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Hysterectomy Article Abdominal Hysterectomy - TAH/BSO/Blood Clot (DVT) - Catherine's Story

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In May of 1999 I had a TAH/BSO due to large fibroids. After the first week post op I began to feel stronger. I was staying up nearly all day, taking only a short nap or two during the day. My recovery was moving along better than I thought it would until three weeks post op, when I was admitted to the hospital with a blood clot (Deep Vein Thrombosis) in my leg.

I remained in the hospital for eight days with a heparin IV drip. Blood was drawn every six hours 'round the clock. Once I was therapeutic, I was put on Coumadin and sent home. After a year, the hematologist decided that I should be taken off it and that a complete blood workup would be done to find out what had caused my DVT.

The blood work determined that the cause was Factor V Leiden, which is the most common hereditary blood coagulation disorder in the United States. It increases the risk of venous thrombosis 3 to 8 times for heterozygous (one bad gene inherited) and substantially more, 30 to 140 times for homozygous individuals (two bad genes inherited). I am homozygous, having inherited the gene from both mother and father. What this also means is that each of my children has at least one bad gene, making them heterozygous.

Before my diagnosis, I had never heard of Factor V Leiden. This disorder would explain my father's untimely death from a stroke and a heart attack in 1968 at the age of 47. Tests for Factor V Leiden have only been performed since the early 1990's and many doctors aren't familiar with it.

My hematologist has decided not to prescribe Coumadin therapy. I took the drug for a year after my DVT, and because my problem surfaced only after my hysterectomy, we will take a wait and see approach. I'm doing well off the drug and seeing my hematologist 4 or 5 times a year. If I should experience another clot, I will then take Coumadin for the rest of my life.

My purpose in writing is to let anyone reading this know about blood clots and Factor V Leiden. Any leg pain after surgery should be brought to your doctor's attention. In my case, I had only one symptom of a clot, and that was pain. Other symptoms, including pain, redness, heat, swelling, and fever and the more severe symptoms of shortness of breath and chest pain were absent.

While my experience isn't common, it is a definite possibility after surgery. I hope that by reading this you will be more aware of the seriousness of reporting any leg pain to your doctor. I'm thankful that Hyster Sisters has given me a place to share this information.







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Melodie Wilson, M.D.
3650 Joseph Siewick Dr. #203
Fairfax VA 22033
703-391-1500
Laurence Orbuch, M.D.
202 Spring Street
2nd Floor
New York NY 10012
212-343-3040
Ken Sinervo, M.D.
1140 Hammond Dr., Ste. F6220
Atlanta GA 30328
770-913-0001
Mark Richey, M.D.
1200 Airport Heights
Ste 205
Anchorage AK 99508
9072724443
Vincenzo Sabella, M.D.
7950 Floyd Curl Dr. Ste. 600
San Antonio TX 78229
210-615-8585
Iris Orbuch, M.D.
202 Spring Street 2nd Floor
New York NY 10012
212-343-3040
Lino Montilla, M.D.
3650 Joseph Siewick Dr. #203
Fairfax VA 22033
703-391-1500
John Thiel, M.D.
100-2631 28th Ave
Regina Canada_Saskatchewan S4S6X3
306-586-1800
Caren C Reaves, M.D.
Caring for Women
2805 S. Mayhill Rd
Denton TX 76208
940-591-6700


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