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to dump or to keep...that is the question! to dump or to keep...that is the question!

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Unread 11-03-2000, 08:01 AM
to dump or to keep...that is the question!

Hey Hormone Jungle ladies, I am a pre op lady in waiting. I am up against the wall here for time. I need to make the decision on keeping my ovaries or dumping them. I have uterine prolapse so the uterus has to go but the ovaries are my choice. I have had endo in the past and cysts the past year that aggravate me. I am so scared of not doing well on HRT but I don't want the pain that comes from keeping my ovaries or to have to go back in later and remove them.
So I'm turning to you ladies with HRT experience. My last lap in Sept showed that my ovaries looked fine but the doctor said that could change at any time with my history. What would yall do in this situation? If you had it to do over again and the dr. gave you a choice, would you keep your ovaries?
By the way my surgery is TUESDAY!! I'm 31 years old and my mom had a hysterectomy at 27. She did not have her ovaries removed until she was 46. PLEASE HELP!!!!!!!!!
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Unread 11-03-2000, 08:52 AM
to dump or to keep...that is the question!

Oh you sweet dear. I'm so sorry you are going through all this. What a tough decision you have to make. I wish I had a crystal ball and could tell you the outcome with either choice. I too had endometriosis. My ovaries were covered though so the decision was easier. My endo caused severe PMS (actually PDD which is more severe). Because I am now free of the mind warping that caused - I'd never change my decision to keep the ovaries. However, it has not been easy for me in the jungle. It's been almost 2 1/2 yrs and I'm still struggling for balance but getting closer. Many women never have a problem with hrt at all. Obviously they don't visit this site much because their lives are not focused on problems caused by hrt. I think that if my ovaries were healthy I would have kept them. Every women has to make this decision on her own. Whatever you decide to do -- don't look back just go forward knowing you did the best thing you knew to do. You will be fine. And -- remember, we are always here for you! hugs and prayers.
Unread 11-03-2000, 09:07 AM
to dump or to keep...that is the question!

Oh, What a decision!! I know - I was there also. When you throw endometriosis in the mix, it is always a hard decision. I'm not going to suggest you keep them or not. Unfortuneately, that is a decision you will ultimately have to make. However, my doctor gave me the following info. to help me make the decision. Hope it helps you.

If you keep your ovaries, there is a 50-60% chance the endo. will recur, but it is sometimes less severe. Except in unusual circumstances, if the ovaries have to be removed later, it can be done laparscopically (sp??)

If you remove the ovaries, but start estrogen therapy right away, there is about a 10% chance the endo will recur.

If you remove the ovaries, but wait 6 months to start estrogen therapy, there is less than 1% chance the endo will recur.

These are general figures as much depend on the skill of your surgeon. Make sure yours is very experienced with endometriosis.

I decided to have mine removed. I tried to wait to start estrogen, but after one week I could no longer handle the night sweats and started on estrace (after a short but disasterous time on premarin). It is important to remember - if you start estrogen, to also use progesterone. While estrogen encourages the growth of endo., progesterone discourages its growth.

Jill is right when she says many women do fine on hrt. Don't be scared silly by what you read here. While there is much wonderful info. to be gained here, we are here because we have a problem with hrt. The vast majority of women with no problems do not have a need to visit this site.

Good luck on your decision. Read as much as you can and talk to as many women as you can. I'm sure you'll make the right one.
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Unread 11-03-2000, 09:15 AM
to dump or to keep...that is the question!

Dear Darlenebrooks. I can empathize with you because I had the same decision to make & I too feared hrt. I had a TAH/BSO 3 weeks ago & did end up giving up both ovaries. However, I battled the decision right up to the moment I entered the operating room. I don't regret anything. I'm taking Estrogel which I hear is only available in Canada!? so far so good. The most difficult part of the operation, is making the decisions & getting yourself to the hospital. After that, everything works out fine. Trust your decision & look positively to the future, whatever you decide to do. I'll be thinking of you.
Unread 11-03-2000, 09:37 AM
to dump or to keep...that is the question!

I found this thread and I think it might help you make up your mind. Best wishes,
Unread 11-03-2000, 10:53 AM
to dump or to keep...that is the question!

Thanks everyone for your replies.
Catherine, I went to the thread you highlighted and found some great information. Right now I'm thinking I'll have the left ovary removed since it is the one that bothers me and has had cysts and keep my right one. I'm also going to tell my doctor to look at them before removing and see what he thinks. I don't think I'm ready to take on the Hormone Jungle yet. Thanks again!!

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