Re: adenomyosis
From: anonymous (anonymous@obgyn.net)
Wed Mar 23 13:12:38 2005
Your wife's adenomyosis will get worse over time. Having more
pregnancies will make your wife's condition worsen faster. Not having
more pregnancies will not make it better but will slow down how fast it
gets worse. Only you and your wife together can make this decision but
be sure to discuss with your obstetrican any other possible risks your
wife may be subjected to with repeated pregnancies such as uterine
rupture which could be life-threatening to both your wife and the baby.
Particularly since she has had previous C-Sections.
The biggest questions you two need to answer together is:
Will our life be better or more complete with more children than it is
now? Will we be happier than we are now? Will our life be as happy and
complete if we have no more children? Are we willing to risk degradation
of Mom's quality of life, physical abilities and health to have more
children?
No woman wants to lose her uterus and ability to have children. Losing
a child through miscarriage, accident, illness or inability to give
birth is not easy. You already have children and you need to ask
yourselves if the desire to have more is worth the risks to your wife's
health and well-being. A child is not insurance against anything.
Your wife just had a child a little more than a year ago. Perhaps if
she takes a couple of years to fully heal from that pregnancy and birth
she might have an easier time with a future pregnancy. Still, the risks
will be the same but she may be able to tolerate the pregnancy better.
Good luck to you both.
At Wed, 23 Mar 2005, Frustr wrote:
>
>Are you saying by trying for another baby we're going to make it worse?
>If my wife is likely to have a better life if she's not to have another
>baby
>I think we'd opt for that. However, she's terrified by the idea of
>loosing the uterus and thinks of another baby as sort of insurance. It
>sounds bad, when I
>put it this way. But you know when sen Kerry and his wife lost a child
>she had 2 more at age 47. If my wife looses the uterus she won't be
>able to do it.
>It might sound like I(we) think too much about bad things that can
>happen, but
>SO MANY unprobable BAD things happened to us that we're scared of
>everything now.
>
>>I ask you to carefully consider what you have now and what you want and
>>weigh all of the benefits and risks. Is it selfish of you to think your
>>wife can tough it out for another couple of years so you can have
>>another child? Yes. Is she really willing and able to tough it out?
>>Maybe but make sure you're not making her feel obligated. In my very
>>humble opinion and given the facts of your wife's history as you've
>>outlined it, I'd advise you to feel lucky to have the child/ren you
>>currently have and call it a day. Concentrate on getting your wife well
>>so the two of you can enjoy being husband & wife and parenting your
>>child/ren together.
>>
>>Best of luck to you both.
>>
>>At Thu, 17 Mar 2005, Frustr wrote:
>>>
>>>Hi all,
>>>
>>>My wife was just diagnosed with adenomyosis by US in Mt. Sinai hospital
>>>in Toronto.
>>>
>>>My wife is 36 yo. She delivered our son by C-S 13 month ago. She had 2
>>>prevous pregnancies with 2 D&Cs after each one (don't ask). Her periods
>>>started almost right after the c-s even though she was breastfeeding.
>>>The periods became increasingly painfull with extensive bleeding. Last
>>>month she was crying from pain :-(
>>>She's anemic - according to the blood work.
>>>She's taking iron (ferrous fumerate) 200 mg daily.
>>>
>>>She finally met with gyn dr. He said - you'll need hysterectomy one
>>>day, but here's cyclokapron to reduce the bleeding. Will it help with
>>>the pain? He says - no.
>>>
>>>We'd like to have more kids, especially considering looming
>>>hysterectomy.
>>>
>>>1. What about other drugs, like Ponstan?
>>>We really don't like Cyclokapron possible complications, btw gyn dr
>>>didn't bother mentioning them. And he didn't say anything about other
>>>drugs, like contraceptive pills etc.
>>>
>>>2. Where do we get best possible treatment for this conditiong in
>>>Toronto? Canadian health care can be quite frustrating at times.
>>>
>>>3. Should we get MRI? Gyn dr sent us to Hysterosonogram (If I am not
>>>mistaken - US with liquid in uterus). I read adenomyosis goes with
>>>other bad things together - will MRI help to giagnose them?
>>>
>>>Thanks a lot.