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Fibroids In Uterus After Menopause
feedback on full histerectomy and how it affected you?
Hi, I am fourty seven and my doctor suggests a hysterectomy to solve problems with fibroids and heavy painful periods. One says just the uterus removal the other says ovaries too, and then of course hormone treatments after. I have a high rate of cancer in my family so getting rid of organs that will eventually shrivel up anyway seems like it would reduce my risk for cancer there. Yet I am concerned of how hard it will be to recover from surgery, how it my mental health will be because of the instant menopause I will go through and of course I have been told I will no longer have orgasiums. So any women who would share their experince with me as to how you might have done with this would really be helpful in making my descion.
Removal of the uterus is medically sensible, seeing you have fibroids and heavy periods that would solve the problem. Removing the ovaries- well that isn't strictly necessary or indicated at the moment. Neither is the hormone replacement therapy afterwards. I assume you are not finished with menopause yet, but given your age I am willing to be that's already in progress and you have already begun adapting to the lowered amounts of hormones. How long it takes to recover depends on the procedure they use. If it's done vaginally or laproscopically assisted vaginal removal, that is a much faster recovery. You are usually up and moving later that same day, and pretty much back to normal inside 2 weeks at most. An abdominal surgery is the same as most other abdominal surgeries, and will obviously take much longer because there is more damage done in the process and more to heal. It's really your call on how much to remove, and if you have a family history of ovarian cancer, well it would make good sense to have it all out. Otherwise, they aren't broken and still work- albeit only a bit. I don't know who told you you would not have orgasms afterwards, but that's balogna. You will have pretty much the same feelings afterwards towards sex as you have now. A uterus has nothing to do with it, nor do the ovaries really. The majority of sexy feelings come from your head, not your pelvis. You might well find you actually feel desire a bit more frequently, not being zapped by the misery you have now and no longer having to worry about pregnancy and the lot. Having the ovaries out will mean surgical total menopause, yes- but how bad you feel depends on several things. For starters, how much hormone they are still kicking it. How you personally feel about menopause as well has a big effect as well. If you don't mind not having the monthly visitor, and don't think you are some old rocker chair granny, you should do just fine. It is after all, just a natural phase of life for us. Temperature flashes will be easily manageable with clothing in layers. And of course, you can always opt for hormonal assistance if it's really needed. However you can only take it for a few months at most, so eventually you will have to face whatever you have coming anyway. The hormones just buy time, really. My mother had surgical menopause in her early 40's, and she seemed to do just fine without the hormones. I have gone through it naturally, and simply adapted as the changes came. All that about your sexuality is really overblown I think. I feel just the same for the hubbie as I ever did, and things are just fine. It really all just comes down to how you want to feel about it all, and how you expect to feel, as well as how you allow yourself to feel. This is you, after all- and nobody but you has any right to say how or what you feel. Your mental health is just fine, afterwards, as long as you want it to be. One other thing I might mention is that even after you have the procedure, no matter what they take or leave- you still have to have the annual exam and pap smear. You will still have a vaginal vault and cervix, and can still get cervical cancer. So if you thought that would be a memory, sorry- it won't. And I'm not so sure I'd be in a rush to take things out that don't need to be. They may eventually shrivel up, true- but who can really say they don't do something after all? It wasn't so long ago we were all told our tonsils and appendix were obsolete organs we could do well without as well. And now they decide that they might actually have purposes we never dreamed of. So, whichever you choose, good luck. And don't worry about the after- I tell you, it's just fine. Maybe a little better, since there can't be any little surprises of the baby sort. Must have been a fellow that came up with that bit, no orgasms. Indeed. News to me.
Treatment of Uterine Fibroid
Uterine fibroids: Uterine fibroids are benign tumors of the uterus (the womb) and the single most common indication for hysterectomy.
Uterine fibroids can be present, but be inapparent. However, they are clinically apparent in up to 25% of all women and cause significant morbidity (disease), including prolonged or heavy menstrual bleeding, pelvic pressure or pain, and, in rare cases, reproductive dysfunction. Both the economic cost and the effect of fibroids on the quality of life are substantial.
Since most fibroids stop growing or may even shrink as a woman approaches menopause, the physician may simply suggest "watchful waiting." With this approach, the physician monitors the woman's symptoms carefully to ensure that there are no significant changes or developments and that the fibroids are not growing.
In women whose fibroids are large or are causing significant symptoms, treatment may be necessary. Treatment will be determined by your physician(s) based on:
Watchful waiting
If you're like most women with uterine fibroids, you have no signs or symptoms. In your case, watchful waiting (expectant management) could be the best course. Fibroids aren't cancerous. They rarely interfere with pregnancy. They usually grow slowly and tend to shrink after menopause when levels of reproductive hormones dropUterine artery embolization is a new procedure aimed at preventing the need for major surgery. The method stops the blood supply that makes fibroids grow. The long-term effects of this procedure are still unknown, and the safety of pregnancy after this procedure is questionable.
A laparotomic myomectomy (also known as an open or abdominal myomectomy) is the most invasive surgical procedure to remove fibroids. The physician makes an incision in the abdominal wall and removes the fibroid from the uterus. A particularly extensive laparotomic procedure may necessitate that any future births be conducted by Caesarean section.
Watchful waiting. If your fibroids don't cause symptoms, treatment isn't needed. Your doctor may want to check the fibroids at each of your annual gynecological exams to make sure they aren't growing.
Taking birth control pills, which can help control excessive menstrual bleeding caused by fibroids. However, there are possible side effects, including high blood pressure, blood clots and higher risks of heart or liver disease. Studies suggest that fibroids will come back after treatment ends.
Increase consumption of fruits, vegetables and also green leafy vegetables in your diet. Vegetables and fruits are packed with vitamins, minerals, fiber, antioxidants, and many other substances, which together are very beneficial for your health.
Increase your consumption of cold-water fish like wild salmon to 3 times a week, fish such as salmon, tuna, mackerel and cod. Farmed salmon is often artificially colored with added synthetic pigments to mask its naturally-occurring, unappetizing pale gray color.
Myolysis involves using electrical current passed through a needle to destroy blood vessels that supply the uterine fibroids and allow them to grow. This procedure, which usually is performed through a small incision in the abdomen, may affect fertility.
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