WOMENS-HEALTH Messages for May, 2009: Re: HYSTERECTOMY: Hysterectomy at 23?

Re: HYSTERECTOMY: Hysterectomy at 23?

From: Kellie Montgomery (anonymous@obgyn.net)
Mon, 18 May 2009 19:06:19 -0500 (CDT)

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At Fri, 15 May 2009, dr.narayan patel wrote: >
>At Thu, 14 May 2009, Kellie Montgomery wrote:
>>
>>I am currently 22 years old and 10 weeks pregnant with my second child.
>>While delivering my first child (after a difficult pregnancy), I had to
>>have an emergency c-section, during which my heart stopped. To add to
>>the complications, when the doctor reached in to pull out my son, the
>>baby stretched out and tore a large portion of my uterus (leaving only a
>>three inch section connected). Everything was repaired and I healed
>>normally, though I was told by my doctor that my next pregnancy would be
>>very dangerous and I would have to be closely monitored.
>>So, here I am, pregnant with baby number 2, and I have already had 2 ER
>>visits. Last week, I had to receive an emergency shot of RhoGAM after
>>it was discovered that my body had already begun to attack the baby.
>>I know my doctor told me the next pregnancy would be dangerous, but if
>>it was known that I could die (already told by several doctors that I am
>>at HIGH risk for uterine rupture), why was my uterus not removed after
>>my first child? More importantly, knowing how dangerous a THIRD
>>pregnancy could be, will my new doctor consider removing it after this
>>child is born?
>>I cannot take birth control or have an IUD for family history reasons,
>>so this is the only option I can see working for me.
>>Is this possible for someone my age?
>
>Hi,
>It is possible that at cesarian section you may have extention
>of incision or a tear and your doctor has done a good repair and
>hence you are pregnant again. I agree with you doctor that you have
>a risk of rupture at this pregnancy.Take complete rest in last 3
>months,no strenious work ,weight lifting and have elective c.s.
>on maturity of child at 36-38 week preg. and go along with C.S.
>tubal strilisation which will prevent 3rd pregnancy.Never never
>go for hystrectoy along with C.S. as it is a too major surgery
>and not desirable. If you loose uterus and hence periods at 24,
>you may have psychologial problems.Close monitring during pregnancy and follow your doctor rigidly.
>Is your bood groop Rh negative?

Thank you for your response. Yes, I am Rh negative. Also, I did not mention that I have fibroid tumors and endometriosis. These are two more reasons I do not wish to have a uterus anymore. The pain before, during and after my menstrual cycle is at times debilitating, and with a 3 year old and a soon to be newborn, I don't know how I'm going to be able to have any down time for those days when the pain is just too bad. Is there any way to make the pain stop if I still have my uterus?

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