hysterectomy or D&C ? ( I have disordered proliferative endometrium without a-typia + on/off hpv not 16 or 18) | HysterSisters
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hysterectomy or D&C ? ( I have disordered proliferative endometrium without a-typia + on/off hpv not 16 or 18) hysterectomy or D&C ? ( I have disordered proliferative endometrium without a-typia + on/off hpv not 16 or 18)

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  #1  
Unread 04-07-2021, 05:59 PM
hysterectomy or D&C ? ( I have disordered proliferative endometrium without a-typia + on/off hpv not 16 or 18)

Hello HysterSisters,
In advance, I am extremely appreciative of responses from anyone with similar conditions/experiences: Many many thanks ! – Vita Forte.

Overview:
I have had on and off conditions of uterus for 6-7 years and on and off of cervix (hpv – not 16 or 18) for 10 + years. I am 50 years old and have been in menopause for 2.5 years with one spotting 10 mons into menopause which led to a series of endo biopsies. I did genetic testing and no genes with pre-disposition for hereditary cancer.

Doctor’s recommendations:
• Two doctors are pushing me towards a hysterectomy without removal of ovaries, so I don’t have to worry in future and keep watching these conditions.
• Two other doctors feel I can proceed more conservatively with a D&C only for now, since I have no bleeding and all findings are benign.

My Questions/perspective:
I know if I would EVER need a hysterectomy, I would want to do that now. I just don’t know if hysterotomy is overkill for these conditions, nor know if these are conditions will turn malignant in future. Therefore, do I want to cut major organs out for no real reason? I don’t know how long I will have to stay on progesterone if I don’t do a hysterectomy. Progesterone makes me a bit crazy after several months of use. I have no pain, aside some with intercourse, nor any bleeding any more.

MEDICATIONS:
I started taking progesterone again in March 2021. I had stopped it for 1-1/2 years, and took it for a continuous year prior to that.

CURRENT & PAST Diagnosis:

UTERUS :
( I have had 5 endometrium biopsies over past 4 years and one D&C 6 years ago)
• 01-2021 Endo Biopsy Diagnosis: Pre-hyperplasia, Disordered proliferative endometrium without atypia. No evidence of endometrium or malignancy.
• 01-2021 Vaginal Ultrasound: Showed 3 fibroids, endometrium lining 8.72 mm w/ polyp. Ovaries: RT (3.35x2.33x2.01) w/ cyst 1.6x1.36x1.48. LF: 2.5x1.54x1.29 (no cyst).
• 03-2020 Endo Biopsy Diagnosis: A-tropic endometrium, no evidence of endometrium, polyp or malignancy.
• 12-2019 Endo Biopsy Diagnosis: Focal simple hyperplasia w/o atypia, backgroud pattern weakly endometrium. No evidence endometrium, polyp or malinancy.
• 08-2019 Vaginal Ultrasound: Endometrium lining 9mm, uterine fibrosis end thickness 8mm. Ovaries: RT (1.9x1.4x2) w/dominant focal on right side (1.6x1.4x1.6), could not see left ovary.
• 08-2019 Endo Biopsy Diagnosis: Disordered proliferative patterened endometrium w/ simple hyperplasia w/o atypia. No maliganacy found.
• 2017 Endo Biopsy Diagnosis: Proliferative pattern w/ end breakdown unremarkable tissue, negative for hyperplasia & malignancy.
• 09-2015 D&C test results: Benign endo polyp found, negative for hyperplasia and endometriosis.

CERVIX:
(Pap & Colpo results last 9 years)
• 2021 Pap results: No virus detected.
• 2020 Pap results: HPV virus found, (not 16 or 18) and no malignancy found.
• 2019 (Jan) Pap results: Abnormal cells ascus, surface layers
• 2019 (Aug) Pap results: Cells normal but HPV still detected (not 16 or 18)
• 2019 (Feb) Colpo results: HPV detected, but within normal limits
• 2018 Pap results: Pap normal, no HPV found
• 2017 (June) Colpo results: negative for HPV and no hyperplasia
• 2017 Pap results: normal, no HPV found
• 2016 Pap results: HPV virus found, (not 16 or 18)
• 2016 (April) Colpo results: Mildly abnormal cells of CIN-1 cells
• 2014 Pap results: HPV virus found, (not 16 or 18)
• 2012 Pap results: No virus found


Thankyou , thank you from the bottom of my heart! VitaForte..
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  #2  
Unread 04-07-2021, 05:59 PM
Welcome!

Welcome to HysterSisters!

You don't have a hysterectomy date mentioned in your profile (click here to add it if you know what it is!)

For helpful information and resources you will find specific help by clicking these links: for Treatment Options, for Pre-Op Or for Post-Op.

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For more information about managing your journey around the site, visit New Here. General answers to basic questions about the site can be found in our FAQ.

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Please [click here] and fill out your Member Survey. It is fast and easy and will help others to be able to provide support for your hysterectomy needs. (And you will get your first member badge!)

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Be Well!


Again, welcome to HysterSisters!

P.S. This is our "Introduce Yourself" forum and its purpose is to point you in the proper direction for the best support for your needs. Only staff can reply here for the purpose of helping you find your way around the HysterSisters.com website. Support by our members is offered in our support forums (links in this reply above) where you can ask your specific questions and receive replies from our members. We look forward to seeing you on the support boards of this site!
  #3  
Unread 04-07-2021, 06:47 PM
Re: hysterectomy or D&C ? ( I have disordered proliferative endometrium without a-typia + on/off hpv not 16 or 18)

:

It's nice to meet you!

You are welcome to use the Options and Alternatives message board as the place to post questions and to ask for support as you weigh the pros and cons of your options. There is information to help in the Treatment Alternatives resource. It may help to get yet another medical opinion to help you finalize your decision. If you do decide for certain to have a hysterectomy, you can then use the Pre-Op message board.

Whatever you decide, we are here to support you.

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  #4  
Unread 04-08-2021, 07:19 AM
Re: hysterectomy or D&C ? ( I have disordered proliferative endometrium without a-typia + on/off hpv not 16 or 18)

Thank you April Dawn,

With your reply are you saying I posted to the wrong place and it was removed? And therefore, do I need to instead post the "Options and Alternatives" section instead ?

I am new, so may be in wrong area.
Thank you !
  #5  
Unread 04-08-2021, 07:25 AM
Re: hysterectomy or D&C ? ( I have disordered proliferative endometrium without a-typia + on/off hpv not 16 or 18)



You didn't post in the "wrong" place--we're here to help direct new members to the forum most appropriate for their concerns. Your post hasn't been removed. It's still here in the Introduce Yourself forum, but because only staff can respond here, you will need to post over in the Options and Alternatives forum where members can reply. It doesn't count as a duplicate post since members can't reply here. (Duplicate posting isn't allowed per the site guidelines.)

I hope this helps clear things up!

  #6  
Unread 04-08-2021, 08:25 AM
Re: hysterectomy or D&C ? ( I have disordered proliferative endometrium without a-typia + on/off hpv not 16 or 18)

Thank you very much for the clarification..

I will cut and paste it into the section you suggest below.

so appreciated !
  #7  
Unread 04-08-2021, 08:29 AM
Re: hysterectomy or D&C ? ( I have disordered proliferative endometrium without a-typia + on/off hpv not 16 or 18)

You're welcome! I hope you will get helpful input soon after you post again.

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