WOMENS-HEALTH Messages for April, 1998: Re: 4.5 centimeter ovarian cyst

Re: 4.5 centimeter ovarian cyst

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 29 Apr 1998 21:50:09 -0500 (CDT)

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At Wed, 29 Apr 1998, Patricia wrote:

>Dear Dr. Marchbein:
>I am now scheduled for laparoscopic removal of my ovaries. My CA 125
>was
>9. Assuming the mass is benign, I am being asked whether I want my
>uterus taken out trans-vaginally. I have two small fibroids. Is this
>the prudent thing to do?

There are advantages to keeping it and advantages to removal.

In favor of keeping it is support for your pelvic organs (bladder, vagina, rectum). Some believe the uterus/cervix is related to orgasms. This has not been proven conclusively and may be different for different people.

In favor of removal is the elimination of the chance for cancer of the uterus and cervix. These are usually (not always) found early and easily treatable in their earliest stages (with cervix it's usually precancerous and found with a pap). Another concept is the elimination of problems with the uterus when using ERT (HRT would be with an intact uterus).

You have to decide what advantages and disadvantages you feel most confortable with.

Good luck.

--
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 ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Intense Cramping 3 months after Delivery"
Previous message: Harvey S. Marchbein, M.D.: "Re: Endometrial Tissue Passed During Period"
In reply to: Patricia: "Re: 4.5 centimeter ovarian cyst"
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