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removing the cervix removing the cervix

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Unread 08-19-2007, 02:31 PM
removing the cervix

I am going to get a hysterectomy. As of right now I am scheduled for a vaginal hysterectomy. I was under the impression that I could keep my cervix but after reading I am finding that it is removed with this procedure. I am going to phone my doc tomorrow to find out what he thinks about me keeping my cervix. I have never had problems with it so why should it be taken out. My problem is my uterus and endometriosis. This is where I have had my laps done before and the doc said that it effected my uterus mainly with some found on my right ovary but that was minimal. So, for those women who have had this there that much of a difference? I am not sure of what to think at this point. I have been trying to read as much as I can but my answer is not found. So, how important is it to retain the cervix?
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Unread 08-19-2007, 02:54 PM
removing the cervix

I don't know the pros and cons of keeping your cervix. Since I'd had an abnormal pap, my cervix was removed. I haven't noticed any difference except that it's just not there.
Unread 08-19-2007, 02:59 PM
removing the cervix

I am kind of getting red in the face here, I guess my main question is if I had the cervix removed does it effect my sex drive?
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Unread 08-19-2007, 03:04 PM
removing the cervix

The cervix should have no effect on sex drive, as that is affected by hormones, specifically testosterone. Testosterone is produced by the ovaries. When these are removed, synthetic testosterone can be taken under the tongue, as a patch, as an injection or as a cream. You can ask your doc about it. This is just what I've gathered in my research. Hope it helps you.
Unread 08-19-2007, 03:50 PM
Didn't effect me

I had a TAH 2 years ago. Considering I didn't have a sex drive before that bc of the pain, sex only got better. Then about a year later I started having pain again, only to have my doctor tell me it was gas. But how can gas effect a sex drive and cause that much pain during sex? However, he was the doctor. So I took a pill and went on with my life. About 8 wks. ago, I had my left ovary removed due to a 5 in cyst wrapped around my bowel and ovary, obviously got a new doctor. My sex drive is great now!!! My husband has NO complaints any more.
Unread 08-19-2007, 08:16 PM
removing the cervix

Good to ask questions. I don't see how you can keep your cervix with a vaginal hystr. For me the benefit of keeping my cervix was that there was no need for a bunch of stitches and a much shorter recovery time. When the cervix is removed it leaves a big opening at the top of your vagina that needs to be closed and healed. Takes at least four weeks to heal. Also, when the cervix remains, so do the muscles that hold it in place. The LSH is done all laproscopically and is a slick way to have a hyster. There is lots of info here for you to find. I liked seeing a video of the surgery, Google 'surgery videos' and you can find lots of videos if that's your thing. Sex should be great sooner!

Not all Drs can do this surgery, make sure your Dr isn't suggesting a surgery because that's what he can do. Ask about the LSH (laproscopic supracervical hyster). Good luck and keep on asking questions and researching.
Unread 08-19-2007, 08:40 PM
removing the cervix

its a personal decision and you can read all kinds of pros and cons. i chose to keep mine because it was healthy and i didnt want anything healthy removed. i also kept it because i read it helps with pelvic support and for lubrication.
if you choose a vaginal hysterectomy, you dont really have a choice. i had to travel 2 hours for my lsh and it was the best decision i ever made. i had an easy recovery and feel fantastic. dont be afraid of getting a second or third opinon. make sure you are positive and fully informed before you have surgery.
good luck
Unread 08-19-2007, 08:45 PM
removing the cervix

I'm having a TAH in about a week. When the dr. said that he was going to remove the uterus and cervix with the procedure, I asked him why the cervix?! He said they just usually do it that way and explained (I think it was him that said this - could have been something I read) that the uterus and cervix are not two seperate entities. He said that the cervix is the lower part of the uterus. Which I didn't know - and please correct me if I am wrong! Anyway, he then went on to say that I will never have to have a pap smear again and laughed. I have never had an issue with the pap smear, but whatever. If it's still necessary to go to the gyne once a year for a checkup, what difference does it make if you get 'the swab'. lol Anyway, I contemplated keeping my cervix for a short period of time and decided that there is no way I'm going through a hysterectomy and wind up having a mini period (like some women do). I don't want ANY vaginal bleeding after I'm healed!! lol So my cervix is gonna be a goner. However, I have read that some surgeons will coterize (SP?) the cervix if it is left in tact to help prevent the mini period. I donno - that's not a chance I'm taking... : )
Unread 08-19-2007, 10:52 PM
removing the cervix

Hi Athenafdm127,

Like Pattypat and Dressedupinblue, I decided to keep my cervix with my LSH.

I had normal pap smears for years and my cervix was sturdy. My Dr. told me that he felt the cervix helps with pelvic support and with sex. You can get 2 schools of thinking on that. Also, my Dr. said that cervical cancer occurs in approx. 3% of women - and from being on Hyster Sisters - I read that over 75% of that 3% also have a HPV. I did not have a HPV in pre-op so that helped with my decision to keep my cervix too.

Also, Salam brought up the chance of a mini-period. If a Hyster Sister keeps one or both ovaries and the cervix, there is a chance of a mini-period in post-op. In my case, I had my cerrvix cauterized during my hyst, and I have not had a mini-period . Cauterization does not guarantee no mini period...and it helps a lot.

In the end... do what is best for *you*. In discussions with your Dr., I am sure you will decide.

Unread 08-19-2007, 11:29 PM
removing the cervix

I am having the lap w/vag asist H. Mine is also b/c of endo and ovarian cysts. Yup why i was off the board for a week b/c one got HUGE and burst on me! I had found a new dr and LOVE him. He is one of the few drs in my town that has experience with this surgery. I went into my pre-op with my hyster-sister questions plus about 100 more. Bless him as he spent 45 minutes with me even bringing out pics and real life size models of all the parts as he explained in detail the surgery. b/c of my female history its all going! To do the lap/vag H it all goes. After they get the ovaries, tubes and 3/4 the uterus thru the belly button then go in vaginally to 'get the rest.' As Salm posted, the uterus and cervix are the same piece with the cervix being the opening. When I saw the model I understood. After the first part of the surgery there is a little stump left--the cervix and tiny part of the uterus...I also asked about leaving the cervix but was told it left a higher chance of complications...its scarey taking the cervix. there was a large thread about it a week back here. If you are uncomfortable with having the cervix removed be sure to go over with your dr. I am sure there are more skilled/experienced surgeons that are able to perform the surgery elsewhere. We live in South Texas and I found the only couple of drs who can even do the procedure I am having (and only one hospital that is 'prepared' to handle it. Given all my med issues, I am comfrtable with having the C removed. But ONLY after I spent so long with my dr going over pros and cons...Oh but I still need paps! Only every couple years but I was surprised...I just keep thinking of a little sock monkey toy after hearing how dr is going to sew up the top of the vagina. think he must have used a tube sock as an example.

One of my friends had her uterus and cervix removed d/t prolapse and fibriods. She said her sex life IMPROVED! I am hoping to be as satisfied -heehee- when I get thru it.

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