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Overweight & hysterectomy Overweight & hysterectomy

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Unread 12-14-2011, 03:47 PM
Overweight & hysterectomy

Hi all, I'm a total newbie here (Dec 2011). I've just been told that I have endo hyperplasia, recommend hysterectomy. Have appt w/diff GYN in same practice next week (my doc doesn't do surgeries anymore). Am approx 150 lbs overweight at about 350 lbs and am so scared and fearful of not just the surgery but having to listen to all the worries I know they'll tell me about that might happen because of my size. Plus the humiliation factor looms large, no pun intended :O) I know it is the right thing to do (the hysterectomy) but would love to hear from other fluffy sisters of my size about their experiences. Also, a weird question, and I w/ask doc next week, but has anyone ever had a colonoscopy done at the same time as a hyster? Thanks all!!
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Unread 12-14-2011, 09:09 PM
Re: Overweight & hysterectomy

Hi Della

I wish I could answer your questions. We have numerous women on this site and hopefully someone with similar experiences will see this post and share.

Please talk to your doctor about your concerns. I have never heard of having a colonoscopy during your hysterectomy. So I do not know if it is possible.

Good luck to you.

Unread 12-15-2011, 12:01 AM
Re: Overweight & hysterectomy

Hi Della I too am a fluffy sister I had a TAH and my last ovary removed on the 18th of November. I was scared of what they would say about my weight and embarrassed but I had it done at a women's center where they cater to females and they were very considerate of my weight and nothing was said. Some of the nurses were in training and were even more considerate. Even the male nurses and drs were very considerate. The medical personal should be considerate of you no matter your size and they are used to dealing with all body types. It may mean a little longer in surgery depending on your type mine was 4 hours only because of the extent of scarring I had inside me they litteraly had to take it slow. They have equipment to help out fluffy patients during surgery so let that put your mind at ease. The risks should be the same they never told me anydifferent risks because of my weight. But when you see your new gyn ask your questions, express your concerns and see wht they have to say. One tip is to write down all your questions so you will not forget. the worse thing is to walk out of the office and go dang I should have asked LOL....

As for the colonoscopy I can give no advice sorry on that one.

hang in there it does get better...
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Unread 12-15-2011, 10:54 AM
Re: Overweight & hysterectomy

Della I should have added some things - for me despite being morbidly obese (I weighed 308 two days before surgery-not sure now) I was healthy, blood surgar normal, blood pressure normal,in fact I said to my family dr that inspite of being obese having pcos and this mass (my right ovary had a cyst on it) I was perfectly healthy and he said yes lol.

Although I should mention that I have athsma when I get colds it is seasonal asthma so while waiting for my surgery I was praying not to have a cold.

So do you have astham that will be a risk factor, diabetes, high blood pressure, or any other health factors that will increase the risk other than just being fluffy....

But again ask all your questions to your surgeron, let him/her know your fears. But as I said they never said anything to me about increased risks or other risks due to being fluffy. There is always risks when you go under anthestic or have surgery.

When is your date of surgery or doyou not know yet? Keep us posted to surgery date, how it goes or if you have any other questions
Unread 12-15-2011, 11:12 AM
Re: Overweight & hysterectomy

As a fluffy girl with diabetes, family history of heart desease, and high blood I was really worried abouty pre op stress test. It wasn't as hard as I antisapated. And luckily I passed with flying colors.
I am 2 weeks post op today. No one has ever mentioned my weight Everyone has treatede with utmost respect.
On another note, make sure you have a support belt or panty control that will fit comfortably after surgery. About 2sizes larger then now. Search web and u can find them. They r a life saver!
Good luck
Unread 12-15-2011, 11:19 AM
Re: Overweight & hysterectomy

Thanks all - I do have high BP, but controlled very well w/meds. I can't tell you how much I appreciate the info I've found here and that I hope to still find - I will certainly be taking a list of questions next week w/me to the doctor... Another question, my doctor (who doesn't do surgeries any more) told me that she thought I'd probably have to have abdominal because I have a "very long vagina" - anyone else ever heard of that? Again, it will be a question for the surgeon next week, but since I'm self-employed (no work, no pay), I'm hoping to keep recovery time to absolute minimum... Thanks again to all my new-found "sisters"! :O)
Unread 12-15-2011, 05:25 PM
Re: Overweight & hysterectomy

I guess I can speak better tomorrow, but I am severely overweight and having a hysterectomy.

