WOMENS-HEALTH Messages for March, 2002: Re: still cycling post BSO w/out HRT

Re: still cycling post BSO w/out HRT

From: Cindy (anonymous@obgyn.net)
Thu, 7 Mar 2002 21:56:36 -0600 (CST)

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Thank you Dr. Braun. I'll get my levels checked and will push for a consult at one of the university hospitals. the BSO was actually in 2 steps. 1st one due to cyst/scarring. the 2nd surgery was combined with bowel surgery and was supposed to be a complete hysterectomy due to ovarian cyst, inflammation and scarring of ovaries and uterus. all due to crohn's disease. my uterus is adhered to my spine (prior proctocolectomy). surgeons at John's Hopkins didn't want to attempt removal of my uterus due to placement, amount of adhesions and risk of hemorrhage. also, I'd already been on the table 8 hrs by then.

thanks again, with all my health problems, I am sometimes unsure which issues to persue and when to just give it time.

At Thu, 7 Mar 2002, R. Daniel Braun, MD wrote: >
>At Thu, 7 Mar 2002, Cindy wrote:
>>
>>I had a BSO aug00, still have uterus. tried various
>>formulations/combinations of HRT unsuccessfully either due to nonstop
>>bleeding or side effects. I haven't taken any type of progesterone for
>>6 mos and I discontinued estrogen 3 mos ago (upon doc advice). I have
>>been cycling regularly for the last 6 mos. should I be concerned? how
>>long can I continue to cycle before it becomes a concern? I am taking
>>Fosamax along with a multitude of other meds for Crohn's disease and
>>pulmonary fibrosis. thanks for any insight.
>
>Why the BSO? Very Unusual.
>If it was for endometriosis or severe pelvic infection, I would strongly
>suspect Ovarian Remnant. i.e. some ovarian tissue was left inside. An
>FSH would answer the question. If low, there is functioning ovarian
>tissue(Or else external consumption of estrogen). If it is high, there
>is no ovarian tissue functioning, and I would be very concerned about
>the etiology of the bleeding.

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