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Re: moval of cervix during hysterectomy

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 31 Jan 1998 22:26:32 -0600 (CST)


At Sat, 31 Jan 1998, Thelma wrote: >
>I am to have a hysterectomy in a week and my doctor said he would also
>take out the cervix to prevent future possibility of cancer. My problem
>is grosly large fibroid of the uterus that are causing me many problems.
>How would this affect the cervix and should I let them take it out at
>the same time? Thank you!
>
>--
>Thelma
>

Thelma,

I don't know how old you are or whether or not there has been any problems with your cervix. Presuming no history of cervical abnormalities (pap or otherwise), the cervix can be left in with an informed consent of the consequences of this action. The cervix has ligamentous support which helps support the vagina too. This is a great advantage for the future. It may have some advantage in orgasms although proof is still pending (although not for some WHF members). The cervix can actually be cored out to leave the ligamentous support and remove the endocervix. Ask your doctor about these possibilities.

I discuss this with my patients and then make a joint decision based upon the pros and cons.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**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 no private emails will receive a response.

**Thank you for your understanding ;-)




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