My first doctor I went to about my problems flat out told me that he would not do the surgery on someone my size. He suggested gastric bypass and that maybe that would resolve the pain issues. Never mind the fact that there are issues with my pituitary gland that have caused a large part of the weight gain. I also informed him that I would be in a better place to exercise if I was not bleeding all the time and didn't feel like I was being stabbed 23 out of 24 hours in a day. Needless to say I didn't go back to him.

Next I went to an endo specialist who was supposed to be world famous. He never mentioned my weight, but was just content to wait and see. Wait and see about what? Were these fibroids going to do tricks? He finally did a laproscopic excision and removal of my appendix, but even in the recovery room I was asking why the pain was still there in the same place.

So my primary care physician finally convinced me to try one more doctor. He isn't world famous and he isn't a jerk. He actually talked with me and helped me think about all my options. Not wanting children made my decision a bit easier. I didn't need to preserve fertility. I kept waiting for him to say something about my weight. He did mention it, but he never used the words fat or obese, nor did he say he couldn't do it. Instead, he told me that he would be doing the surgery abdominally for three reasons. 1. Having never had a baby the vaginal route was out. 2. The latest ultrasounds, CT Scans, etc. show that their is something on or in front of my right ovary. He wants a clear view of that before he starts taking things out. 3. He told me that I was a little thick in the area where he has to do the surgery.

God love this man. He is such a sweetheart and doesn't seem to want to hurt my feelings at all. I hope I have the same opinion of him after tomorrow.

As for additional risks, my first doctor threw about 100 at me as reasons not to do the surgery. Now I realize that was more about him not wanting to do it than actual risk. This doctor has said that due to my size there is a slightly higher risk of developing a blood clot, but we will take all the precautions we can.

Good luck to you. I hope you have all this behind you soon.
Unread 12-15-2011, 06:09 PM
Re: Overweight & hysterectomy

Oh my, thank you SO MUCH for replying and best of luck, best wishes, good vibes, etc tomorrow!! Please come back on the board when you feel like it and let us know how it went...

there may be another thread for 'horror stories' for obesity and ob/gyn's, but the reason I hadn't gone to an ob/gyn for about 4 years is because: (w/abbreviate and try to keep it short): was seeing ob/gyn every year, regular exams, all well. One year, couldn't get in to see her on my schedule, so saw nurse practitioner (NP) - was great. Saw her for 2-3 years, was 52 years old, had been having really, REALLY bad periods, clots, etc, and she suggested I look into ablation. Got appt w/another OB/GYN (not one I used to see...) and when I went to appt, the assistant kept running in/out of exam room (before doc came) practically gasping at my weight (apx 350-ish), asking height, figuring out BMI. Finally, doc comes in, this little perky, chirpy person who might weigh 98 lbls dripping wet, and she says 'I'm sure you have endo cancer because you're so fat' - I was shocked and said, uh, they told me to come see your about an ablation. She said, oh my, no, you're too old, 50 is our cut-off and way too fat. She said we have to do a biopsy, at this point, I was completely freaked out but just wanted to get it over with. Sched biopsy few days later. She kept talking, during the biopsy, about how large I was, how she needed special instruments, she might need "a team of specialists" (direct quote, I kid you not...), how because I was 'big on the outside, I was also big on the inside' etc. I gritted my teeth and got thru it. Fortunately, that biopsy came out neg. She was shocked and wasn't shy about letting me know. After that, I went to my PCP for reg paps, etc, but kept having lots of bleeding. PCP recommended diff GYN, said was really nice, etc, so I went. I started to tell her about my horrible experience (she was asking why I was already crying when she came in the room; I swear, I was having flashbacks), then kind of just cut me off verbally with a "well, that was then, this is now" kind of comment. She did a pap (fine) but said we should wait 6 months for a biopsy because (discussing the weird bleeding I was having) I wasn't menopausal by hormone level yet, 'abnormal is normal' and "doing a biopsy on me would be really hard." Sigh. Needless to say, I was relieved on the one hand about the biopsy, but not thrilled w/her level of caring/care. Oh, when I asked her to do a breast exam, she literally did like one or two 'squishes' on each breast - that's it. My immediate thought was "LAZY". Anyway, fast fwd to now, new OB/GYN is same one I went to a decade ago. Very nice, respectful, but doesn't do surgeries anymore so recommended another doc in her practice, who I w/see next week. Sheesh.

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