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pcos, aub..hyster or novasure? pcos, aub..hyster or novasure?

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Unread 11-08-2006, 03:19 PM
pcos, aub..hyster or novasure?

I am new to this forum, but I am glad I found it. I am 36 yrs. old with pcos. I am finally fed up with the aub...going on 8 weeks non-stop. I have done this for many years now off and on. I have tried many different kinds of bc in the past, but can't take the side affects. I went to gyn last week to discuss a hyster and she told me to think about two other options. Novasure and the Mirena IUD. In the meantime, endometrial biopsy came back normal. My grandmother died from uterine cancer and the risk of getting uterine cancer from having pcos is very high. I know 4 people who had ablations done. One it worked and no more periods, two of them still have periods (lighter) and one it didn't work and had to have hyster anyway. I really do not want two procedures done. I really need some advice. Thank you!
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Unread 11-08-2006, 08:21 PM
pcos, aub..hyster or novasure?

Hi brizi,

to hystersisters. I understand the frustrations of PCOS, because I also have the disorder.

Before you make your decision, you will need to understand that a hysterectomy and/or oopherectomy will not cure PCOS What does your Dr think about the cancer risk factor? I know that would be a major concern for me also if I were in your shoes.

Have you tried any of the alternatives besides the BCP? I understand that you don't want to try anything unneccessarily, but there have been some women who have been helped by the Mirena and/or Novasure. The reality of the situation is that IF you try those options and they don't work, you still have the option of a hysterectomy. On the other hand, if you chose the hysterectomy first, and aren't happy with the outcome then you may wish you had tried the other options first. A hysterectomy is permanent and much much more serious and life-changing than either of the other treatments you mentioned.

When I finally decided to have a hysterectomy/oopherectomy there was nothing else that I could try. It takes longer to get the hormones balanced, but I will admit that my health has improved tremendously and I feel much better than I had for many years. I still do not have a hormone balance, but with PCOS, I never had that.

You don't mention your ovaries. If you are planning to have them removed, you will want to know if you will be able to use HRT. Without it, you will likely be even more imbalanced than you are now. With or without your ovaries, you will still need to be treated for any other PCOS issues you have. With your ovaries, the most common treatment I have read about is the bcp, without your ovaries it is HRT in some form. Either way, hormones can be an essential part of feeling your best. If you have insulin issues, you will still have them. Depending on how much your testosterone is elevated, you may still have to take something for that also. Sometimes an oopherectomy will be enough to lower the testosterone sufficiently.

You can learn more by going to Hormone Basic Resources and looking for the PCOS resources listed there.

Make sure you know as much as you can before you make your decision. Read, make a list of your questions for your Dr and make sure you are satisfied with the answers. You want to be able to make the best decision for you

Unread 11-08-2006, 09:47 PM
pcos, aub..hyster or novasure?

Thank you for your reply. I know that a hyster will not cure pcos. I have dealt with pcos for 16 years and understand it very well. I have tried many different kinds of bcp's as well as metformin. I experienced awful side affects with both. My doctor was concerned abouth the uterine cancer as well, but told me that an ablation would be protective. I am not sure how that works. My decision is between an ablation and an LSH. I would like to leave my ovaries if possible. I just wondered if it is worth going through an ablation and tubal ligation or just go for the LSH. I do not want to try anymore fertility treatments, I have done everything short of in-vitro. I am 37 yrs old and do not want to pursue that route any longer. My husband and I made that decision a few years ago. Lately, it has been the constant flooding and hemmhoraging that is interfering with my quality of life. Thanks for your insight.

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