Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 I am 47 and having to make the same decision. I would choose a hysterectomy leaving the ovaries in tact hands down if I thought that it wouldn't have negative side effects. Everything that I've read however, suggests that even if I leave the ovaries, there can be serious hormonal problems, not to mention other problems, as well. Therefore, I'm leaning towards a myomectomy. My fibroids are 7 cm, doctor suggests hyst because of my age and the fact that I don't want any more children, but i'm more inclined to stay on the safe side. I figure that even if the fibroids try to come back after the myo, i'm close enough to menopause that i can keep them at bay until full menopause kicks in. Meanwhile, I'm trying alternative medicine. Question to anyone who has gone alternative route - if fibroids shrink and dissolve, are they absorbed by the body or eliminated, i.e., through period? jbabella2002 wrote: I'm 46 and have been dealing with fibroid problems for the past year. (Heavy bleeding, cramping, etc.) I've been working with my dr for the past year trying differnt things to help the situation. As of last month I am taking Luperon shots while I decide which procedure to go ahead with. (I decided on Luperon after 3 months of menstruating- I needed the bleeding to stop!) I'm weighing the different choices and a hysterectomy is looking pretty appealing. I am not my uterus and don't feel a need for it anymore. But I feel like i have to justify and defend this decision. Are there any women over 40 who have had the same decision to make? What are the reasons you wouldn't choose a hysterectomy? I'm telling you a life without bleeding and cramping sounds pretty good! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 I am 47 and having to make the same decision. I would choose a hysterectomy leaving the ovaries in tact hands down if I thought that it wouldn't have negative side effects. Everything that I've read however, suggests that even if I leave the ovaries, there can be serious hormonal problems, not to mention other problems, as well. Therefore, I'm leaning towards a myomectomy. My fibroids are 7 cm, doctor suggests hyst because of my age and the fact that I don't want any more children, but i'm more inclined to stay on the safe side. I figure that even if the fibroids try to come back after the myo, i'm close enough to menopause that i can keep them at bay until full menopause kicks in. Meanwhile, I'm trying alternative medicine. Question to anyone who has gone alternative route - if fibroids shrink and dissolve, are they absorbed by the body or eliminated, i.e., through period? jbabella2002 wrote: I'm 46 and have been dealing with fibroid problems for the past year. (Heavy bleeding, cramping, etc.) I've been working with my dr for the past year trying differnt things to help the situation. As of last month I am taking Luperon shots while I decide which procedure to go ahead with. (I decided on Luperon after 3 months of menstruating- I needed the bleeding to stop!) I'm weighing the different choices and a hysterectomy is looking pretty appealing. I am not my uterus and don't feel a need for it anymore. But I feel like i have to justify and defend this decision. Are there any women over 40 who have had the same decision to make? What are the reasons you wouldn't choose a hysterectomy? I'm telling you a life without bleeding and cramping sounds pretty good! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 I am 47 and having to make the same decision. I would choose a hysterectomy leaving the ovaries in tact hands down if I thought that it wouldn't have negative side effects. Everything that I've read however, suggests that even if I leave the ovaries, there can be serious hormonal problems, not to mention other problems, as well. Therefore, I'm leaning towards a myomectomy. My fibroids are 7 cm, doctor suggests hyst because of my age and the fact that I don't want any more children, but i'm more inclined to stay on the safe side. I figure that even if the fibroids try to come back after the myo, i'm close enough to menopause that i can keep them at bay until full menopause kicks in. Meanwhile, I'm trying alternative medicine. Question to anyone who has gone alternative route - if fibroids shrink and dissolve, are they absorbed by the body or eliminated, i.e., through period? jbabella2002 wrote: I'm 46 and have been dealing with fibroid problems for the past year. (Heavy bleeding, cramping, etc.) I've been working with my dr for the past year trying differnt things to help the situation. As of last month I am taking Luperon shots while I decide which procedure to go ahead with. (I decided on Luperon after 3 months of menstruating- I needed the bleeding to stop!) I'm weighing the different choices and a hysterectomy is looking pretty appealing. I am not my uterus and don't feel a need for it anymore. But I feel like i have to justify and defend this decision. Are there any women over 40 who have had the same decision to make? What are the reasons you wouldn't choose a hysterectomy? I'm telling you a life without bleeding and cramping sounds pretty good! