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602473 tn?1235853158

Do I REALLY need this?

Ok, I guess I am having a FREAK MYESELF OUT day and I need some help....PLEASE.

I am 19 days from having my scheduled Hysterectomy.
It is supposed to be started as a Lap surgery with one surgeon and also with my GYN Oncologist being there to make the incision if he finds it needs to be done.
I am having my uterus, tubes, Ovaries removed.  As far as I remember him telling me the cervix will remain.

The reason for this operation:  
I had irregular bleeding and after several trans vag ultrasounds and one round of 10 days of Provera, my Uterus lining  was still around 18mm.  (way too big I am told.) and also I had fluid filled cysts on the ovaries which would go from one side to the other and reduce or clear up in size.

So I had a D&C Hysteroscopy on Oct. 7th. by my regular GYN.

The results were he found and removed a polyp which was in a hard to get to place and also "abnormal cells" (I guess this is on the pathology report?????)

I then went to a GYN Oncologist who after the exam told me I am a good canidate for the  Laparoscopy Hysterectomy.  He consulted with his partner and they agreed that both doctors would be in the operating room if the incision type hysterectomy had to be performed.

My FREAK OUT is this:

1.  Is this surgery necessary???
2.  Do the ovaries HAVE to come out to avoid the progress of any more "abnormal cells" steming from the uterus?
3.  Is having everything in there removed going to cause me to be more prone to other cancers?
4.  What about all the hormones the woman parts, which are being removed, and how do they contribute to hormal changes in the body?

I have been reading and reading all over the internet (legit sites) and also a few books on the whole memopause thing and frankly I am FREAKING OUT!

I am only 47 and never had ANY pain or issues, except for being overweight and irregular periods.
Never had a fibroid.
I had a cervial polyp removed in an office procedure in Oct '07.  Never heard anything more about that from the office so I am sure it was fine.

What should I be doing at this point?

Thank you so much....and please give me lots of responses...I feel SOOOOOOOOOOO alone!

~Vicki

ps:  If you want or need more info, please ask!
                            Help me know what to do to get control...I feel like I can't breathe!



2 Responses
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Avatar universal
I had a D&C all my path reports were fine i had my Hysterectomy on march 11th went to the doctor office today and was told i need more path testing should i be worry...
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Avatar universal
Hi Vicki
Glad you found us.  I too freak out, so I understand how you feel.
The “abnormal cells” is a bit vague… I would want clarification about those cells.  I am sure many of us have had “abnormal” paps and then six months later had “normal” results.  One round of 10 days of Provera doesn’t sound to me like they put much effort into reducing the endometrial thickening.   I googled uterine thickening and I found this though:

Obesity is linked to a 10 times greater risk of getting uterine cancer. Thus, other conditions associated with being too fat, such as diabetes and high-blood pressure are also linked to uterine cancer. The reason why obese woman get more uterine cancer is thought due to hormone changes caused by fat cells. Specifically, fat cells cause more estrogen to be produced, which builds up the uterine lining more than normal. The more this lining is built up, the more chance that one of the lining cells will become cancerous. In fact, anything that increases the amount of a woman’s exposure to estrogen over time increases her risk for both breast and uterine cancer. Hyperplasia (thickening) of the uterine lining, especially when the cells look abnormal, can raise the chance of getting uterine cancer to 20%.

So that kind of makes you go Hmmmmm.  BUT I think it sounds like your ovaries are just getting simple cysts, which everyone gets.   I would DEFINITELY go see your doctor and make him spend some time with you and explain exactly WHY he is wanting to remove everything like that.  Maybe ask if you could have endometrial biopsies on a regular basis to watch and see.  I don't know.  You do get the feeling that they just cheerfully rip out all our organs, don't you.  Surgical menopause is rotten, I can tell you that.  I was 48 and gosh I miss my hormones.  Also, ovaries that are left in don't work all that great after removal of the uterus anyway.  It's called ovarian failure after hysterectomy.  
Let us know how you make out..
Best wishes and GOOD LUCK!
Katie
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