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  #1  
Unread 03-18-2003, 04:10 PM
Update

Hi Everyone
I have a Update I go to the dr tomorrow , cross my fingers she does something about it, I have now gotten hot flashes (I still
have my ovarys ) and I still have so much pain and but I am trying to get the dr's to listen to me and I hope my gyno does tomorrow I feel I need my ovarys removed I feel I made a mistake when I had my hystorectomy on 10-07-02 of not having everything out it was a big mistake but I looked at the % which is 50/50 of snything going wrong but I am keeping my chin up and tring to take care of my self the best I can with help of hubby
kids.
Got to go talk to you later
Tammy


The top part is a update of the next section

Five months postop and in pain again
Ok this has been the hardest thing I have ever gone though I had my hysterectomy Oct 7,2002 and in Jan I started having pain
and they ran test to see what was cousing it and it is a growth
on my right overy and it really is very painful , the doctor I was sent to by my pcp found it and now he wants to wait two more months to see if it is going to grow but I just want the pain and all the pain meds to go away and too have a normal life again pain free . I called my regular gyno and she is worried and want to see me so I'm going she also has seen the test results and I hope she will do something other than tell me she will seen me two months . All I did was cry when he told me what he'd found and then when he told me he would not do anything for two month I cried again I need some advise , I feel I am doing the right thing about calling reg gyno ,the other dr seems to not understand what I'm going though I feel it because he is not a gyno or he's just a man LOL I hope because he's not a gyno but both could be true any advise is very welcome thank for listening
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  #2  
Unread 03-18-2003, 10:23 PM
Update

(((Tammy))) I hope your appointment goes well tomorrow and the DR has some answers which will help you to feel better soon.
s,
-Linda
  #3  
Unread 03-18-2003, 10:43 PM
Update

Hi Tammy..

I am so sorry you are having pain yet again. I can relate to it though.

Plaese let us know how your appt goes tomorrow! I will keep an eye out for it.



Pam
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  #4  
Unread 03-19-2003, 05:36 AM
Update

((((Tammy)))),
Does your Dr know if it is your Ovaries that are causing the actual pain? I just ask b/c there have been several ((Sisters)) who have had theirs removed due to pain yet the pain was still there I had my right Ovary removed 12 weeks Post-op from my Hyst. I was experiencing worsening right-sided pain, an U/S revealed a large mass, enlarged Ovary & multiple blood-filled Cysts. Not knowing the origin of the mass I had an RSO but the pain never left The mass turned out to be Scar Tissue adherring it to my Vaginal cuff...
Here is some good info on Ovarian problems along with possble outcomes of having them removed:

Surgical Menopause:
http://www.hormonejungle.com/privacy.htm
http://www.hormonejungle.com/
http://womenshealth.about.com/cs/surgicalmenopause/
http://www.surgimenopause.com/
http://www.helioshealth.com/menopause/surgical.html
http://www.menopausehysterectomy.com/Menopause.htm
http://health.yahoo.com/health/encyc.../000894/0.html
http://www.project-aware.org/Experience/premature.shtml
http://webmd.lycos.com/content/article/1680.50792
http://my.webmd.com/content/dmk/dmk_article_5963052
http://members.tripod.com/fiona_51/faq.html
http://www.surgimenopause.com/NoFrames/surgi_4.html
https://www.hystersisters.com/surg.php

HRT: The Whole Story:
http://health.discovery.com/centers/...hrt_whole.html

The role of ovarian hormones upon brain:
http://www.bbsonline.org/Preprints/O...bbs.fitch.html

Old Ovaries-still of value?
https://www.hystersisters.com/vb2/sho...threadid=10987

Ovaries:
http://s.ivillage.com/health/lnav/ov...416874,00.html


  Quote:
A risk-benefit analysis of elective bilateral oophorectomy: effect of changes in compliance with estrogen therapy on outcome.

Speroff T, Dawson NV, Speroff L, Haber RJ

Department of Epistemology and Biostatistics, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio.

