WOMENS-HEALTH Messages for July, 2003: Samir Fouad Aziz MD Re: c-section and hysterectomy repost

Samir Fouad Aziz MD Re: c-section and hysterectomy repost

From: Barbara (anonymous@obgyn.net)
Wed, 30 Jul 2003 10:58:42 -0500 (CDT)

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Reply: Barbara: "Re: Samir Fouad Aziz MD Re: c-section and hysterectomy repost"

At Tue, 29 Jul 2003, Barbara wrote: >
>Dr. Aziz,
>
>I appreciate your professional insight and I will discuss your thoughts
>with my doctor. I don't want to do anything rash. I was wondering if
>you read my note to Debbie (who wanted to know why my doctor would do
>the hystorectomy) which explained why my doctor feels like I am a good
>candidate for the partial hysterectomy? If not I have it here and would
>like to know if your opinion is the same of or if the information would
>change your position. Thank you very much.
>
>This is what I wrote to Debbie: I am 37 years old having my third
>c-section. I have uterine scaring that is causing posterior placenta
>previa. I also have high cardiolipins and thyroid disease. To top it
>off, I suffer (especially with this and the last pregnancy) with
>fibromyalgia. I also have pain during intercourse due to a tilted
>uterus. I don't want to risk getting pregnant mostly due to the risk to
>the baby. I can handle the other stuff, but because of the previa and
>increased cardiolipins, I don't want to take the chance. Also, I am
>unable to take birth control pills because of a very big family hisotry
>of stroke. My doctor is not able to perform tubal ligation because I am
>delivering at a Catholic hospital. He has agreed that we can justify
>the hysterectomy (partial) because of my physical health. My advanced
>age (I laugh everytime I say that because I still feel like a kid) also
>is considered a pro when deciding on hysterectomy as a treatment (birth
>control) option. I am very close to my doctor (we have had a long term
>doctor-patient relationship) and he is confident that I am making a well
>informed decision about my body.
>
>>usually subtotal hysterectomy is carried out as a life safing surgery
>>when there is uncontrollable bleeding and usually they are not well
>>psychologically because of the event. Hysterectomy during CS is not
>>recommended as a method for contraception
>>
>>--
>>Samir F Aziz MD
>>Assist.Prof.Ob.gyn-Al-Azhar university
>>Advisor OBGYN.NET(P&B-gyn.Oncology)
>>Editor-in-chief http://www.arabicobgyn.net
>>Consultant editor the contemporary Who's who
>>this is for teaching purposes
>>
>--
>Barbara
>

--
Barbara

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