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Menopausal & upcoming hysterectomy Menopausal & upcoming hysterectomy

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Unread 11-16-2011, 04:10 PM
Menopausal & upcoming hysterectomy

I am currently in the throes of menopause at 51 yrs old. My last real period was about 4 months ago and I've been having a steady stream of hot flashes for probably a month or two now.

I am scheduled for a hysterectomy in 2 weeks. Here's why:

I started spotting between periods about a year ago. I had minor spotting issues before that my doc felt was due to my fibroids, but it became an almost daily occurrence so we scheduled an endometrial biopsy in March. She had great difficulty getting her instrument into my uterus during the biopsy and was skeptical that she had even gotten endometrial tissue...but she sent it to the lab. It came back as "approaching simple hyperplasia". She said with the fibroids (one the size of an orange) and now the hyperplasia issue, that I should go ahead and get a hysterectomy. She recommended taking the ovaries also due to my age. Due to scheduling issues I couldn't get into surgery til July. Two days before the surgery I cancelled because I was having so many doubts about the necessity of the surgery. I then went to seek a second opinion.

I went to see the new doc in Sept. She did an ultrasound & said the fibroids had not grown any since March & we would do a D&C to get a clearer picture of my hyperplasia issue. Well that was a total bust because she also had great difficulties reaching the uterine tissue and created what she called a "false passage" other words, no viable endometrial tissue. We tried ANOTHER endometrial biopsy last week and that once again came back I feel like I am left with no other option but to go ahead and have they hysterectomy. She is suggesting taking ovaries, tubes, uterus and cervix.

My question is, that since I am already having pretty strong menopause symptoms, will hormone replacement be necessary? I can't imagine that the hot flashes could be any worse than they are now.... also....I am anxious about removing my ovaries, but both docs were of the opinion that I should go ahead and take them out considering my age and perimenopause status.

The thing that bums me out the most is that I may be having this surgery for no real valid reason...the only real piece of sampling I have....gave me the result of "approaching simple hyperplasia".
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Unread 11-16-2011, 07:47 PM
Re: Menopausal & upcoming hysterectomy

I cant offer advice, but feel your pain. My uterine issues are different and I am a tad older at 54, but in the same boat. Nearly nonstop spotting with periodic heavy bleeds and we know there is "stuff" in there that does not seem to want to go away and needs taking out. Failed a few tests and I too am going to go straight into the big M as he is taking everything except my cervix. He told me given my age and my proximity to M anyway, he doesnt expect me to have any more issues than I have already been experiencing, like hot flashes, night sweats and vaginal dryness. All that said, I do wonder if hitting the wall all at once is going to make me completely pyscho, as despite these physical problems, I am fit, otherwise healthy and super busy and dont want to screw all that up. My surgery is next week - look for my post op replies and maybe you will get a glimpse of the future? Who knows. Hugs to both of us!
Unread 11-16-2011, 08:07 PM
Re: Menopausal & upcoming hysterectomy

I am a little younger than you both, but was similar as far as peri-menopause and all the symptoms. In fact I started a topic here to ask for others' experiences. You can find it at if you want to read the responses so far.

I will say that since my hyster 10 days ago (I had everything taken, due to fibroids, polyps, adenomyosis and ongoing ovary issues), I haven't yet experienced any hormone type symptoms, and I am hoping to avoid HRT due to my medical history.

Best of luck, Princesses!

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Unread 11-16-2011, 08:11 PM
Re: Menopausal & upcoming hysterectomy

I was in a similar situation. I had been having hot flashes and irregular periods for 2 years before surgery. The flashes weren't all that bad so when my doctor insisted he wanted to take my ovaries, I insisted back that I wanted to keep them. Long story short, I won the battle. After my hyster, I did a lot more reading as I had the time. I discovered that ovaries continue to produce a low level of hormones even after menopause. I also discovered that sometimes, ovaries stop working or go to sleep for a while due to their blood supply being disrupted. In my case, I believe they are working again as I go through a few periods where I have no hot flashes. I must say though that the hot flashes are a little more severe than pre-hysterectomy although they are thankfully very short. This might have something to do with the blood supply issue. In the end, I am very glad that I kept my ovaries as I totally feel like myself with no mood issues at all. Not to say it will be the same for you, but I wanted to give you my experience.

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