WOMENS-HEALTH Messages for June, 2001: Dr. Hill a question

Dr. Hill a question

From: Amy (anonymous@obgyn.net)
Thu, 21 Jun 2001 11:37:39 -0700

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I stopped taking the pill in April. I had a normal period in May and now spotting in June. We are using the withdrawl method, how reliable is it? >From: anonymous@obgyn.net (D. Ashley Hill, MD)
>Reply-To: anonymous@obgyn.net
>To: Multiple recipients of list WOMENS-HEALTH
><womens-health@mail.medispecialty.com>
>Subject: Re: cyst - full hysterectomy
>Date: Wed, 20 Jun 2001 18:44:27 -0500
>
>At Wed, 20 Jun 2001, anonymous@obgyn.net wrote:
> >
> >Background is I'm 30 years old. I have a fibroid and previously had an
> >ovarian cyst (left) the size of a lemon drained during a lapascopy. My
> >doctor said that my fallupian tubes are swollen. This was about a year
> >ago.
> >
> >Today I have learned that I have another cyst but this one is on the
> >right. My
> >doctor ordered blood testing to check for cancer. She is highly
> >recommending
> >a full hysterectomy becuase of the cyst, risk of cancer and said my
> >ultrasound indicated my uterus is swollen. She said why keep my other
> >ovary and develop
> >scarring or another cyst.
>
>It's difficult to tell whether this is good advice or not, but it sounds
>like your doctor has ordered a CA-125 test. This test does not appear
>very useful for women who are not yet in menopause, because so many
>other conditions (smoking, endometriosis) can cause elevations. 30 is
>young for a hysterectomy, particularly for an ovarian cyst. Generally
>speaking, unless the cyst is truly cancerous, most gynecologists simply
>suggest either removal of the cyst or removal of the ovary, but not the
>uterus. With cancer the advice changes considerably. It sounds like
>you might be best served with a second opinion. It can't hurt, and it
>will give you piece of mind. Best wishes,
>
>DAH
>
>--
>D. Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Orlando, Florida
>

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