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 I just returned from my gyn...I am 51 and this has been going on for 10 years. I am trying to get mifepristone from China to shrink these suckers...but the bleeding is worse every month. Today, I was told by my gyn that i need to " do some work " " around my fear of surgery. My submucousal fibroids are too large for resection...and hysterectomy is what she is recommending. I am sitting here in shock...she has been working with me so long and I trust her. I still feel that I must at least try the mife if it arrives, but now my hopes are really dashed.... no bleeding and no cramps sounds great, but at the expense of my uterus, I'm not sure Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 Diane, Just remember that surgeons do surgery and are going to have a bias in that direction. I've had a similar feeling after a few doctors visits where they have told me I have to have my fibroid out. It is really curious to me how people can go into the medical profession and gravitate to becoming ob/gyns which is a fields all about womens health and yet so many of them have cavalier attitudes to uteri. Not to mention their insensitivity in talking with patients about potentially life altering procedures. My sister told me that her doctor told her that if she wants to have kids she should start taking some action -- she's 30, recently divorced and in grad school. What does the doctor want her to do, just jump into bed with the first guy she meets? The ob/gyn community has really done women (in the U.S. and Canada in particular since we have the highest rates of hysterectomy in the world) a disservice by not learning more about the causes and treatment of fibroids. It is through us standing up for ourselves and this amazing organ that we will cause them to reconsider their recommendations. Silicone breast implants were pulled from the market due to public outcry, maybe hysterectomies can be reconsidered as well if we keep the pressure up. The ACOG have revised their treatment recommendations for when to perform hysterectomy, and the US federal government health sites promote alternatives to hysterectomy as well. We know from this list however, and from the data on the number of hysterectomies performed each year that doctors aren't listening yet. Obviously we have a lot of work to do still. (Oh, and to the ladies who have had or are considering hysterectomy, know that I'm not condemning you. Hysterectomy is sometimes the best or only thing that can be done to solve our health problems.) Hugs, Ann Today, I was told by my gyn that i need to " do some work " " around my fear of surgery. My submucousal fibroids are too large for resection...and hysterectomy is what she is recommending. I am sitting here in shock...she has been working with me so long and I trust her. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 Diane, Just remember that surgeons do surgery and are going to have a bias in that direction. I've had a similar feeling after a few doctors visits where they have told me I have to have my fibroid out. It is really curious to me how people can go into the medical profession and gravitate to becoming ob/gyns which is a fields all about womens health and yet so many of them have cavalier attitudes to uteri. Not to mention their insensitivity in talking with patients about potentially life altering procedures. My sister told me that her doctor told her that if she wants to have kids she should start taking some action -- she's 30, recently divorced and in grad school. What does the doctor want her to do, just jump into bed with the first guy she meets? The ob/gyn community has really done women (in the U.S. and Canada in particular since we have the highest rates of hysterectomy in the world) a disservice by not learning more about the causes and treatment of fibroids. It is through us standing up for ourselves and this amazing organ that we will cause them to reconsider their recommendations. Silicone breast implants were pulled from the market due to public outcry, maybe hysterectomies can be reconsidered as well if we keep the pressure up. The ACOG have revised their treatment recommendations for when to perform hysterectomy, and the US federal government health sites promote alternatives to hysterectomy as well. We know from this list however, and from the data on the number of hysterectomies performed each year that doctors aren't listening yet. Obviously we have a lot of work to do still. (Oh, and to the ladies who have had or are considering hysterectomy, know that I'm not condemning you. Hysterectomy is sometimes the best or only thing that can be done to solve our health problems.) Hugs, Ann Today, I was told by my gyn that i need to " do some work " " around my fear of surgery. My submucousal fibroids are too large for resection...and hysterectomy is what she is recommending. I am sitting here in shock...she has been working with me so long and I trust her. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 Diane, Just remember that surgeons do surgery and are going to have a bias in that direction. I've had a similar feeling after a few doctors visits where they have told me I have to have my fibroid out. It is really curious to me how people can go into the medical profession and gravitate to becoming ob/gyns which is a fields all about womens health and yet so many of them have cavalier attitudes to uteri. Not to mention their insensitivity in talking with patients about potentially life altering procedures. My sister told me that her doctor told her that if she wants to have kids she should start taking some action -- she's 30, recently divorced and in grad school. What does the doctor want her to do, just jump into bed with the first guy she meets? The ob/gyn community has really done women (in the U.S. and Canada in particular since we have the highest rates of hysterectomy in the world) a disservice by not learning more about the causes and treatment of fibroids. It is through us standing up for ourselves and this amazing organ that we will cause them to reconsider their recommendations. Silicone