WOMENS-HEALTH Messages for December, 2000: Re: tests done before hysterectomy..Drs please respond

Re: tests done before hysterectomy..Drs please respond

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 13 Dec 2000 10:37:24 -0600 (CST)

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In reply to: Tina: "tests done before hysterectomy..Drs please respond"

At Tue, 12 Dec 2000, Tina wrote: >
>>>What other tests could my medical group require before authorizing the
>>>surgery? I have been told by my doctor that they may require the
>>>medication route before approving. I have already done the medication
>>>route, though it was 5 years ago, it didn't help. Not only that, the
>>>pills made me sick to my stomach to the point I had trouble keeping food
>>>down. And the depo just made me pass clots the size of a quarter that
>>>looked like black tar. My periods never did stop while on depo either.
>>>They even tried different dosages of the pills but to no avail. I and
>>>my doctor are not looking to hysterectomy as a sterilization treatment,
>>>I cannot have anymore kids, my husband was fixed 4 1/2 years ago and I
>>>have too much scar tissue for my eggs to get to where they have to go
>>>(that came from my previous ob/gyn, before I moved).
>>>
>>>Please advise
>
>>>>At Mon, 11 Dec 2000, Tina wrote:
>>>>>I will be having an endometrial biopsy done within the next couple of
>>>>>weeks. I will also be having a hysterectomy done early next year
>>>>>(2001) Hopefully. I am wondering what other tests will be done before the hysterectomy is done.
>
>I have already had the pap smear, the ultrasound, the MRI, and a pelvic
>exam. With the biopsy that makes 5 tests. What other tests can I
>expect? I have told my doctor that I do not want to go the medication
>route as it didn't help when I was having bleeding problems after my son
>was born 6 years ago.
>It ended up being my fallopian tubes adhered to
>the inside of my abdominal wall on both sides. This was repaired with a
>laparoscopy/hysteroscopy.
>
>Please advise.
>Tina
>>>>>>>>>>>At Tue, 12 Dec 2000, j wang, M.D. wrote:
>>>>
>>>>Blood tests may be the only thing eft. You would need a blood count,
>>>>maybe some kidney function tests and a blood type.
>
>>>>--
>
>--
>Tina
>

Unfortunately, in these days of managed care, your insurance provider can review your medical records. If the reviewer does not feel that medical therapy (medications) have been given a reasonable, recent try, then they can deny payment for surgery until that therapy has been given a chance. It certainly isn't ideal, but it is a fact of life with insurance companies controlling health care... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: ADAMS"
Previous message: anita: "Re: TSH level"
In reply to: Tina: "tests done before hysterectomy..Drs please respond"

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