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Emergency Hysterectomy Fibroids

EMERGENCY!! HELP! My MOM HAS A DOCTOR'S APPT TOMORROW AT 3 TO SIGN HYSTERECTOMY PAPERS BUT SHES ONLY 37!!?

I BELIEVE HE WANTS A COMPLETE LARAPSCOPIC MEANING SHE HE WANTS TO TAKE EVERYTHING OUT! SHE HAS HAD 4 C-SECTIONS, SHE HAS A COUPLE OF UTERINE FIBROIDS AND EXTREMELY EXCESSIVE MENTRUAL BLEEDING. I KNOW SHE HAS TO TAKE OUT THE FIBROI DS BUT WHY TAKE OUT HER UTERUS??? I DON'T HAVE TIME TO ASK THE DOCTOR'S BUT I THINK SHE SAID HE WANTS TO TAKE THEM OUT BECAUSE OF RISK OF FIBROIDS/CISTS RETURNING BUT I AM JUST NOT CONVINCED..I'M CONCERNED ABOUT EARLY MENOPAUSE AND AND THINGS LIKE THAT..ANY EXPERIENCES? CONCERNS I SHOULD TELL HER TO ASK THE DR? ANYTHING HELPS THANKS
and she has dangerous level of anemia

You have asked some good questions, and you are right to be concerned until those questions are answered. First of all: your mother should get a second opinion, preferably at a teaching hospital (one connected to a medical school), because they have the most advanced, cutting edge research. Some doctors (not knowing your mother's doctor, I have no way of saying if this is true or not of him/her) are overly ready to do hysterectomies, when there are other solutions. There are a number of other, less invasive treatments for fibroids: myomectomy; uterine ablation; uterine artery embolization (recently in the news because Condoleeza Rice had that done). On the other hand, some cases of fibroids are treatable only by removal of the uterus, because they're just too severe, or in a location that is untreatable otherwise. I have no way of knowing if what is true in your mother's case, and it sounds like you don't know, and it's possible she doesn't know. This is why a second opinion is a good idea. Best get these questions answered before irreversible surgery is performed.
Second issue: is the doctor recommending she get her uterus removed, or her uterus and ovaries? Many remove the ovaries unnecessarily when really, only removal of the uterus is called for. She'd only go through surgical menopause if the ovaries were removed. Surgical menopause is no easy thing, it will take time and experimentation to get hormones right. If she doesn't take hormones, her lifespan will be shortened and her chances of problems like heart disease, dementia, and osteoporosis are increased. So it's important for her to ask him/her what exactly will be done. And to not have ovaries removed unless necessary. The problem is that the word "hysterectomy" is often used to refer to the removal of uterus and ovaries, or just uterus. So one can't tell which surgery is going to be performed, just through use of the term "hysterectomy", though the term literally means "removal of uterus". (it's true that if you've had your uterus removed, menopause comes about 2 years early on average, but that would still mean age 49 in your mother's case, not 37!)
So in sum: 1)second opinion; 2) ask if these other procedures might be a possibility; 3) ask about ovaries, and make clear if necessary that they are not to be removed. Oh, and 4) if it turns out your mother does need a hysterectomy, keep up the good work being the supportive and loving child you clearly already are. :-)

How to Manage Myomas

Leiomyomas, myomas or uterine fibroids are common in women above 30, especially those who have never been pregnant. They are also known as fibroids, but this is a misleading term because myomas are made of muscle cells and not fibrous tissue.

“As many as three out of four women have uterine fibroids, but most are unaware of them because they often cause no symptoms. Your doctor may discover them incidentally during a pelvic exam or prenatal ultrasound,” according to the Mayo Clinic.

Although their exact cause is unknown, myomas appear to be influenced by the female hormone estrogen which is made in the ovaries, and the human growth hormone. These smooth muscle tumors shrink or disappear after menopause following a decrease in the body's estrogen production.

Symptoms include a heavy feeling in the abdomen, backache, constipation, frequent urination, pain, menorrhagia (excessive bleeding during menstruation), dysmenorrhea (painful periods) and dyspareunia (difficult or painful intercourse). While myomas are often benign, they can cause trouble depending on their size, location and the patient's general health.

“In general, uterine fibroids cause no problems and seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain,” said the Mayo Clinic.

However, if they are near the cervix, fibroids can make childbirth difficult and lead to hemorrhage or abortion. If they block the Fallopian tube, they can cause sterility.

A doctor's advice is needed to determine whether you can safely get pregnant if you have a uterine myoma. Small tumors can easily be removed, but large ones may require hysterectomy (the surgical removal of the uterus). In the latter, pregnancy is impossible.

“Research indicates that pregnant women with fibroids are at slightly increased risk of miscarriage, premature labor and delivery, abnormal fetal position, and separation of the placenta from the uterine wall. But not all studies confirm these associations. Furthermore, complications vary based on the number, size and location of fibroids. Multiple fibroids and large submucosal fibroids that distort the uterine cavity are the type most likely to cause problems. A more common complication of fibroids in pregnancy is localized pain, typically between the first and second trimesters. This is usually easily treated with pain relievers,” warned the Mayo Clinic.

To monitor tumor growth, a woman should have a pelvic examination every six to 12 months even though she doesn't have symptoms of the disease. A woman whose uterus is as big as a six-month normal uterus by the 16th week of pregnancy can usually get along without surgery. However, if the myoma grows to the size of a five-month uterus by the ninth week of pregnancy, fetal growth is affected and spontaneous abortion may occur.

Tumors which press against the Fallopian tube may cause ectopic pregnancy. But most myomas don't cause any trouble except the enlargement of the uterus. Consult a doctor about this.

Early research suggests that athletic women have a lower risk of fibroids but this has not been confirmed by other studies. Nevertheless, the benefits of exercise are well documented and it can ease backaches, tone muscles, and help pregnant women sleep better. To help you regain your figure after childbirth, take Phenocal, a safe, natural, and effective weight loss supplement that boosts your metabolism, suppresses your appetite, reduces food cravings, and increases energy levels to give you the body you want. Visit http://www.phenocal.com for details.

About the Author

Janet Martin is an avid health and fitness enthusiast and published author. Many of her insightful articles can be found at the premiere online news magazine http://www.thearticleinsiders.com.

Fibroid Cure

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