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Elective Hysterectomies??

From: anonymous (anonymous@obgyn.net)
Wed, 27 Aug 2003 17:19:36 -0500 (CDT)


Can women with PCOS elect to have hysterectomies? Here's why I'm asking:

I'm 35, will be 36 in January, and I've had PCOS since I was in my teens. At age 24, I became pregnant with the help of Clomid, but went into premature labor at 25 weeks as a result of an undiagnosed incompetent cervix. Five years later, at age 29, I again got pregnant with Clomid, but had a first trimester miscarriage - the sac developed, but nothing developed inside. At age 31, I was diagnosed with type II diabetes.

Now, I'm single, and I've accepted that having my own child isn't in the cards. I feel that the issues with my health - diabetes, the PCOS, and the incompent cervix, as well as my age and my single status, are plenty of reasons for me not to try for another child. I've also begun to have more issues with PCOS (irregular periods, missed periods, weight gain) despite having my diabetes well under control and being on birth control. My gyn switched my bc to Yasmin, and I'm going to give that a try for a month or two, but I would like to explore the idea of a hysterectomy. My reproductive organs are obviously defective, and I wonder how healthy it is for me to hang onto them. A doctor I had several years ago mentioned that PCOS patients are at higher risk for ovarian cancer, and that I'd probably need the hysterectomy at some point. Is there any reason not to do it now? Psychologically, I feel ready to accept the consequences of a hysterectomy - I've given conception my very best effort, and I'm frustrated at having to deal with the issues PCOS forces me to deal with, especially when I can see no benefit from doing so.

Anyone out there have any experience with this issue?




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