Hi!
Number one, I see absolutely NO reason to remove ovaries, unless you want the 99% guarantee this gives of no ovarian cancer. Almost all of the current literature is getting more and more conservative about leaving them in, as we are getting less and less aggressive about giving hormone replacement therapy. I wouldn't go for the OLD "oh we'll just take them out and give you hormones" line any more.
Number two, I don't think you even need your uterus out. If you were my patient and you expressed any reservations about surgery (some people want it out YESTERDAY!)
I would discuss the option of three months of provera therapy and a repeat office biopsy or D&C. Nowadays our surveillance for endometrial cancer is excellent, and we can almost always cure it at an early stage if it does come up--in your case we have the advantage of knowing that we need to watch closely.
If you don't want any more bleeding problems, then a hysterectomy is a great option.
If you want a guarantee that there are no cancer cells in there right now, then hysterectomy is a great option.
You can have your uterus out with your ovaries left in! This is a simple Vaginal hysterectomy.
I chose to keep all my parts when I had an abnormal polyp--3 kids and 5 years later, I am doing well.
Hope this helps!
Dr B
A friend of my just had a myomectomy. She had a huge cyst (size of canteloupe) growing and it was causing severe anemia, pushing on organs, etc. Not sure how it went but it she was looking at having a full hysterectomy as well and was freaked out.
Please look into finding a "reproductive endocrinologist" - they specialize in these types of issues. You need someone who really knows their stuff (because these polyps, etc can grow back), someone who is willing to listen to your concerns. Good luck...
Here's a link to search for a doctor near you: http://www.socrei.org/SREImap.html
I hope you get this message...
Thank you so much for your detailed response! It is so much appreciated!!!
One thing I forgot to put in my original message and want you to know about is what is on the Pathology report:
Endrometrial curetting:
-Multiple fragments of endometrium admix with blood demonstrating "complex endometrial hyperplasia with focal atypia"
- Some of the endometrial glandular proliferation is associated with squamous morules.
Endometrial polyp:
-negative for adenocarcinoma
-Multiple polypoid fragments of endometrium demonstrating "complex endometrial hyperplasia with focal atypia"
- some of the polypoid fragments have spindled stroma with prominent thick walled vessels and may represent hyperplasia arising in endometrial polyp.
-Some of the glandular proliferation is associated with squamous morules.
Thanks so much..... after your response here, I am going to talk to my GYN/oncologist
~Vicki