A bilateral oophorectomy at the time of elective hysterectomy is often performed to prevent ovarian cancer. The assumption that endogenous estrogen can be easily replaced with supplemental medication fosters the decision for routine oophorectomy. Published reports on the use of postmenopausal estrogen indicate that compliance is less than perfect. This fact could affect the overall outcome. Decision analysis techniques with Markov cohort modeling were used to evaluate the policy of elective bilateral oophorectomy. Results from studies judged methodologically sound were combined to determine values representing the influence of estrogen on coronary heart disease, breast cancer, and osteoporosis fracture. The decision tree also explicitly incorporated patient compliance. When compliance with estrogen therapy is assumed to be perfect, oophorectomy yields longer life expectancy than retaining the ovaries. When actual drug-taking behavior is considered, retaining the ovaries results in longer survival. This analysis highlights the importance of including the effects of patient compliance with treatment recommendations when the impact of a health policy decision such as prophylactic surgery is assessed.

Am J Surg 1997 Jun;173(6):495-498

Is incidental prophylactic oophorectomy an acceptable means to reduce the incidence of ovarian cancer?

Rozario D, Brown I, Fung MF, Temple L

Department of Surgery, Ottawa General Hospital, University of Ottawa, Ontario, Canada.

BACKGROUND: According to previous reports, the lifetime risk of developing ovarian carcinoma is 1.4%. This figure varies with age from 6.6 per 100,000 among women aged 35 to 39 years up to 55.1 per 100,000 among women aged 75 to 79 years. Prophylactic oophorectomy remains a modality to decrease the incidence of ovarian cancer. What proportion of women diagnosed with an ovarian malignancy had a preceding laparotomy at which time a prophylactic oophorectomy could have been performed?

METHODS: We reviewed the new ovarian cancer diagnoses seen in patients between August 1988 and August 1993 at the Ottawa Regional Cancer Foundation. Four hundred and four patients were identified. These patients were analyzed for preceding abdominal surgery, age, time to disease progression, time to death, time to death from other causes, and average follow-up. The previous abdominal surgeries were divided into: (1) major gynecological surgery; and (2) general surgery procedures, which were further divided into laparotomy and pelvic surgery (group A surgeries) and general surgery that included other abdominal surgeries (ie, appendectomy, cholecystectomy) where access to the pelvis could be more difficult (group B surgeries).

RESULTS: A total of 270 abdominal surgeries was performed, prior to the diagnosis of ovarian cancer. The group was stratified according to the timing of the surgery ( greater or =40 years, 41 to 45 years, 46 to 50 years, >50 years). Based on these data, and on the grouping of general gynecologic surgeries plus the general surgical procedures of group A, 10.9% of ovarian cancers would have been prevented if prophylactic oophorectomy had been performed in patients who had surgery over 40 years of age; over 45 years this was 6.7%, over 50 years it was 4%. If one adds all major surgeries, including general surgery groups A and B, the results were 26.9% over 40 years of age, 20% over 45, and 16.6% over 50.

CONCLUSION: We found that, depending on the age of the patient, prophylactic oophorectomy results in a 4% to 10.9% reduction in the incidence of ovarian carcinoma. This increases to 16.6% to 26.9% if one considers general surgery procedures in which access could be more difficult. Although we are not advocating the frequent use of this procedure, we recommend that surgeons routinely discuss this option before surgery with their postmenopausal female patients over 49 years of age. Given that the decision for prophylactic oophorectomy is multifaceted, we feel that a risk scoring for ovarian cancer and a discussion of the risk and benefit ratio should be undertaken. The ultimate goal is to heighten patient awareness of the risk factors to ensure that an informed decision is made concerning this consistently lethal disease.
Menopause, Estrogen Loss, and Their Treatments:
http://www.umm.edu/patiented/doc40.html

Women report chronic pelvic pain not taken seriously, survey shows:
http://www.obgyn.net/newsheadlines/w...0021114-22.asp

