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question about gyno/oncologists question about gyno/oncologists

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  #1  
Unread 07-14-2006, 11:11 AM
question about gyno/oncologists

I just had a endometrial biopsy done and am waiting for the results to come back next week. The reason I had the biopsy was because of postmenopausal bleeding, chronic pelvic pain and a 12 week asymetrical uterus. I think this is from a large fibroid.

The question I want to ask is: If my biopsy results come back negative but the doctor recommends a hysterectomy will I be able to go get a second opinion from the gyno/oncologist? Would they be able to perform the hysterectomy if the biopsy is negative? The reason I ask is that I am already not happy with the gynocologist I saw who did the biopsy. I didn't feel like I could talk to him at all. In fact when I tried to tell him something about some co-existing conditions he actually just cut me off totally . I just don't get a good vibe from this guy at all. He is an older guy and he seems to ignore me and talk down to me. I've found a gyno/oncologist in my network who is a female and I would like to go and see her for a second opinion. What do you think? If the biopsy is normal would it be possible to get the gyno/oncologist to still do the surgery or do they only do hysterectomies on someone with a firm cancer diagnosis? thanks again for all the help and support here,
jane
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  #2  
Unread 07-14-2006, 11:35 AM
question about gyno/oncologists

Hi Jane,
You definately need a second opinion from an onc/gyne and yes they will do a hysterectomy even if the biopsy is negative.
As lots of us have said many times.....a regluar gyne is great for delivering babies BUT an onc/gyne is the only specialist to see if there is the slighest chance that cancer may be present.
Good luck to you and keep us posted.
Rosalie
  #3  
Unread 07-14-2006, 01:37 PM
question about gyno/oncologists

Why wouldn't you be able to ask for a different doctor, or a second opinion? If you don't like your doctor, get one who you do like!

Janie
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  #4  
Unread 07-14-2006, 02:16 PM
question about gyno/oncologists

Hi Janie,
We don't have a lot of doctors in our network so I don't have tooooo many options. Seems like half of them are in the same practice as the one guy I don't like :-) I will definitely try and find somebody else unless my opinion of him changes dramatically the next time i see him.
  #5  
Unread 07-14-2006, 02:36 PM
question about gyno/oncologists

Hi Jane,

I would definitely get a second opinion from a gyn-onc. Also, if you aren't comfortable with your gyn consider finding a new one. Health difficulties are trying enough without dealing with a doctor you don't feel comfortable with.

Perhaps if you like the female gyn-onc, she could recommend a new gyn for you?

I hope everything works out well for you.

Best wishes and s
  #6  
Unread 07-14-2006, 02:41 PM
gyn/onco

I also had post-menopausal bleeding and my D&C showed endometrial hyperplasia with atypia. This is considered pre-cancerous and on occasion an early cancer of the endometrium is found during hysterectomy. That is why a gyn oncologist is important.
My regular ob/gyn sent my biopsy slides for 3 opinions and called in the gyn oncologist to do my hysterectomy.
I saw him pre-op. Hysterectomy is the treatment of choice for this problem ( in post-menopausal women)because it is difficult to monitor if and when it would turn to cancer.
Definitely find a doctor you trust; your life is in his or her hands.
  #7  
Unread 07-14-2006, 04:32 PM
question about gyno/oncologists

If you live in the states (it sounds like you do), call the insurer, tell them you need a second opinion fast and why, and see if they refer you.

Some insurers do require a referral from a primary physician first, and I did do that myself.

I wasn't happy with my gyneocologist, who for two years told me I was going through peri-menopause and never did a CA-125, endometrial biopsy or pelvic ultrasound, even though I had increasing pain, heavy bleeding and clotting, and bloating AND a family history. As you can see from my signature line below, peri-menopause my a**!!

When I went into the hospital for kidney stones, the urologist (yes the urologist) told me I needed to get to another gynecologist ASAP-- that he thought I needed a hysterectomy but of course, he was a urologist, and I really needed to see someone (he told me later that based on my test results, anemia and reports of the above, he was pretty sure about what he told me).

I called my family doctor, and he provided me with a referral. I was at the other gyneocologist within days. Some insurers do require that a gyneocologist or family physician refer you to a gyneo-oncologist. It all depends on what plan you are on if you are in the US.

You don't have to explain yourself to your first gynecologist. Just get to another one if you need to feel more comfortable.

Also, several of the hospitals in my area have gyne-oncology specialities and I believe you can just try to call and get an appointment, if your insurance doesn't require a referral. Let your insurance company know what you are doing beforehand, why, and of course, be prepared to pay a higher deductible for a specialist, if that's what your contract stipulates (remember, your health and life are more important than money).
  #8  
Unread 07-15-2006, 08:28 PM
question about gyno/oncologists

Thank you all again for the great advice!! Truly appreciated!
jane
  #9  
Unread 07-16-2006, 06:39 AM
question about gyno/oncologists

Hi Jane,
Just want to chime in to say pls get that second opinion by a gyn/onc even if the biopsy proves negative. They are the experts when cancer is even suspected and sometimes a clear biops may not mean 100 percent assurance nothing is lurking. There can be a number of test which can be done and a gyn/onc would know better if these were needed, etc. Pls let us know how you make out.
s,
peggiesue
  #10  
Unread 07-16-2006, 02:04 PM
question about gyno/oncologists

  Quote:
Originally Posted by Rosalie
Hi Jane,
You definately need a second opinion from an onc/gyne and yes they will do a hysterectomy even if the biopsy is negative.
As lots of us have said many times.....a regluar gyne is great for delivering babies BUT an onc/gyne is the only specialist to see if there is the slighest chance that cancer may be present.
Good luck to you and keep us posted.
Rosalie
Thanks for addressing that, Rosalie. I too am waiting for the results from my endometrial biopsy and wondered under what conditions should I see a gyn-oncologist as opposed to a regular gyn.

I have been previously diagnosed with CIN1 (cervical) and some abnormal cells of the breast. This latest problem was abnormal heavy and prolonged bleeding, but no cramping.

I go back on the 27th to get my results.
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