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Just decided to DO IT. Just decided to DO IT.

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Unread 02-05-2003, 12:35 PM
Just decided to DO IT.

After 2 visits to doctors in past 6 months w/both saying, Lord, you should have that out, that fibroid is the size of Montana, and the decision to change my job later this year which means losing my fantastic health insurance, and the fibroid pressing on my bowel so that just passing gas starts it bleeding: well it's finally time for surgery. This is a Wednesday; Friday I go in to set it all up. Am not really nervous because it doesn't seem real yet. And I still hope to convince them to give me a simple SAH since I have no problems with ovaries or cervix. Does anyone know if a large fibroid presents a problem for the navel extraction? I thought they just chopped everything up first anyway in order to get it out that little hole. Also despite turning 50 I want to keep my ovaries and wonder if they will try to talk me out of it. They aren't a problem, I'm incredibly regular, & I think "cancer prevention" is an absolutely ridiculous reason to remove organs unless there's a genetic predisposition. Which I dont have. Am sure I'll be more nervous as time goes on but right now have a very good feeling about this. Like, GET IT OUTTA THERE!
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Unread 02-05-2003, 02:00 PM
Just decided to DO IT.

I too go in for a hyst at the end of this month. I am 29 and have endo and a right ovary that is always hurting. They are doing a LAVH/RSO on me and I cannot wait. I am so tired of hurting. You know what I mean, don't you? I have heard that fibroids are very painful. I hope you do well and stick to your guns on what you want done. It is your body after all! God bless, Marni
Unread 02-05-2003, 03:24 PM
Just decided to DO IT.

Hi Kivah --- Welcome to Hystersisters!

Typically, it depends on how big your fibroid is and which surgical method your doc feels is the best to remove it. My doctor will try with laparoscopic method up to about a 14 week size uterus....and you are right they have to "morcellate" (cut up) an enlarged uterus in order to remove it----that's what happened with my surgery because my uterus was 12 weeks size.

I was 49 at the time of my surgery and chose to have my ovaries removed, although my doctor told me he would leave them if I wanted to, and if they looked healthy when he got in there. I chose to have them removed because I only wanted to have to go through surgery once, and I was already getting into menopause. Turns out my choice was prudent, as I had undiagnosed cysts on both ovaries.

We are all very individual with this choice. It's always a good idea to keep ovaries if they are healthy.

Here's a link about ovaries:


And another good one with good questions to ask your doctor prior to surgery:


Keep reading and posting as much as you can. The more info you have, the better prepared you will be for your surgery and recovery.

Let us know when you get your surgery date.

Best Wishes and good luck!
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Unread 02-05-2003, 04:17 PM
Just decided to DO IT.

Good Luck
We will be here to support you.
Unread 02-05-2003, 04:52 PM
Hello Kivah

the size of your fibroid will determine the cut. Mine is grapefruit sized so I am getting an SAH. My doctor said yes they can cut it up but the large size creates too much opportunity for bleeding. I also am keeping the ovaries. Your comment GET IT OUTTA THERE are my sentiments exactly. I just visited with my doctor this afternoon and she said she's never had anyone ask for their uterus back once they GOT IT AND IT"S FIBROID FRIEND OUTTA THERE!!!!

Good luck
Unread 02-05-2003, 08:54 PM
Montana Maybe


There isn't a standard as to when the uterus is too big to morcellate - it varies by doctor and probably other factors. I was at the 18 - 20 week size and had LSH without a hitch. I did have a larger incision (about an inch) at the bikini line that may have been used to remove the slices. The morcellator is usually an electrosurgery instrument, so bleeding isn't as big a problem as with conventional surgery. So "Montana" may not be too big!

Good luck
Unread 02-05-2003, 10:16 PM
Hi Kivah,

Actually, an SAH means that you are having an abdominal incision, not a laproscopic procedure. Is this what the doctor recommended? There is a longer healing time with an abdominal surgery, usually a 6 to 8 week recovery, but in the case of large fibroids and/or an enlarged uterus, sometimes it's the only option.

Another consideration is that in keeping your cervix AND your ovaries, you may have "mini-periods". Not all women have them, but some do. Usually, it is just spotting - only requiring a panty-liner each month. But in a few cases that I have read about here, there is quite a bit of bleeding, and several ladies have had to go back in and have their cervix removed because the bleeding was excessive. Sometimes doctors don't mention this fact to their patients opting to keep cervix and ovaries. After researching this, I opted to have my cervix removed - I don't want ANY periods, mini or otherwise!

Best wishes on your upcoming surgery, and lots of s and prayers for an uneventful recovery,

Unread 02-06-2003, 06:16 AM
HI Kivah

I had a TAH for my fibroids, the horizontal incision is about 5 and a half inches long. I was so relieved not to get a vertical incision as my Dr had suggested that it might be a possibility given the size of my uterus (20 wks) He said it was the lumpiest uterus he had ever seen.

My left ovary had to come out as it was buried in adhesions and joined to the uterus, but he left the right one in as it was perfectly healthy. He said that even after menopause the ovaries do continue to deliver not only a small amount of oestregen, but also importantly, testosterone. So even if you are close to menopause, they will still serve a function for you long term. I am really glad I got to keep my right ovary and it seems to be working perfectly! (sometimes they can go into shock temporarily after the upheaval of surgery)

I left the decision about my cervix up to him, and he whipped it out. Can't say I miss it at all! Everything feels so much more comfortable.

Good luck with your surgery and have a restful, safe recuperation

love to you
Unread 02-06-2003, 09:55 AM
Thanks papaya

for the information about the ovaries continuing to produce a little bit of hormone especially the testorone. This was a question I had as I am keeping the ovaries. I'm 54 but going strong (yes I know I am a medical oddity). Am enjoying my current level of testorone. Doctor told me yesterday that my "free testorone" was at the high end of the range. Whoopee

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