Guest guest Posted April 20, 2004 Report Share Posted April 20, 2004 Re: Hysterectomy & Heart Business – My Answer for Dawn: There is one study showing that this IS true even when ovaries are left in place. However, it is probably not the definitive/final answer. A significant proportion of women who retain their ovaries and tubes at hysterectomy still experience ovarian failure – I’ve believe it is around 20%. Thus, even with their ovaries in place, they have no benefit of them. The ovaries are there but for one reason or another (surgical trauma, disruption of bio-systems – who knows what all) they cease functioning. There is no way to tell which women will experience this ovarian failure until after it happens. Also, an additional significant proportion of women who undergo hysterectomy and keep their ovaries experience early “menopause.” Whether or not anyone has ever tested to determine whether this early menopause is truly menopause – or actually ovarian failure (castration) I don’t know. My guess would be that there’s some of each. Early menopause is probably not all that healthy either – though I’d bet it beats ovarian failure all to pieces. I think it is critically important to remember that menopause and castration are not the same thing. “Menopause” is a word the medical profession tosses about wildly to refer to either one. I consider this to be pretty sloppy on the part of a bunch of so-called " men and women of science.” By doing this, they’ve essentially misled, misinformed and confused most of us. They’ve even duped themselves into not believing and/or understanding and/or recognizing and/or realizing the BIG differences. Our ovaries continue to produce hormones throughout our lifetimes – only in different combinations post-menopause. As Love says in her Hormone book: The band doesn’t stop playing, it just strikes up a different tune. Female castration is essentially sugar-coated as “menopause” in the vernacular of medicine. Removal of ovaries is castration not menopause. Ovarian failure is castration not menopause. The ovaries not only have to be retained to be of benefit, they also have to keep functioning normally. Quite often they do not keep functioning normally after hysterectomy – and that may or may not happen immediately after surgery - or at some later date. To the extent that retaining ovaries and tubes might lessen the increased risk of heart disease/high BP/stroke, I’d be willing to bet that it has to do with ovarian function – with the hormones our ovaries produce – whether pre or post menopause. Thus, most likely when ovaries fail due to hysterectomy – whether they fail immediately or some years later – in terms of side-effects, that is likely the same as if they had been removed. So, while electing to keep your tubes and ovaries at hysterectomy probably improves your odds with respect to increasing your risk of high blood pressure/heart disease and stroke – I think it’s pretty much a crap-shoot – it might or might not for YOU – depending on what happens to YOUR ovarian function after surgery. We know there’s a very real chance your ovarian function will be affected by hysterectomy, but that’s a thing no one can predict ahead of time. A THOUGHT RE: HYSTERECTOMY and AGE: (No Roma, I have NOT been to the dentist – but I did call to make an appointment yesterday) Another thought which has occurred to me lately (being an “old woman” myself): Women in their 40’s and 50’s are often not considered candidates for myomectomy. We have discussed the fact that these women – being closer to menopause – are much less likely than younger women to develop new sets of symptomatic fibroids requiring re-operation – because they have less time left in which to grow them. That is, the story about hysterectomy being better because it is more “final” is EVEN LESS TRUE for older women than it is for younger women. Probably the over-all rate of re-operation post myomectomy (mostly new crops of symptomatic fibroids) is really about equivalent to the over-all rate of re-operation required post-hysterectomy for various complications -- IF you follow the women enough years out. Isn’t it likely that women in their 40’s and 50’s have the same chances of the post-hyst complication (though admittedly a shorter remaining life expectancy) – than do the younger women ?? – and they have a LOWER chance of post-myo need for re-operation??? Wouldn't this make hysterectomy less-advisable even for older women??? TOMATOES: I have 10 wonderful tomato plants growing on my kitchen windowsill soon to be in the garden – and 6 sacks of chicken manure waiting to organically fertilize them. Nothing like fresh-picked sliced tomatoes on toasted whole grain bread (with just a pinch of salt – honest just a pinch) for lunch!!! Pat _________________________________________________________________ FREE pop-up blocking with the new MSN Toolbar – get it now! http://toolbar.msn.com/go/onm00200415ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
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