Re: endometioma and hysterectomy..?
From: Lisa (anonymous@obgyn.net)
Sun, 28 Jun 1998 16:06:07 -0500 (CDT)
Thank you for your prompt response! I have printed and am reading the
two articles on the alternative to hysterectomy page. Is there a
directory available for doctors in the Maryland/Delaware area that are
skilled in LAVH? My Dr. has just graduated medical school in '92
however, there has never been mention of his skill in anything
alternative. he's a prescription-writing-surgery-scheduling dr. and a
get-'em-in-and-turn-'em-around dr. straight out of some hmo's textbook!
i have really great medical coverage and would be willing to travel to
explore safe alternatives.
i get the feeling you may agree that there is no "emergency" here?
Thanks for your help!! Lisa
At Sun, 28 Jun 1998, J.Glenn Bradley MD wrote:
>
>At Sun, 28 Jun 1998, Lisa wrote:
>>
>>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.
>
>Lisa:There is a load of material on obgyn.net re:hysterectomy
>alternatives as well as info on abnormal uterine bleeding, and options
>for therapy. A repeat laparoscopy to assess the nature of the cyst,
>consideration of laparoscopic removal of the cyst/ovary, and possible
>endometrial resection and ablation (OPERA) for permanent alleviation of
>the bleeding would be a more conservative surgical approach if that is
>your desire. Ask about these alternative approaches, and always
>remember if you are not comfortable with the proposed treatment
>approach, consider a second opinion.
>
>Good Luck
>
>Dr.B
>>
>>--
>>l.walker of maryland
>>
--
l.walker of maryland
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