Seems very radical

[Okaay]

I am 46 years old, and have been diagnosed with a 2cm complex ovarian cyst, I had a HP4 blood test which was 106. I was then referred to a gyn who has said that I need to have a total hysterectomy with effected ovary removed and both fallopian tubes as well.
This seems like a huge opertion for a query of ovarian cancer, given that my health is good and that I have no symptoms of ovarian cancer. I have thickening of the uterine walls and also calcification of part of uterus. My last pap smear was clear, and have been clear for 20 years.
My question is: is he taking this too far ? I feel he should perform a biopsy whilst I am on the table BEFORE going ahead and performing a total hysterectomy. I can understand if he wants to take the one ovary and the top part of my uterus, but not why he wants to remove the entire uterus and cervix.

[old_before_my_time]

That sounds like a safe plan - be sure to make your wishes clear on your surgical consent form; otherwise, it is his word against yours.

I had a retroverted uterus too and almost always had a discharge but no other issues - not sure the discharge was associated with the position of my uterus. My uterus gave me great orgasms and I really miss those. Your discharge will probably go away or lessen with menopause and its hormone changes.

When cysts get to be about 7cm or larger is when there is concern about ovarian torsion. And since you did not mention a predisposition for / family history of ovarian cancer, there is only a remote chance that the cyst is cancerous.

I hope this all occurs as you desire and your surgical recovery goes well (if the cyst does not go away)! Let me know how your appointment goes.

[Okaay]

old-before-my-time Thank you so very much for all your great advice, it's been very reassuring for me to speak with you.

Yes, I'm going to make myself VERY clear and unless I get advice from the hospital that he is changing the procedure I won't be going ahead - of course that will also be dependent on my new ultrasound as well.

No history of any cancer in my family, and I'm very healthy, which makes his reasons for wanting to perform a total hysterectomy even more questionable.

I will certainly keep you update, and, again, thank you for your time and advice xoxo

[old_before_my_time]

Thank you for your kind words! I am so thankful you posted here and I was able to share my story hopefully saving you from the awful effects of female organ removal. I will be waiting to hear the results of your u/s. Big hugs!

[Totie]

If you are uncomfortable DO NOT GET THE SURGERY!!!!

Get a second opinion...

[Okaay]

I had the ultra sound - my request AND the cyst has resolved.
The specialist suggested that I get another blood test without any surgery, I declined as the blood test is what screwed everything up, instead I suggested that we do biopsies on both ovaries - which he agreed to, and he also suggested a curette, which I am agreeing to, my attitude is 'let's get the all clear on EVERTHING'.

I'm over the moon.

[old_before_my_time]

Do you have a family history of ovarian cancer hence the reason for wanting your ovaries biopsied even though the cyst is gone? Are you saying they are going to do surgery to remove tissue from your ovaries to biopsy?? I have not heard of this being done.  

As far as your lining - Did the u/s show that it is still thickened? Have you ever had a u/s right after your period to see if the lining is being sloughed off? It is normal for the lining to get up to 16mm. An endometrial biopsy is less invasive than a D&C if you are concerned about the thickening possibly being hyperplasia.