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regular doctor vs gyn and gynoncologist
i visited my regular doctor and he stated i think you should have a complete hysterectomy. you won't have to be getting checked every 2 months with transvaginal ultrasounds for the ovarian cyst and the thickened endometrium. i am postmenopausal so i don't need my organs. my gyn plus gynoncologist say this is the very last resort as i have lots of adhesions and hysterectomy is dangerous. the gyn wants to do a d and c and stated this will cure the thickened endometrium. well, what about the ovarian cyst. i don't know what to do i am torn please help me
There is not a lot of frustrated women at the moment, waiting months for their surgery and researching everything they can on the subject, usually while being kept in the dark by their doctors, resulting in this forum being a bit quiet at the moment. I suppose it is a good thing really!
The a d and c is done though the vagina, the cyst would need to be removed via a laparoscopy as you cant access it though the womb. If it is a liquid cyst it has a good chance of resolving itself within 3 months or so though. Your gyn would be qualified to do both and I guess it is safer to do it all at once than having to give you anaesthetics twice. You will need to chat him about it.
A laparoscopy would most likely cause more adhesions, but not as much as open surgery. It is also used to treat adhesions, while making more of course. Vicious circle. The a d and c can also cause them in the womb, causing irregular, painful periods and infertility - I dont think you will be worrying too much about that. Chat your gyno though to make sure he knows you have problems with adhesions and ask if it could cause you problems such as pain.
Cant help you with thyroid issues, sorry.
The a d and c is done though the vagina, the cyst would need to be removed via a laparoscopy as you cant access it though the womb. If it is a liquid cyst it has a good chance of resolving itself within 3 months or so though. Your gyn would be qualified to do both and I guess it is safer to do it all at once than having to give you anaesthetics twice. You will need to chat him about it.
A laparoscopy would most likely cause more adhesions, but not as much as open surgery. It is also used to treat adhesions, while making more of course. Vicious circle. The a d and c can also cause them in the womb, causing irregular, painful periods and infertility - I dont think you will be worrying too much about that. Chat your gyno though to make sure he knows you have problems with adhesions and ask if it could cause you problems such as pain.
Cant help you with thyroid issues, sorry.
can the gyn do a d and c and remove my 3 cm liquid cyst on my l ovary. i am in my late 50s. the gynoncologist wants me to have these transvaginal ultrasounds every 2 months for now. they say my ca risk is low. the next step if the endometrial thickening is still thick he will do a d and c with hysterscopy. can he take the cyst out at this time too while he is doing the d and c . i will ask him but i thought someone else might know or has this done too. the adhesions are here from previous surgeries, i wonder if i will get more with any other procedures i have. i am also facing a chestnut benign size nodule on my thyroid. i had a fna on my thyroid the biopsy was normal. i am being monitored for this too.i am a caregiver to my mom too. when something affects me it affects her. i don't want to do this to her. it is a mess. thank you for all your responses. any other responses would also be welcomed thanks all
Uh.. you arent having an easy time by the sound of it. Makes me even more surprised your scans are that frequent.
The Ca125 test is about 80% accurate, but if they are concerned they can test numerous other tumour markers in your blood. Only a path report can tell for sure if there is cancer present or not. Personally ALL my tumour markers were normal, but my cyst turned out to be borderline. Of course that could have something to do with the 2 month gap between tests and surgery.
Family history can increase your risk of cancer as well as cysts post menopause - although cysts would still be fairly common post menopause. 95% of cysts are benign across all ages and types of cysts, so the statistics are on your side.
How big is the cyst? Anything under 6 cm is normally not considered to be serious and usually go away on their own, although they can still cause pain or grow. 2-3 cm cysts are very common in younger women - part of the natural cycle, but also occur in children and post menopause women. Do you know what type it is?
Adhesions.. I havent really read up on this, although my GP blames it for my pain. You could ask if your gyno can do something about this too or if anything else can be done to improve it. Hopefully getting the a d and c and cysterectomy will cure most of your pain.
The Ca125 test is about 80% accurate, but if they are concerned they can test numerous other tumour markers in your blood. Only a path report can tell for sure if there is cancer present or not. Personally ALL my tumour markers were normal, but my cyst turned out to be borderline. Of course that could have something to do with the 2 month gap between tests and surgery.
Family history can increase your risk of cancer as well as cysts post menopause - although cysts would still be fairly common post menopause. 95% of cysts are benign across all ages and types of cysts, so the statistics are on your side.
How big is the cyst? Anything under 6 cm is normally not considered to be serious and usually go away on their own, although they can still cause pain or grow. 2-3 cm cysts are very common in younger women - part of the natural cycle, but also occur in children and post menopause women. Do you know what type it is?
Adhesions.. I havent really read up on this, although my GP blames it for my pain. You could ask if your gyno can do something about this too or if anything else can be done to improve it. Hopefully getting the a d and c and cysterectomy will cure most of your pain.
thank you your answer is very good. i have anxiety and depression issues with chronic pain daily. fibromyalgia etc. yes, this is very upsetting and driving my anxiety to the hilt. i will listen to my gyn who wants to do a d and c if the endometrium lining remains thickened. he said this should fix this. however, i will still have an ovarian cyst. do they know for sure this is not cancer. the ca125 has been normal. can he do a d and c and take the cyst out of my ovary while he is there. the other big problem is lots of adhesions from previous surgeries. this is dangerous.
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Loosing the ovaries puts you at an increased risk of heart and bone disease, family history for these things would make it even worse. Some research point towards significant risks of dementia, but I dont know how that applies to post menopause. I believe the ovaries and hormones do so much more than we initially give them credit for (and medical science has only really become aware of this the last 10-20 years, so if your GP is of the older generation, s/he might not be completely up to date). On top of that, surgery has plenty of risks, especially for older people. Of course if you had the hysterectomy, you would be able to avoid ovarian cysts, ovarian cancer, etc, but it is a huge decision to make.
If your gyn can do something to help you, I would try that first if I was you. If your symptoms cause you a lot of problems you may end up with total or partial hysterectomy at some stage, but I think it would be best to hang on to your ovaries as long as possible.
Is 2 month scans really necessary? Im having 6 month scans after having a borderline cyst/ovary removed, 2 months sounds very intensive in comparison. Do you have enough problems and require enough treatment to justify the emotional stress of this? Consult your gyns, if they can treat some of your problems you might be able to go longer between scans.
Good luck.