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Is hysterectomy really necessary???From: Maria (anonymous@obgyn.net)Thu, 30 Nov 2000 14:31:40 -0600 (CST)
In the past year, I have had 2 bouts of heavy, prolonged bleeding (7-8 weeks straight each time). The first time, my doctor put me on Aygestin to stop the bleeding, then performed an endometrial biopsy. I had endometrial hyperplasia (simple with no atypia). After 6 months on Prometrium, things went back to normal until my next bout about 6 months later. Again, I was put on Aygestin to stop the bleeding. Another biopsy showed no more hyperplasia, but my uterus was really enlarged (by 4mm). Anther test (with saline solution) showed no polyps or fibroids. An ultrasound showed my cyst (which the doctor felt during her manual exam) was a resolving hemorragic one (therefore, nothing to worry about). All that's left to consider would be adenomyosis, says my doctor. So now I'm scheduled for a vaginal hysterectomy (I'm 45 with 5 kids). Do you think this is absolutely necessary? And what if, after the hysterectomy, it shows not to have been adenomyosis after all (I'm not experiencing any cramping whatsoever)? What else could be causing my enlarged uterus? Is a hysterectomy my best choice (I refuse to be put on birth control pills or HRT).
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