Re: HYSTERECTOMY: Endo Hyperplasia in Morbidly Obese Woman, Non-childbearing, with history of cancer Questions...
From: Lisa (anonymous@obgyn.net)
Tue, 20 Nov 2007 07:00:08 -0600 (CST)
I would like to contribute to this from the patients point of view.
I am also morbidly obese (350+) and had a DaVinci Assited Total
Laprascopic Hysterectomy and Bilateral Salpingo Oopherectomy done in
August for Hyperplasia with Atypia (which did turn out to be very very
early cancer)with great results. If I was 38, I would've elected to
preserve my ovaries, but since I am a decade + older, I agreed to let
the surgeon remove them.
I had to search for a gyn/oncologist who wasn't afraid of my obesity. I
have no other health issues other than my weight (and yes, I will be
pursuing bariatric [lapband] after I get clearance from my surgeon).
The DaVinci hysterectomy allowed me to go home the day after surgery. I
am NOT a physiscian by any means, but I would suggest that you explore
this possible approach to your problem.
Best Wishes,
--
Lisa
At Mon, 19 Nov 2007, Dr. Herbert A. Goldfarb wrote:
>
>Message posted on Dr. Herbert A. Goldfarb behalf by: Hope, Fibroid and
>Women’s Health Forum Moderator
>
>I agree that Hysterectomy should be done with Ovarian conservation. With
>morbid obesity I would avoid laparoscopic as well as abdominal approach
>and
>find a physician who is skilled at Vaginal Hysterectomy.
>I would also consider Bariatric surgery. This level of obesity is
>extremely
>detrimental to your life span.
>
>Dr. Herbert A. Goldfarb
>New York Downtown Hospital, http://www.nohysterectomy.com
>
>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 emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>At Sun, 18 Nov 2007, anonymous@obgyn.net wrote:
>>
>>For the last ten years I have been dealing with excessive bleeding and
>>clotting and irregular bleeding (4-6 months at a time. My bleeding is
>>so excessive at some points that I bleed through overnight maxipads
>>(tampons are not an option as my clotting is so heavy when I pass them
>>that they "slip through") and has exceeded more then 2 tablespoons of
>>lining/clot at one time. At different times it's caused me to become
>>anemic. I am 38, have never had children, do not want to have
>>children--ever, have a personal history of cancer and a family history
>>of uterine cancer. I am also morbidly obese (350 lbs.). I understand
>>the science involved with the excessive estrogen and am working on
>>weight loss presently.
>>
>>I have just been diagnosed with endo hyperplasia with no atypia after an
>>endo biopsy was performed last week. My GYN is VERY new (just finished
>>her residencies). In the past I have been treated for the irregular
>>bleeding with birth control pills (had to stop due to high blood
>>pressure that was not controlled and blood clots that formed in the
>>legs--HBP now controlled with medication), synthetic progesterone (did
>>not work), and natural progesterone creams (obviously didn't work with
>>the hyperplasia). I want a total laproscopic hysterctomy. My GYN
>>suggests the following:
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