WOMENS-HEALTH Messages for June, 1998: Re: Complex Endometrial Hyperplasia

Re: Complex Endometrial Hyperplasia

From: Diane (anonymous@obgyn.net)
Tue, 30 Jun 1998 18:51:50 -0500 (CDT)

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>>Also, my doctor has recommended removal of the uterus and ovaries. I
>>had read that the ovaries secrete some useful hormones and that
>>therefore, if possible, it is recommended to preserve them. What are
>>the pros and cons?
>
>This is tougher. The average age of menopause is age 51. Some women
>produce estrogen into the late 50s, while others stop making significant
>amounts of estrogen in their 40s (and sometimes 30s). Despite what some
>say on the Internet, research has shown that the levels of estrogen
>decrease dramatically after menopause. Some androgenic hormones are
>produced, which can create the "chin hair" one sees in older women. The
>lifetime incidence of ovarian cancer is about 1:70, but this increases
>with a family history. I don't push ovarian removal one way or the
>other in women in their 40s and early 50s.

Pre-cancerous cells (complex atypia endometrio hyperplasia) were found in my mother last a few days ago. She already has an abdominal hysterectomy including removal of the ovaries (and fallopians I think) scheduled for July 7.

She is 52 years old and has been exhibiting symptoms of menopause for a couple of years. Last year, her gynecologist put her on hormone therapy and she reacted by bleeding for 6 weeks straight.

Could any of the negative side effects of menopause be prevented if she keeps her ovaries? Our family has a history of post-menopausal mental illness, which has particularly been a problem with surgical menopause. Can anything be done to prevent or ease this problem?

I want to make sure that she is considering all possible options and side-effects. I'm afraid she is rushing in too quickly.

Thank you for your time.

>Good luck again!
>
>--
>Ashley Hill
>D. Ashley Hill, M.D.
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Orlando, FL
>http://www.gate.net/~dahmd
>
>I apologize, but I am unable to answer personal e-mail
>due to time constraints.
>

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