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

Re: Should I have a Hysterectomy?

From: Donna (anonymous@obgyn.net)
Fri, 31 Oct 1997 12:32:28 -0600 (CST)

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In reply to: Garry E. Siegel, M.D.: "Re: Should I have a Hysterectomy?"

At Thu, 30 Oct 1997, Garry E. Siegel, M.D. wrote: >
>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.
>

Thank you for your information. I cannot take birthcontrol pills because they make me sick and the lowest dose, I still have break throug bleeding. The Depo shot made me bleed for about 17 days straight. I had a biopsy 4 yrs. ago, but it was negative. I also had an ultrasound and it only showed a cyst on my right ovary. I think you are probably correct on the endometriosis. My mother had to have a hyst. when she was 35 yrs. old. She had bled for 5 yrs. straight. They told her she had severe endemetriosis. I guess I am confused as to why my doctor hasen't metioned any of these testings that you have. How should I mention this to her? Could I be having all these problems and just not be ovulating? This is the only answer she has given me.

Thank you fo any more information. I appreciate all that you have done for me. Donna

>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.
>

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