- The treatment or surgery recommendation you received
- A short summary of your symptoms and main concern
- Medication or previous treatment information
Medical documents may contain personal health data. We recommend sharing only the documents you consider necessary for the assessment.
How is it assessed?
Not a single result — the decision as a whole is reviewed.
In the online second opinion, your reports, imaging, symptoms, previous treatment, the proposed surgery and your own goals are considered together. The question “what should I do?” turns into a more structured decision framework.
The core question is: Is the proposed treatment really the most appropriate step for your findings, your symptoms and your life goals?
The online process
How does the second opinion process work?
The process is kept simple: you get in touch first, then send your existing documents, and the reasoning behind the decision is clarified in the online consultation. This page is a condition-specific subpage of our general online second opinion service.
Getting in touch
You write via WhatsApp that you would like a second opinion and describe your main symptom.
Sharing your documents
You can send reports, images, test results or your doctor's recommendations as photos or PDFs.
Medical assessment
The reasoning behind the recommendation, missing information and realistic alternatives are reviewed in their medical context.
Next step
Follow-up, further tests, an in-person evaluation, medication or a surgical plan can be discussed.
Doctor's approach
How is the recommendation evaluated?
An online second opinion with Assoc. Prof. Dr. Cengiz Andan in Nişantaşı, Istanbul is not conducted simply to approve or reject the proposed treatment. The goal is to understand the medical reasoning behind the decision, what may be missing and which options are safe.
If the proposed procedure appears medically necessary, it is made clear why it is necessary and how it should be planned.
If the decision is not clear-cut, watchful waiting, additional imaging, a different treatment option, an organ-preserving approach or the need for an in-person evaluation can be discussed.
When it is an emergency
When should you not wait for an online consultation?
The online second opinion is for plannable decisions. If any of the following are present, see a doctor where you are without delay.
- Very heavy or non-stop vaginal bleeding
- Fainting, severe weakness or low blood pressure
- Fever, foul-smelling discharge or suspected infection
- Acute, steadily worsening abdominal or pelvic pain
- Bleeding or pain with a possible pregnancy
- An urgent referral recommendation in a report with suspected cancer
Frequently asked questions
Frequently asked questions about a second opinion for uterine fibroids
Is a second opinion useful for fibroids?
Yes. It can clarify whether fibroids require treatment and which option fits your symptoms, age and fertility plans.
Does every fibroid need surgery?
No. Many fibroids are monitored unless they cause bleeding, pain, infertility, rapid growth or organ pressure.
Can fibroids be treated without removing the uterus?
In selected patients, myomectomy or hysteroscopic treatment may preserve the uterus, but not every case is suitable.
Which reports should I send?
Send ultrasound, MRI if available, blood count, previous surgery notes and the proposed treatment plan.
Before you decide, send your reports and get a second opinion.
Based on your existing documents, the proposed treatment, possible alternatives and the next medical steps can be assessed more clearly. At Assoc. Prof. Dr. Cengiz Andan Clinic in Nişantaşı, Istanbul, this assessment helps turn scattered reports into a clearer decision pathway.
