WOMENS-HEALTH Messages for November, 1998: Re: still will have menstral flow after hyst.and no uterus

Re: still will have menstral flow after hyst.and no uterus

From: Harriet (anonymous@obgyn.net)
Tue, 10 Nov 1998 16:53:30 -0600 (CST)

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Reply: Janet: "Re: still will have menstral flow after hyst.and no uterus"

At Tue, 10 Nov 1998, Janet wrote: >
>Hi,
>
>Since my supracervical abdominal hysterectomy four months ago I've been
>getting these one-day once a month periods. I've also been getting
>shedding of this pinkish tissue stuff coming out on the paper everytime
>I wipe after urinating and moving my bowels during the menstral period
>cycle time. I was just told yesterday by my ob/gyn that since I kept my
>cervix I will have a monthly menstral cycle even though the cervix was
>scraped free of any polyps and uterine tissue last month. I also just
>had a transvaginal sonogram last week which confirmed that my ovaries
>and cervix are fine, thank God. Anyway, I've been getting mixed info
>from outsiders that when there's no uterus you shouldn't get a period.
>What is causing this bleeding and pink tissue like stringy stuff to come
>out each month? Should I expect to get this until I go through
>menopause. I'm 45 yrs. old now and hope not to go through menopause
>until I'm at least 50. Any info will be greatly appreciated. Sincerely,
>Janet

Hi Janet, I had a supracervical hysterectomy for fibroids 2 months ago and twice since then have had a little mini-period, with spotting for a day or two, each 4 weeks apart. My surgeon's nurse practitioner (via the voicemail phonetag) says that this is due to "cervical glands" and is not unexpected for keeping the cervix. The previous posts on this subject (yours?) on this forum said that this probably reflects small amounts of endometrial tissue that is still active and responding to hormone which makes sense to me.

I can certainly live with my mini-periods, although it would have been nice for my peace of mind to know that this is a possible complication of keeping my cervix when my surgeon and I discussed that decision. Is such spotting common in these cases?

I would have chosen kept my cervix regardless of this info. The reading I did prior to surgery suggested that there is a reduced chance of vaginal shortening or bladder complications when the cervix is left behind. Getting an annual PAP exam is not a problem. Most important though, is that I did not want to lose more of my body than I had to, to solve my problems with my uterus. Since there is nothing wrong with my cervix, I wanted to keep it. My surgeon , although she usually takes the cervix in these surgeries, discussed the issue with me thoroughly, and agreed with my wishes.

--
harriet

PS: I just returned from a 2 wk business trip and I'm working out in the
gym again--9 weeks since surgery and physically I'm doing fine.  Thanks
to WHF-participants for their support.

><><><><><><><><><><><><

--
Harriet Vane
hdvane@hotmail.com






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 In reply to: Janet: "Transvaginal sonogram tests fine/but still will have menstral flow after hyst.and no uterus"

 Next in thread: Janet: "Re: still will have menstral flow after hyst.and no uterus"
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