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endometioma and hysterectomy..?

From: Lisa (anonymous@obgyn.net)
Sun, 28 Jun 1998 11:08:22 -0500 (CDT)


i am 37.frequent periods/exam last yr. resulted in lap. & d&c to remove "suspicious-looking" surface area and tie tubes. no complications; periods returned to normal.

march began frequent periods again; dr. insists on provera, i insist on other choices. he does exam, finds "pelvic mass, enlarged uterus". vaginal sono. shows large mass, left ovary/fallopian tube. blood work done, sent home to wait out my cycle (2 wks.) and see if this thing would shrink. 5 days later, dr. calls to see me "right away". wants pelvic ct and chest x-ray (WHY?) immediately, pre-op blood work NOW, with surgery no later than next week. got to remove this thing he now thinks is an endometrioma.

from what i read, there is no emergency with endometrioma...why the chest x-ray (except my complaints of fatigue, perhaps)..now the laparoscopy (one-week down-time, relatively un-complicated, as before) to remove this has turned into a laparotomy (which i understand is much more complicated and has longer down-time, more risks, etc.)and possible hysterectomy. i understand that adhesion would cause the "part adhered to" to need to come out with the endometrioma however, my concern now is that i do not trust my dr. to be selective in his removal process. i fear the typical "oh, she won't need any of this any more sydrome" and a life-change that i do not feel is necessary at my age.

monday, i will visit with my dr. again to ask more questions. are there any key-things to ask that will help me understand what all the rush is about and how i can prevent an un-necessary hysterectomy by a dr. with a tee time he doesn't want to miss? my choices in this area are limited and, he seems pretty confident he's doing the right thing but, two surgeries in less than a year on an otherwise VERY healthy and very aware-of-her-body individual is making me very uncomfortable with this dr. right now.

any suggestions? words of encouragement? "qualifying questions to ask? please respond! i thank you all, in advance and apologize for my lengthiness.

--
l.walker of maryland



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