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Re: HYSTERECTOMY: Purpose of Uterus?
From: Professor Galal Lotfi (anonymous@obgyn.net)
Sun, 22 Feb 2009 02:54:18 -0600 (CST)
Considering you surgical history in addition to your gynecologic
history, I totally agree with you. You need radical soulution which in
you case, Hysterectomy is the best answer. Ablation has a percentage of
failure and another precenatge that you will need another surgery in the
future.
Hysterectomy (Laparoscopy is going to be difficult in your case) by
laparotomy, removing only the body of the uterus, leaving back the
cervix and ovaries, this mean you dont lose much. The ovaries are
responsible for your hormones and leaing the cervix will leave you
sexual life almost as it was before.
Yes, The body of the uterus is for getting children.
At Sat, 21 Feb 2009, Wenky wrote:
>
>My history:I am 35 with 3 kids, last child was classic csection and
>tubal. I am done childbearing. I have also had a LEEP,cyst removed by
>ovary, Gastric bypass (LapRNY), a massive incisional hernia repair from
>csection (15x30 cm mesh patch) and adominoplasty/panniculectomy.
>
>I have had problems with heavy bleeding since birth of youngest child (c
>section/tubal). Perhaps heavy bleeding was present prior but with
>hormone/birth contol was controlled. Was initially told it was due to
>obesity so I lost weight, now average weight/height (155/5'3). Recently
>discovered extremely anemic (7) and after checking fecal occult,
>diagnosed due to heavy bleeding. GYN has offered IUC-mirena which I
>declined due to previous experiences with hormones/birth control
>(extreme moodiness, depression and weight gain). GYN is now insisting
>on ablation? I can't bring myself to consider it, have done research...
>Not recommended or FDA approved for prior classic csection,40%
>effective, high rate of needing second procedure, cost effectiveness of
>2 procedures etc, etc...I would just assume have hysterectomy and be
>done with the issue. I am assuming that I can have a Lap supracervial
>hyst. leaving the cervix and ovaries as I probably have 15 years to go
>until menopause.
>
>Obviously I have been doing research and I am also seeking a second
>opinion as I cannot trust the dr who is recommending the ablation given
>my history. I understand that some women see losing their uterus makes
>them less of a woman, but they do not give up their life (luckily I am
>stay at home mom) for 10 days of the month. My anemia is severely
>affecting me cognitively and in my physical activities. I personally
>feel that since I am finished bearing children (had tubal) I no longer
>need a uterus.
>
>Q: Is there a purpose for the uterus besides childbearing and
>maintaining the space between the bladder and bowels?
--
Professor Galal Lotfi, MD. MRCOG
14A Sherif street.
Cairo. Egypt
202-24535597
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