Re: Is hysterectomy really necessary???
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 30 Nov 2000 17:44:39 -0600 (CST)
When people refuse therapies like the pill, they reduce their options.
That is your right but be aware of the limitations.
With a negative sonohyst and refusal of hormonal therapy, the two
choices are endometrial ablation (superheat or cauterize the lining of
the uterus) or hysterectomy. ( A third choice would be to use Lupron
for a whie and possibly add back therapy but that requires hormones).
Hope this helps and write back anytime for more information.
HSM
At Thu, 30 Nov 2000, Maria wrote:
>
>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).
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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