WOMENS-HEALTH Messages for February, 2009: Re: HYSTERECTOMY: Purpose of Uterus?

Re: HYSTERECTOMY: Purpose of Uterus?

From: Neena Agarwala (anonymous@obgyn.net)
Sun, 22 Feb 2009 08:02:29 -0600 (CST)

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In reply to: Professor Galal Lotfi: "Re: HYSTERECTOMY: Purpose of Uterus?"

Sinnce you have already lost the weight, I still think it can be approached by laparoscopy so that you don't have to mess with the hernia atall. There may be adhesions, but they can be taken care of. Also I feel that you should have a total laparoscopic hysterectomy and not leave the cervix with a past history of LEEP. Ovaries do have a function and should be retained, but why leave the cervix for potential future surgery again. >
>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
>

--
Note: Opinions expressed here are for educational purposes
       only and, as such, do not constitute a physician-patient
       relationship.  This information is not intended to supplant
       the need for you to consult with your physician prior to
       choosing therapeutic options and/or interventions.
 ** Private emails cannot be entertained due to time
       constraints; consequently, they will receive no response.
Neena Agarwala, MD

Next message: docben: "Re: INFERTILITY: Infantile uterus"
Previous message: Scarlett: "ENDOMETRIOSIS: Endometriosis CT"
In reply to: Professor Galal Lotfi: "Re: HYSTERECTOMY: Purpose of Uterus?"

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