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Pre Op this Friday - Need Help Pre Op this Friday - Need Help

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Unread 04-21-2004, 09:24 PM
Pre Op this Friday - Need Help

Dear HysterSisters:

I go for my pre op. Friday. My second surgery (TAH) is scheduled for Tues. 04/27/04 (onc/gyn doing surgery). My first surgery was a TVH on 2/25/04 (done by my gyn) which they found cancer of cervix invasive endocervical adenocarcinoma. I have a few questions and hope they don't sound stupid but I thought someone here might be able to help me with answers.

What does BSO mean that I sometimes see after TAH?
I'm told they will take my ovaries does that automatically mean they will take tubes? They are connected right?
When you are thrown into surgical menopause do the doctors give you some type of horomone injections before or after surgery? Or do they start you on a low dose of estrogin after surgery?

The surgery jitters are starting to creep in on me. They said I would have an incision belly button down - so worried about the hurt. Any advice or experiances would be greatly appreciated.

Thank you,
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Unread 04-22-2004, 08:07 AM
Pre Op this Friday - Need Help

Hi Donna!

A BSO means the DR will take out both ovaries and the fallopian tubes. The nurses put a estrogen patch on me after my TAH. I had a USO. They left one ovary in me. It had a cyst on it, but DR cleaned it up and put it back in. I did have the symptoms of surgical menopause within 24 hours after surgery. I wish I'd known at the time what I was going through. I was a basket case. The estogen patch they put on me was a .025. Not at all what my body was used to. DR gave me a prescription for .1 patches. I used up 3 of a pack of 8. I would change them every 3 and half days. At my 2 week post-op DR told me to stop with them and see if myovary had kicked in. It had. I have 5 left and am taking them with me when I have my 2nd look surgery in July. I never want to go through that again( the hormone drop) I'll take theirs off and put on one of mine. Talk to your DR about it, I never thought too.

I have the up and down incision. The oncologist special they call it.
By the sixth week I didn't feel it anymore. Yo'll feel good by 2 weeks. Wear the tummy binder the first week religously. Try to stand up as staight as is comfortable. I'm going to get the binder they sell here for next surgery. It sounds heavenly.

Good luck!! I'll be thinking of you.
Unread 04-22-2004, 10:19 AM
Pre Op this Friday - Need Help


At the top of Cancer Concerns is the subject "Trish's Pathology Dictionary". A BSO is a Bilateral Salpingo Oopherectomy. It does involve removing both ovaries, fallopian tubes, and the uterus.

I understand only too well the jitters that you are now experiencing. I was terrified, BUT my SAH/BSO saved my life. But, on the day of my operation, I had a sense of calmness - probably due to some medication that they gave me! (It is a SAH as I kept my cervix - Supracervical). You need to ask your gyn/onc - and that is the type of surgeon that you need, and you have one - explain what kind of operation you are having. And try and take a friend with you, if you can, for feedback, or take paper and pen with you to write down your gyn/onc's answers to your questions. Ask for a booklet on procedures - they often have them in office.

Re: surgical menopause - which I like to call instead 'instant' menopause, I was neither offered nor did I ask about HRT. I do remember sweating quite a bit in my hospital bed after the surgery, but it is not a problem anymore. Maybe part of it is my mindset - I had viewed menopause as a natural transition in a woman's life, at a certain age, and was at the age of 50 last year when I went into 'instant' menopause. There was no more guessing for me! then. I was in menopause. And, I do not think about that too much, actually.

One thing that I have read is about some test that determines one's hormone levels before such operations; then, after, if a woman decides on HRT, there is some baseline. (I think that I have this right). I probably would have asked for that test if I had known about it, just in case I ever decide to go on HRT.

And re: any pain - no one should be in pain, and they will keep you nicely medicated!

All the best, and a big
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Unread 04-22-2004, 02:16 PM
you'll do ok.

First, how old are you? I had discovered through the process of dx. that I had finally hit menopause. The symptoms I had lasted a number of years. I'd tried prempro years ago for the hot flashes and it really didn't work. Ask you doctor about HRT. Mine told me since i'd already suffered through the worst, I should have no more problems. Didn't matter anyway, since she wouldn't prescribe anyway, due to cancer. Some doctors will, some won't. I found that the hot flashes, night sweats, etc. were quite manageable, if not a bit annoying. So, if you end up in instant menopause and won't be using HRT, just remember that it has been the norm for women all over the world forever. It's doable.

I too had the verticle incision and having had a big one for a previous gallbladder sugery wasn't much concerned about that. You'll be rather sore, you won't open up (most fear this), and getting up and out of bed will be a tough challenge for a bit, but again, it's doable and it heals and then, you get on. Recovery was longer for me than I'd expected it to be. It's not a piece of cake but, some women do real well and others just take longer.

Discuss all the details with your doctor. Pre-op area, when do you get your nice la la drug..(get it as soon as you get to the hospital) if you can get that.. you won't care one way or another if you go to the moon or surgery. I had to get the A man to agree to it early.. he liked to do it 5 min. before surgery. Heck with that. Get it while you're waiting and waiting and waiting in the cold little pre-op area with nothing to do but freak. You'll be happy.

I found knowing all the details and what happens when and next really helps the fear factor. The surgery itself...a breeze.. you sleep through it. Recovery can be rough or, you won't even remember being there. It's all doable. Write down the questions and give the list to the doc to answer every one of them. You write down the answers. Good luck to you... wishing you a good surgery and recovery.
Unread 04-22-2004, 03:59 PM
Pre Op this Friday - Need Help

Thanks for all the info. I'm 40 years old. I questioned taking HRT and I was told by my gyn. that at my age I needed it for my heart and bones. He did tell me that as I get older I will be able to lower my dose and eventually get off of it. Doesn't HRT cause breast cancer? I'll be sure to ask the gyn/onc this question in the morning. From what I've read here on different posts when you are thrown into surgical menopause you feel the symptoms right away. What are the symptoms anyway? Hot flashes, what else?

Also, does anyone know is there a link between cervical adenocarcinoma and breast cancer? Just wondering.
Unread 04-22-2004, 07:15 PM
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I was 37 when I was thrown into surgical menopause. After enduring a number of months dealing with a total inability to sleep coupled with horrible hot flashes (which were somewhat lessened by exercise), I finally listened to my doctor and started taking HRT. He said over and over again that HRT does not cause breast cancer. There are obviously reports to the contrary, but he reads oncology trade papers every day, and works in the field, and is on the younger side, so . . . who knows? In any case, once you've had ovarian I think your risk of breast does increase a bit.

Wait a minute!

One of my gyn onc surgeons just came to my house. What they've shown in the latest randomized five-year studies is that estrogen WITH progesterone for use greater than five years can cause a slight increase in breast cancer. But estrogen alone does not.

If you have a uterus, you would take progesterone to prevent endometrial cancer. But since you're having a TAH, you won't need it.

This is straight from the mouth of a gynecological oncologist who happens to be at my house right now. Just a coincidence that she came over while I was typing this.


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