WOMENS-HEALTH Messages for January, 2001: Re: Question for LYNN

Re: Question for LYNN - Hysterectomy

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 31 Jan 2001 16:48:48 -0600 (CST)

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In reply to: Rhonda: "Question for LYNN - Hysterectomy"

At Wed, 31 Jan 2001, Rhonda wrote: >
>Hi Lynn,
>
>I will have a hysterectomy next week (35 years old) after 8 years of
>endometriosis and uterine fibroids (and 5 laperoscopies). I know that
>it is recommended to also have to ovaries removed in this situation, but
>after alot of research and speaking with doctors, I have made an
>informed decision to keep my ovaries and my uterus.
>
>The question: my doctor has said that he will do the hyst either with an
>abdominal incision or laperoscopy (totally my choice), but he recommends
>the incision. He said that this will make it easier for him to ensure
>that he is finding and removing as much of the endo and scar tissue as
>possible. I really trust him and it makes sense, but want to see how
>you feel about this. Can you give me your feedback on this?
>
>Thanks very much!
>Rhonda
>
>--
>Rhonda
>

Rhonda, In the first part of your question you stated that you had made a decision to keep your ovaries and uterus. I am assuming that you meant your ovaries and cervix, otherwise, it would not be a hysterectmy. If that is the case, I have no problem with the ovaries remaining-particularly because of your age. The cervix, on the other hand, I would certainly reconsider. There is no reason to leave it except to risk developing problems with it down the rode. Not to mention requiring continue yearly paps.

With regard to the approach. Your physician's reasoning is very sound. Given the fact that he/she knows your case, if he/she is recommending the incision approach, it is likely the best route. In the past, when I have performed surgeries for this indication and I have recommended the abdominal approach, I have done so because I felt that I needed the access to provide the best result. Go with the incision... 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 ;-)

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Previous message: Lynn D. Montgomery, MD: "Re: what is the normal blood sugar levels???"
In reply to: Rhonda: "Question for LYNN - Hysterectomy"

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