ENDO Messages for January, 2003: Re: PAP-SMEAR OR NOT ??????????

Re: PAP-SMEAR OR NOT ??????????

From: anonymous (anonymous@obgyn.net)
Wed Jan 29 12:13:34 2003

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At Tue, 28 Jan 2003, nuzum1earthlink.net wrote: >
>Hi ladies, it's been awhile since I have been here but I do check in to see what has been on the forum.
>I had a LAVH (laparscopically assisted vaginal hyst.) on Nov. 19, 2002 and also had my cervix and one ovary removed. My question is : Is it necessary for me to still have regular yearly pap-smears or not?????
>I figure that all I will be okay except for the on going problems with the endo. that will be with me til the other ovary has to come out. My dr. didn't remove it 'cause she feels I'm too young to have to go through HRT.
>My dr. also says that the only real and true way to rid you from ENDO. is to remove both ovaries. Is this true or bolognie..... I would appreciate any feedback from you ladies.
> THANKS, ANGELA

Angela, you should continue to have a pap smear after hysterectomy - the pap can detect vaginal cancer also. (vaginal cancer is rare however). Some docs say you don't need a PAP after a hyst, or need only every 3 years, but most docs continue doing them every year. You also have an ovary- an even more important reason to be seen each year- to help detect ovarian cancer. (a pelvic exam doesn't always find it in the early stages, but it's a good defense).

I believe removing both ovaries would be ideal for controlling endo, but if you are getting substantial relief this way, I think your doc gave you good advice. Avoid HRT (actually it would be ERT in your case) if at all possible. Don't believe the stories that you will necessarily go into early menopause with one ovary. You are somewhat MORE LIKELY to, but it doesn't mean it will happen. To get information about earlymenopause and one ovary, see the archives in the woman's health forum (doctor responses). I kept one ovary and have no symptoms of menopause 3 years post op and feel great.

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