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more questions than answers concerning LSH more questions than answers concerning LSH

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Unread 09-09-2011, 05:56 PM
more questions than answers concerning LSH

I was told a couple of weeks ago that I was going to have a TLH/BSO. I had come to terms with having everything removed, because I am just so tired of hurting all of the time. I am ready to have normalcy....or a version thereof. I have severe endometriosis with cysts and adhesions. I have dealt with the heavy bleeding and pain for 20 years my entire mentration history, but it's just been constant for the past 5 years.

I was just informed, though, on my pre-op tuesday that my doctor is leaving my cervix. I don't know what to think about this. Can endometriosis affect my cervix as well? What are the risks to leaving my cervix versus removing it?

I am scared, also, of the way my body is going to react to going into surgical menopause. I don't want to allienate those around me. I am so paniced that I am going to be so moody and hateful that people aren't going to want to be around me. I don't really worry about the hot flashes so much, but I would like suggestions on how to deal with the whole situation.

Any stories or suggestions would be greatly appreciated.
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Unread 09-10-2011, 07:24 PM
Re: more questions than answers concerning LSH

Originally Posted by iamnotalone View Post
Can endometriosis affect my cervix as well?
The short answer is yes it can. That was the reason for the removal of my cervix. It was not only affected by endometriosis but the endometriosis was also causing my abnormal paps.

Whether or not leaving the cervix contributes to more endometriosis is another topic altogether! If you and your doctor believe that endometriosis begins as actual endometrium, then leaving the cervix could lead to new endometriosis. The cervix is not a separate organ but rather is the neck of the uterus. Thus there is no dotted line to tell a surgeon where to cut the uterus so that only the cervical portion remains. Hence sometimes endometrial lining is left with the cervix. If endometriosis originates with the endometrium, then theoretically that bit of missed endometrial lining could allow for more endometriosis.

Also, if any endometrial lining is left and one keeps at least one ovary, mini periods can occur.

As far as the general risks of keeping or removing the cervix, endometriosis aside, it depends on who you ask! There are doctors and women who will sweat that the cervix provides pelvic support, aids with sexual pleasure, provides vaginal moisture, on and on and on. There are just as many doctors and women who will sweat it does not do any of the above.

From my own personal experience, I can tell you that I don't miss my cervix in the slightest. Having had a cervix for 25 years and now not having had one for almost 11 years, I am in a position to positively state that not having a cervix has in no way impacted my life EXCEPT that I no longer have abnormal paps! Granted, uterine contractions no longer occur with orgasms but they likely would have been gone even with a partial hysterectomy. My pelvic support is fine, I have plenty of vaginal moisture, sex is not an issue, etc. etc. etc. We made the best decision for me based on my circumstances and I have been fine with that choice.

If you have questions and concerns about YOU personally, talk to your own doctors and seek a second opinion. We will not all make the same decisions nor is the same decision the right one for all of us.


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