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| *Women health>>>Hysterectomy |
For women that have had a hysterectomy? |
Did any of you still experience menstrual type problems like cramping and PMS? I also have endometriosis and was just wondering if maybe my symptoms were from that. I only had my cervix and uterus removed in a complete hysterectomy (that is the proper term for what I had done as said by my OB/GYN) Ignorance concerning the type of surgery you had notwithstanding, let me say this...it doesn't matter. It doesn't matter because hysterectomy with or without BSO is NOT a cure for Endometriosis. You are almost guaranteed to be having pain and symptomatic occurance because you had your uterus and cervix removed, not the disease. Anyone telling you otherwise is clueless about Endometriosis. It also has nothing to do with whether or not you kept your ovaries, as the Endo implants themselves produce an estrogen-synthesizing enzyme called Aromatase, which sustains its own further survival and creates a vicious life cycle in which the implants can continue thriving with or without a uterus, with or without a cervix, with or without ovaries...you get the idea. Look into Dr. Serdar Bulun's work and discoveries on Aromatase and Endometriosis and how he is successfully studying the use of Aromatase Inhibitors in Endo patients. The belief that hysterectomy (with or without BSO!) is a cure for Endo is an old, outdated wives tale based on the incorrect notion that Endo is caused by retrograde menses and if periods are stopped, the disease is stopped. Not so. You did not have all the disease carefully excised (see www.centerforendo.com for a detailed discussion on excision of Endo) and thus are continuing to experience problems. See a doc who truly understands the disease and can remove it thoroughly - not through ablation or vaporization or cauterization or fulguration, or who thinks if he or she removes your uterus and cervix, you'll be cured. Good luck and feel better. PS - - honestly, if we're going to get technical - there are actually 4 types of hysterectomy, not 2. Subtotal hysterectomy: removal of the fundus of the uterus Total hysterectomy: removal of the uterus and cervix Total hysterectomy with salpingooophorectomy: removal of the uterus, cervix, one or both of the ovaries, and one or both fallopian tubes Wertheim鈥檚 or Radical hysterectomy: removal of the uterus, cervix, one or both of the ovaries, one or both of the fallopian tubes, the nearby lymph nodes and parts of the vagina The procedure(s) can be performed either as an abdominal hysterectomy, a vaginal hysterectomy, a laparoscopic hysterectomy, or a laparoscopic assisted vaginal hysterectomy (LAVH). Well, it'd not complete if you still have your ovaries which is why your hormones are still causing PMS symptoms, coming from the ovaries. Most likely not from the endo. women with endometriosis DO have PMSlike symptoms even after menopause and hysterectomy...it is normal A "complete" hysterectomy includes your ovaries, and if you still have them, that explains the PMS: hormones. Your doctor probably left them so that you would not experience the postmenopausal hot flashes and osteoporosis that can ensue following their removal. My guess they were not removed: your age. Try to deal with it. Taking hormone replacement therapy has its own set of problems, like increased risk of breast cancer, dry skin, hair, nails, weight increase, etc. Find an osteopathic doctor to treat the symptoms with herbs, it really can help with the PMS. I also have endometriosis. I have had my uterus, half my cervix and one ovary removed. ( about 8 years ago ) My OB/GYN said that I would probably need the rest out in the future. Removal of the uterus is not a cure for endometriosis, because it grows outside the uterus....that's the whole problem. I am having pain and cramping lately.......and am going for a sono next week.....it may be time. it is definately possible that because you still have your ovaries and tubes, that you have a flare up.....you should see your OB/GYN good-luck To clarify the terms: Total (or simple) hysterectomy is removal of the uterus with cervix. Total hysterectomy with with BSO (bilateral salping-oopherectomy) is removal of the uterus, cervix and adnexa (fallopian tubes and ovaries). The above two options can be achieved either through an incision in the abdominal wall or laproscopically assisted vaginal approach. Supracervical hysterectomy is removal of the body of the uterus and leaving the cervix. There has been disputed information about a woman's ability to experience orgasm if the uterus, particularly the cervix were removed, thus the option of leaving the cervix (and all it's inherent risks of cancer). I had TVH/BSO for endometrial cancer, and let me assure you, it does NOT alter the ability to have an orgasm. Now, back to your question: if you still have your ovaries, you can be expected to have many of the symptoms you experienced when the baby carriage was still in there. Thus you still have menopause and all its joys to look forward to...... I do not have endometriosis. But I had a total hysterectomy they removed everthing and i take hormone pills. If you still have ovaries that could be why you are having those symtoms. |
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