Our expert says:
CA125 is a screening test for uterine cancer but can also be increased in inflammatory conditions of the pelvis, diseases of the ovaries or endometriosis. The decision to do a hysteroscopy would depend on the overall gyne examination, the sonar results, and whether the gyne wants to do a biopsy of the fibroid to ensure that it is not cancerous. If there is pressure on the bladder they usually will want to remove either the fibroid or do a hysterectomy if a patient does not want to have any more children or if the tumour is cancerous.
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