Recording my preferences for the surgery

I have a 10cm fibroid and am scheduled for surgery 12/5. My doctor suggested taking out everything (ovaries, cervix too) based on the concept that "they may develop something later on" and "you're 54 and don't really need your ovaries anymore". I voiced that I want to retain my cervix and my ovaries unless there is a specific medical condition that would cause them to override that desire.

How do I make sure that my desire is recorded somewhere and is followed? I'm considering putting my desire in writing and sending it to their office. I don't want to offend anyone, but I want to be clear and make sure someone other than just the two of us are aware of this discussion. Getting into a he said/she said later on will be too late.

FYI - I am part of an HMO and did not specifically choose this doctor. I am comfortable with him in general, but want to make sure we are on the same page. I have always had normal pap tests, and there is no indication of cancerous or pre-cancerous cells.

The 'practice variance" for these procedures is what keeps this site going and makes all of us crazy!!!! There is not consistant data to help us sisters make informed decision, and to let docs know what to do!! For what its worth, my doc said the absolute opposite of yours and I too, and 54. He said, "I wouldnt want to take what is still good and you will benefits from keeping your ovaries and your cervix". The rationale is that ovaries help with heart and bone health (I believe that data is avail on the internet if you google it) and Cervix allegedly helps with preventing future prolapse and comfort during sex. I am still so confused though - like you - based on what I read on this site! Good luck to both of us and hugs for your upcoming surgery.

I would not go into OR if you do not believe the doctor will follow your wishes.

Here are a couple things to consider. Some doctors will believe that having a fibroid is a medical condition that dictates the removal of the cervix. Why? The cervix is not a separate organ. Instead, it is the neck of the uterus. As such, fibroids can grow from the cervix both prior to and following a partial hysterectomy.

Some doctors do believe that age dictates the removal of the ovaries as they stop functioning--though they do still produce a trace amount of hormones. Thus, age alone could be for them a medical reason to remove the ovaries.

Anything you put in writing would have to include so many if this, then thats, and state which medical conditions you don't feel are ones for which you want the cervix and ovaries removed. It could be very difficult to cover all the what if's. It would be better to have a surgeon who is on the same page as you right up front.

I would suggest sitting down with your GP and discussing the situation. That doctor may be able to help you write something that would cover at least almost everything. However, I would strongly recommend a second opinion, and your GP may be able to help refer you.