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hysterectomy with or without Bilateral Salpingo-oophorectomy hysterectomy with or without Bilateral Salpingo-oophorectomy

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  #1  
Unread 12-30-2020, 06:35 AM
hysterectomy with or without Bilateral Salpingo-oophorectomy

Hello,
I have an appointment with my doctor to plan my hysterectomy in March and the doctor wants to persuade me to have my fallopian tubes and ovaries removed as well. Since i m not considered high risk of cancer I don t know if it is necessary to have these removed as well and go through hormonal replacement and the whole roller-coaster. On the other hand I am already 49 so, I don t know what to do. Do most women go for the full removal or not?
Thanks
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  #2  
Unread 12-30-2020, 07:38 AM
Re: hysterectomy with or without Bilateral Salpingo-oophorectomy



I've moved your thread from the Introduce Yourself forum (where you had already been met) here to the Pre-Op forum so that members can respond to share their thoughts and experiences with you.

If your ovaries are healthy and you don't have a strong medical reason to have them removed, consider keeping them as you would any other healthy body part. You may want to consider the salpingectomy (removal of your fallopian tubes), as studies have indicated that ovarian cancer may originate in the tubes. While hormone therapy can be great, it can also be a challenge to find the right method of delivery, the right dose, and even the right combination of hormones. They can also be expensive depending on what you use.

As a side note, your Member Survey indicates that you are unsure if you will keep your cervix or not. If you are having the LAVH surgery your cervix will be removed. The LAVH is one type of total hysterectomy. By definition a total hysterectomy removes the entire uterus, which includes the cervix. A partial hysterectomy leaves the cervix portion of the uterus intact. It can help to refer to his link: Abbreviations.

Research carefully so that you make the best decision for your circumstances.

  #3  
Unread 12-30-2020, 12:07 PM
Re: hysterectomy with or without Bilateral Salpingo-oophorectomy

if your ovaries are healthy, don't let any dr try to talk you into removing them (if you want to keep them). removing them puts you into surgical menopause and that can be miserable. your natural hormones are always best. i've read that ovarian cancer might start in the fallopian tubes so you might want to do research on that. the main thing is don't let a dr remove something you want to keep and get more than one opinion. same for the cervix, if you want to keep it...you would need a different type of surgery than vaginal.
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  #4  
Unread 12-30-2020, 02:57 PM
Re: hysterectomy with or without Bilateral Salpingo-oophorectomy

I would say get a 2nd or third opinion. And please research what your ovaries and the hormones they produce (well beyond menopause) do to keep you healthy. Without ovaries you are at a significant risk for heart disease, osteoporosis, joint and muscle pain and generally do not live as long. I implore you to research before you go through with this. Of course your doctor is pressing for this, and KNOWS the consequences. Be your own health advocate and next time you see them be confident with your knowledge. Good luck!
  #5  
Unread 12-31-2020, 03:52 AM
hysterectomy with or without Bilateral Salpingo-oophorectomy


I totally agree with the above!!! Many surgeons try to convince us that cancer is our biggest threat in order to justify removing the ovaries, when in fact, cardiovascular disease is our #1 killer, and surgical menopause increases your risk. I kept both healthy ovaries at age 48 because my surgeon and I agreed that the benefits of their continued hormone production outweighed the cancer risk; I did have my Fallopian tubes removed to lower my cancer risk, as mentioned above. As for the cervix, he had originally planned to do an LAVH, because I had fibroids, and he was concerned about future cervical ones, among other things, but I pushed for a supracervical approach because my research indicated that it would be more appropriate for my individual situation. As mentioned above, you need to do your own research, and seek additional opinions, so you can decide on what's best for your individual situation. Best wishes for whatever you decide!
  #6  
Unread 01-15-2021, 04:47 AM
Re: hysterectomy with or without Bilateral Salpingo-oophorectomy

I would like to thank you all for your advice and encouragement. After seeing the doctor again, the decision was made that I will go through a total hysterectomy but will keep my fallopian tube and ovaries. My opertaion is scheduled on March, 23 rd and will move the right posts.
  #7  
Unread 01-15-2021, 01:36 PM
Re: hysterectomy with or without Bilateral Salpingo-oophorectomy

I kept my ovaries but the fallopian tubes were taken for the reasons mentioned above. Its thought some ovarian cancers start in the tubes and since they no longer serve a purpose they were removed.
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