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Re: endometrioma and hyst...1 more question?From: Lisa (anonymous@obgyn.net)Mon, 29 Jun 1998 06:26:18 -0500 (CDT)
At Sun, 28 Jun 1998, Lisa wrote: > >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 >
-- l.walker of maryland
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