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Re: Pain after total hysterectomy

From: kathryn (anonymous@obgyn.net)
Sat Dec 29 20:59:18 2007


If any endo is left over after hysterectomy (complete w/ovaries), the endo will continue to spread. What happens is the little beads of endo continue to secrete estrogen they produce, and they swell & burst with the estrogen they produce, so the endo spreads and gets deeper into the tissue. This is why a person who had a complete hysterectomy can end up with her pelvis being obliterated by endo--because even if just a few spots were left, they continue to grow with their own hormone secretions.

That's why it's so important to go to an excisionist so he will be able to see all the endo & remove it.

Also, if there is any endo left behind and you take HRT, this will only encourage the growth of the lesions left behind.

At Sat, 29 Dec 2007, andrea wrote: >
>You should not have any NEW endo grow, since you will no longer produce
>estrogen, but your doctor telling you the current endo you have now will
>die out, because of your hysterectomy is incorrect.
>
>It will not die out, it needs to be removed or it will stay where it is
>and continue to cause you pain. Your doctor must not know much about
>endo if he/she is saying your endo will die out. Endo does not go away
>on it's own- it has to be cut out. No medicine can extinguish endo,
>just relieve the pain, temporarily. Did you read the question on Dr.
>Cook's site? Most regular gynos don't know what they are doing when it
>comes to endo, trust me. I've been to about 12 of them over the years
>and only specialists can help.
>
>At Sat, 29 Dec 2007, anonymous@obgyn.net wrote:
>>
>>At Sat, 29 Dec 2007, andrea wrote:
>>>
>>>Sorry you went through all that! How scary! :( If they left any endo
>>>behind, which may have happened, you will still have pain. If they did
>>>not do your hysterectomy laparscopically, through an endoscope, they
>>>were not be able to see the small lesions that are possibly on your
>>>bowel and bladder. Only specialists can remove endo properly, so you
>>>may have to go to an endo specialist. Women who have had hysterectomies
>>>are difficult to do endo removal on, and require an expert doctor
>>>because everything has been distorted, tied up and could have covered up
>>>some of the endo.
>>>
>>>Please read this, it will explain. Scroll to the bottom of this page
>>>and it is the second to last question about hysterectomy and endo. Dr.
>>>Cook is a top specialist. I hope this answers your question.
>>>
>>>http://www.pelvicpain.com/askdoctor_QA.html
>>>
>>>--
>>>Andrea :)
>>>
>>>At Sat, 29 Dec 2007, anonymous wrote:
>>>>
>>>>I had an emergency total hysterectomy two months ago. Along with my
>>>>uterus and both ovaries, my appendix and a portion of my sigmoid colon
>>>>was removed. However, I am still having low left sided pain and low
>>>>back pain with urination and bowel movements. Has anyone else
>>>>experienced this?
>>>>
>>>>I was hoping that after the surgery I would no longer have this pain..
>>>>After all, it was such a painful ordeal to go through. It is very
>>>>upsetting to still have the same pain as before.
>>>>
>>>>I would appreciate any feedback.
>>>
>>--
>>I had an FSH blood test done about three weeks ago and my gyno said that I was officially in menopause and the pain should get better as the endometriosis dies out. Is that what you have heard? I am terrible frustrated with the pain returning after going thru the procedure I thought was going to alleviate my pain.
>>






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