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Re: lupron side effectsFrom: anonymous (anonymous@obgyn.net)Sat Sep 14 08:48:23 2002
>>>>it's true that you can still have Endometriosis after a hyst, however, that doesn't happen very often. That's like a one in a million chance. >> YOur odd's of getting rid of endo after a hyst are pretty darn good!<<<<<< Recurrent Endometriosis persisting after hysterectomy does not occur in "one in a million" patients, nor are the chances of getting rid of the disease through a hysterectomy "darn good." Expert researchers have shown time and again that if *all* Endometriosis is not thoroughly excised from *all* locations - including bowels, bladder, ligaments, etc. - then the disease *will* recur again and again. Yes, even in absence of HRT. Endometriosis recurs following hysterectomy in far more patients than your post lends credit to. Here are just a few, quick examples: In an 18-month long study conducted by physicians at Johns Hopkins U, "138 women with Endometriosis underwent hysterectomies. Of those who kept their ovaries, 31% had recurrence of disease. Of those who had their ovaries also removed, 10% had recurrence." In a report by researchers at UC Davis, "Endometriosis reappeared in 13% of women within three years of a hysterectomy and in 40% after five years." Dr. David Redwine, internationally renowned expert Endometriosis surgeon, found that "between 1982 and 1984, approximately 130,000 hysterectomies were done annually for Endometriosis. Around 9,000 women [were] left symptomatic after hysterectomy and castration for Endometriosis, and over 2,000 [were] at risk for reoperation." More recent studies have shown us that there were nearly 600,000 hysterectomies performed last year alone. As the number of hysterectomies increases, so does the number of those with persistant disease. According to gynecologic researcher, Dr. Lawrence Odom, "approximately 25% of women continue to experience pelvic pain following a hysterectomy." Endometriosis Expert Dr. Andrew Cook notes, "we have seen and treated more than 200 women with residual Endometriosis after undergoing a hysterectomy." Dharmesh Kapoor, MD, wrote in his research, "Endometriosis may recur in 15% of women after extirpative surgery, irrespective of whether ERT is given postoperatively." Robert Richey, MD, and Michael Aronoff, MD, wrote in their recent report on Endometriosis, "Ten percent of women who have had a hysterectomy will have recurring pain caused by Endometriosis." These are just scattershot examples. 5 minutes of research will turn up hundreds more. The notion that Endometriosis is cured by hysterectomy or that it is "rare" for the disease to recur following hysterectomy is as outdated and misinformed as the myths that "menopause cures Endometriosis" or that "withholding HRT" will cause residual Endometriosis to "die off." In fact, one recent study even showed that 2%-4% of Endometriosis cases are diagnosed *for the first time* IN the postmenopausal period...the women had been menopausal for an average of 7 yrs. and 42% of them were not on any HRT. Dr. Redwine says it best, "many gynecologic surgeons believe that the definitive surgical treatment for all cases of Endometriosis is hysterectomy and bilateral salpingo-oophorectomy. *That belief is a harmful myth.*"
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