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Ovarian Cysts and TAH Ovarian Cysts and TAH

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  #1  
Unread 12-23-2001, 09:34 AM
Question about Ovarian Cysts & TAH

I have a question for those of you that had ovarian cysts prior to your surgery. Was the doctor able to remove the cysts (even large ones) and leave your ovaries intact? Or, did you have to have one or both of the ovaries removed because of the cysts? My pre-op isn't until the 26th, two days before my surgery, and this particular question has been bothering me quite a bit.

Because I have already been suffering from a "hormonal imbalance" for several months, probably because of the cysts, I'm wondering if removing them will allow my ovaries to function normally again, or, if it is likely that the cysts have damaged my ovaries enough that they will need to be removed. I have a very, very large cyst on my right ovary, and a smaller one on my left ovary.

When I last spoke to my doctor, he was on his way to deliver a baby, so he was obviously in quite a hurry. He didn't mention the cysts at the time (this was post-op from my exploratory lap), he just asked me was if I wanted to keep my ovaries. I'm only 24, so of course I'd like to keep them! I'm so worried about having them removed once I'm in surgery, and having to face a lifetime of hormone therapy ahead. I also have endo, but not very badly, as far as he could tell (from the whole 5-10 minutes my surgery lasted).

Anyway, I realize that everyone's experience is a little bit different, but I'd love to hear what others had done in a similar situation.

Kristine
TAH scheduled 12/28/01
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  #2  
Unread 12-23-2001, 10:38 AM
Ovarian Cysts and TAH

Hi Kristine!

You are so right to be asking these questions! I agree with you wholeheartedly in your wanting to keep the ovaries if they are healthy. I think it is a good idea to ask your DR to preserve them both if possible, or, at the very least, keep the other ovary intact. Sometimes it is hard for the DR to know what will be necessary or possible until s/he is in surgery looking.

I had to have both ovaries removed because the right ovary had a very large precancerous tumor engulfing it, and the other had 'suspicious' growth on it as well. I did not have a choice.

If I were in your shoes, I know that my answer to the DR's question would be YES, I want to keep both ovaries if they are healthy!

Hope this helps! Best of luck - please let us know how things progress for you.
  #3  
Unread 12-23-2001, 11:21 AM
Ovarian Cysts & TAH

I had an ovarian cyst removed from my right ovary 24 years ago. It was 8 cm which is pretty large. It was successfully removed, never grew back and I haven't had any problems with the ovaries functioning normally after that. I had two children and never had any problem conceiving. I realize that everyone is different but yes, cysts can be removed from ovaries.
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  #4  
Unread 12-23-2001, 11:23 AM
Ovarian Cysts and TAH

You need to really question the doctor at pre-op. My doctor was going to do a biopsy on my (cyst), and found out it was the endo wrapped all around the ovary and had adhered it to the wall lining. Mine weren't producing hormones anymore though. As young as you are, I would consider keeping them as long as they are healthy and producing hormones. Of course, the doctor may not know everything til he goes in and sees the situation.
  #5  
Unread 12-23-2001, 11:33 AM
Ovarian Cyst Also

Hi there-
Sounds familar - I also had a very large ovarian cyst (11x13 centimeters) that was discovered at an annual exam when I was 25 years old. An ultrasound also showed solid mass and the dr prep my husband and myself for the possibility of a complete hysterectomy if during surgery he discovered cancer. Well he was pretty optimistic after surgery (large vertical incision) and informed me that he had to remove my right ovary and tube becuz the tumor was all twisted in it, but he did leave the other ovary and tube. Then the pathology came back that the tumor was borderline malignant so he sent me to see an ovarian cancer specialist in Boston. Basically the both of them said the same thing - "if you were my wife you would have a complete histerectomy in five years (after your childbearing is complete)". So here I am today, 36 years old, and just had a TAH (removed other ovary) 3 weeks ago and am feeling great. I didn't have any current disease but felt it was something that I needed to do to put my mind at rest. Chances are they won't know for sure until they do surgery, but like Toonces said you should try to preserve one ovary if possible (you didn't mention if you have children or want to start a family). It's definitely a frightening experience - my thoughts are with you. Keep us posted! Take care JoAnn
  #6  
Unread 12-23-2001, 01:06 PM
Keeping One Ovary

Thanks for the responses! I already have four kids and have had a tubal ligation, so more kids are clearly out of the question. And actually, the TAH isn't being done because of my cysts, but rather because of the extensiveness of the adhesions that I have (my uterus is tipped sideways and attached to my abdominal wall, my bladder, bowels, ligaments, etc. are all attached by adhesions also)...but I'm wondering, (and I'll hopefully remember to ask my dr this as well!) if he does have to remove one ovary, will the other still function normally and produce enough hormones for me? Or, is there a chance that the other will shut down? Since my hormones are so wacked out right now anyway, I honestly don't know what is going on with my body anymore! I suppose nothing is really known for certain until they do it, but it's so nerve-wracking not knowing!

Kristine
TAH 12/28/01
  #7  
Unread 12-23-2001, 01:23 PM
One Ovary

Hi again Kristine-
I only had one ovary for the last 11 years and had no problems - even conceived my son. Alot of people think that you will only ovalute every other month if you only have one, but the other ovary actually kicks and and fills the gap. As long as your other ovary is healthy you should be allset. But you are right, you probably won't know until after you do it! The wondering and waiting is the worst part!! Good luck and keep us posted.
  #8  
Unread 12-23-2001, 05:03 PM
Ovarian Cysts and TAH

HI!! I had TAH and was left with one ovary. No problems and no HRT. My doc says it should sustain me until I reach menopause which is about 8 years away. So, I am hoping it continues to do "its thing" because I am having no problems and I like it that way!
Feeling great and very glad all of this is behind me. Its nice to be able to enjoy life with no pain, pressure, bleeding, and PMS!
Good luck to you!!!!!
MB
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