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Re: HYSTERECTOMY: Hysterectomy at 23?
From: Robin (anonymous@obgyn.net)
Tue, 19 May 2009 16:51:45 -0500 (CDT)
With all due respect to Dr. Patel, pregnancy is NOT a cure for
Endometriosis. Hysterectomy is NOT a cure either. There is no cure for
Endometriosis. The best method for treatment of Endo is complete
excision of the endometrial implants.
At Tue, 19 May 2009, dr.narayan patel wrote:
>
<<SNIPPED>>
>>>>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?
>
>Kellie
>Hi.
>received your e- mail
>You are Rh Negative is a disturbing factor.You at 3 minths of oregnancy had to
>be given one Rhogam injection. How well you progress during pregnancy is to be seen.
>If for some religious reasons you can not undergo tubal strilisation,try other family
>planning methods. Pregnancy is said to be cure of endometriosis. So in future this
>endomertiosis may become less severe. Hystrectomy at 24 years will make you
>old in young age.Fibroid may regress afert delivery.Removal of only fibroid can be done
>easily at a latter date.
>Dr.Narayan Patel Ahmedabad
>INDIA
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