What You Don’t Know Can Hurt You: Knowledge Is Power In A Doctor/Patient Relationship:
http://www.obgyn.net/displayarticle....ort/comfort006

Muscle Pain Presenting as Pelvic Pain:
http://www.wdxcyber.com/npain05.htm

Pain with sexual intercourse deep in pelvis: http://www.wdxcyber.com/ppain.htm#ppainsex

Pain assessment:
http://www.medbroadcast.com/health_t...assessment.asp

Pelvic Pain Assessment Form:
http://www.pelvicpain.org/pdf/FRM_Pa...stionnaire.pdf

International Pelvic Pain Society:
http://www.pelvicpain.org/acute_chronic_visc.asp

Should I Keep My Ovaries?
http://drn4u.com/keepovaries.htm

Gynecologic Causes of Pain - Internal: In Pelvis or Abdomen:
http://www.obgyn.net/displayarticle....indman_gynpain

Early Menopause:
http://www.earlymenopause.com/

Ovarian Failure Following Hysterectomy:
http://drn4u.com/ovarian2.htm

Here are some sites with info on different causes of Ovarian pain:

http://www.americaninfertility.org/i...chive/740.html

http://www.healthboards.com/ubb/Foru...ML/001994.html

http://forums.obgyn.net/forums/women...9803/1531.html

http://www.ivillage.com/topics/healt...235372,00.html

http://www.2womenshealth.co.uk/23-11.htm

http://www.wdxcyber.com/npain10.htm

http://nlgseattle.org/all-inclusive-vacation-cancun.htm

http://www.centerforendo.com/news/ov...n/ovarysup.htm

http://www.1uphealth.com/health/back_pain_low_info.html

http://www.healthsquare.com/fgwh/wh1ch09.htm

Good Luck Tammy I hope you are able to find some answers & relief to yopur pain soon...pls keep us posted...(((hugs)))
  #5  
Unread 03-19-2003, 06:23 AM
Update

Tammy
I'm sorry you're hurting. I hope the will be able to find the cause and the cure!

Please do read Sheri's links. I don't have any ovaries and still suffer from pain, swelling, and various other ailments. Unfortunately, removing the ovaries isn't always the cure.

Do let us know what the doctor has to say.
  #6  
Unread 03-19-2003, 06:15 PM
Dr.appt. update

The Dr. appointment went well she found a space in my vag. that was not healed and she also wants to do lap.surg. to find what is going on other then the growth which she will take care of but in the mean time I have to decide whether I want her to remove my overies or not she said the growth could come back she also said I could have more endo which mean bye bye overies but this I know I will not be having kids again because I have no uteris so I have a lot to think about in one week . Thanks Tammy
  #7  
Unread 03-19-2003, 09:40 PM
Update

((((Tammy))))) Sounds like you had some of questions answered, but got a whole lot of new questions to ponder yourself Hopefully it will all fall into place real soon for you
  #8  
Unread 03-19-2003, 09:59 PM
Update

Hi Tammy!!

I was in a similar position when I had my Hyst June 2001. My Gyn did not want to take both ovaries since I was so young, but they were both full of cysts, in and out. I finally told him I wanted it all out since I would eventually have to have both ovaries removed within a year anyway. we did some I thought, why go through 2 surgeries when it is going to be inevitable anyway in my case.ing, but I won in the end.

For me it was not a desision at all, it was a given with all I had wrong. My personal opinion is, if they dont work anyway, and they cause you chronic problems and pain, take them out.

That will be a desision you will have to make based on your feeling for your situation though.

I am now dealing with a whole new set of problems, but for me, at least I dont have to worry about cysts anymore, I also had PCOS and both came back from pathology pre-cancerous. For me it saved my life in the long run.

"s really suck, I have them everyday, even on hormones because of my thyroid, but eventually that will be corrected with my thyroid meds.

Think about what will be best for YOU in the long run and you will make the right desision.

I will keep you in my prayers that your Dr supports whatever you decide to do.. Let us know how your next appt goes.



Pam
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