WOMENS-HEALTH Messages for October, 1997: Re: Should I have a Hysterectomy?

Re: Should I have a Hysterectomy?

From: Garry E. Siegel, M.D. (anonymous@obgyn.net)
Thu, 30 Oct 1997 23:36:31 -0600 (CST)

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I would wonder what happened to you on Birth Control Pills, and especially on Depo-Provera; usually, in the absence of an anatomic problem (something is wrong with your "parts" ie a polyp in the uterus, or fibroids, or a uterine lining problem), most menstuating women with abnormal bleeding can be controlled.

It would be reasonable to do any of the following for you prior to a hysterectomy:

1. Ultrasound of the uterus with saline to look at the inside (endometrial cavity).

2. Diagnostic Hysteroscopy and diagnostic laparoscopy to look inside the uterus, and especially to look for endometriosis.

My educated guess is that you might have endometriosis.

Good Luck

Garry no private emails please; educational advice only and not a physician patient relationship.

At Thu, 30 Oct 1997, Donna wrote: >
>This is my second letter. I am 31 yrs. old and my OBGYN has
>recommended a hyst. I have two children and my husband had a vasectomy
>after my daughter was born 4 yrs. ago. I am not worried about
>conceiving, but am concerned about this drastic desicion by my doctor. I
>have a menstral cycle about every 15 days sometimes 19 days apart. They
>start out heavy with large clots that last for about 3 days then it
>slows down and ends on the 7th day, sometimes last 9 days. I have tried
>birth control pills, Depo-provera, provera and I am now taking Premarin
>1.25mg to help with pms. My doctor said hyst. was my last resort. Is
>my problem severe enough for a hysterectomy? I have read about several
>women that have a lot of other tests done. Why won't my doctor do any
>of those tests? She just says I am not ovulating. Could their be
>something else wrong with me? Please any advise would be helpful. This
>is the 3rd OBGYN I have been to. The rest of the doctors just looked at
>me like I was crazy.
>
>Thanks to anyone that can help me. My surgery is sch. for Nov. 18th.
>
>Thank you Donna

--
Garry E. Siegel, M.D., FACOG
Private Practice
Roswell, Ga.

Next message: Geffrey H. Klein, MD: "Re: Reading a Cytology report from a pap smear"
Previous message: Harvey S. Marchbein, M.D.: "Re: St. Johns Wort"
In reply to: Donna: "Should I have a Hysterectomy?"
Next in thread: Donna: "Re: Should I have a Hysterectomy?"
Reply: Donna: "Re: Should I have a Hysterectomy?"

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