breast implants were pulled from the market due to public outcry, maybe hysterectomies can be reconsidered as well if we keep the pressure up. The ACOG have revised their treatment recommendations for when to perform hysterectomy, and the US federal government health sites promote alternatives to hysterectomy as well. We know from this list however, and from the data on the number of hysterectomies performed each year that doctors aren't listening yet. Obviously we have a lot of work to do still. (Oh, and to the ladies who have had or are considering hysterectomy, know that I'm not condemning you. Hysterectomy is sometimes the best or only thing that can be done to solve our health problems.) Hugs, Ann Today, I was told by my gyn that i need to " do some work " " around my fear of surgery. My submucousal fibroids are too large for resection...and hysterectomy is what she is recommending. I am sitting here in shock...she has been working with me so long and I trust her. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 Diane: You said you have been working with your doctor for a long time. However, if you prefer to keep your uterus, please find another doctor who is on the same page as yourself. Don't feel guilty about wanting to maintain a major organ. You need to be sure that you want a hysterectomy. Right now, you have some choices regarding your uterus. After the hysterectomy - your choices are gone. Remember, it's YOUR body, not your doctor's. Your allegiance is to your body, not to your doctor. You are the one who lives with the decision, whether you allow your doctor to make the decision for you - or whether you make it yourself. Good luck! Joyce Re: contemplating hysterectomy I just returned from my gyn...I am 51 and this has been going on for 10 years. I am trying to get mifepristone from China to shrink these suckers...but the bleeding is worse every month. Today, I was told by my gyn that i need to " do some work " " around my fear of surgery. My submucousal fibroids are too large for resection...and hysterectomy is what she is recommending. I am sitting here in shock...she has been working with me so long and I trust her. I still feel that I must at least try the mife if it arrives, but now my hopes are really dashed.... no bleeding and no cramps sounds great, but at the expense of my uterus, I'm not sure Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 i don't want to advocate any particular route for you, but wanted to share my experience. i'm 43 and after suffering for many years with what i thought was an intramural fibroid and some slight endometriosis, i finally proceeded in contacting an interventional radiologist so i could move forward with a UFE. a hysterectomy was something i had fought against literally for years. the results of my MRI indicated i had adenomyosis - i was stunned to learn this and decided (unhappily) not to pursue the UFE further (as it might alleviate some symptoms but does not cure adeno - there is no cure but uterus removal) after much thought and " listening to my body " time, i made the decision to have a laproscopic-assisted hysterectomy. i researched the best doctors (the ones with the AAGL stamp of approval) and traveled out of town to have one particular doctor do my surgery. i am a real " snob " when it comes to doctors and i do believe that many post surgical complications are due to poor or sloppy surgical technique (or lack of experience.) my doc had done over 2000 LAVH; he was a GYN only so his practice was just for advanced situations such as mine. 3 weeks ago i had my surgery and i must tell you that i feel great. in addition to the adeno, endo, and the " one " fibroid, the lab results indicated that i had numerous smaller fibroids that had not shown up on any ultrasound or the MRI. AND the thing that the doc said he spent the most time on during the surgery was adhesions caused by the endo - part of my intestines were adhered to my pelvis!! for someone like myself who thought she just had fibroids, there was a whole lot more shakin' going on inside! i went to the gym today for the first time and worked out on the precor machine for 20 minutes then walked briskly for another 20. of course at this point in the day my energy is fading fast! i realize i still have lots of healing to do and that the story is not over and complications may still come (btw, i kept my ovaries and tubes - so far no problems with hot flashes, etc.) but i will deal with them as they do. i can't imagine anyone feeling more frightened or anxious than i did prior to my surgery - i had to go on anti-anxiety and HBP medications i was so upset by what i felt like i had to do. but i was also tired of having the quality of my life so compromised. i feel that i made the right choice for me. please do not read this as advocating hysterectomy for everyone!! i completely believe we should have many options in terms of how we proceed to rectify our individual situations. i just wanted to share a positive experience - i was very humbled by making this decision - for many years i had been extremely judgmental about women who had chosen hysterectomy. now i advocate to know all your choices and options (and god knows we still need many , many more) then move ahead with what feels right for you. women who truly believe in the feminist philosophy of choice will be supportive and you should not feel (or worry about) having to justify any of your choices to anyone. good luck and if i can be of any help or answer any questions, i'd be glad to. angela e. Quote Link to comment Share on other sites More sharing options...
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