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How does your doctor handle alternatives? How does your doctor handle alternatives?

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Unread 08-29-2000, 05:25 PM
How does your doctor handle alternatives?

Today I went to my doctor for continuing pain & bleeding problems. I'm still reasonably young, single, never-married yet and at my last visit she'd mentioned the possibility of hysterectomy. When I nearly died, she said a myomectomy might possibly be a solution since my problem is due to a couple of big fibroids. I not only told her, but also wrote her a letter saying I was not in any way interested in a hysterectomy as a solution. Today, when I mentioned that there was still a problem, she brought up hysterectomy again and hurriedly says something about "having finished your family...". Well, I haven't even STARTED my family. She wasn't near as interested in doing the myo as she was a hysterectomy. Questions: 1) How much time did you doctor spend discussing alternatives trying to find a way to not have a hysterectomy if that was your desire? 2) Should I expect the doctor to remember or have read my chart before entering the room that I didn't want a hysterectomy as a first choice & she'd previously offered other options? 3) How do you go about finding a doctor for a second opinion when you KNOW you need a new doctor?

Thanks for your help. This board has been great as I've researched options, but I'm praying I don't have to become a princess in the very near future!!

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Unread 08-29-2000, 09:33 PM
How does your doctor handle alternatives?

Dear Markay,

Being able to have a baby in the future is certainly a reason to seek out more medical opinions on your situation. 3-4 medical opinions is a good idea for any major surgery.

My medical opinions were limited to the HMO that insures me (unless I wanted to pay outta pocket), so I just called & asked my doc office to give me a referral. He referred me all the way up to a uro-gynecologist specializing in pelvic reconstruction, and that opinion was very different than the previous one (still a hyst, but less-invasive all around).

It's my understanding that myomectomy requires more skill than a hyst on the doc's part... perhaps your current doc is not familiar enough with the surgery to go that route (bad news for you). Do a search of *myomectomy* and *fibroids* to gather more info about it.

As for reading the chart before the doc enters the room... unfortunately, I don't think they do that... I have been asked more than once: when was my last period (ummmm early 1999)...

Get smart about your symptoms and your options, and make the best choice for YOU.
Unread 08-30-2000, 09:22 AM
How does your doctor handle alternatives?


I had several second opins - my HMO will pay 80% of ANY doctor, so I just started calling docs who were recommended. My doc's partner is the "myoectomy king" in Spokane - women actually come here from super-hip Seattle to see him for myoectomy's vs. hysters. Many women chose a hyst over myo because they 1) don't want more children and 2) realize the myo IS a more difficult surgery. However, if you find a doc who is skilled in this area, you may be able to preserve your fertility - and this is important TO YOU!

The first ob/gyn I saw was very clearly not listening to me, and I mentally wrote him off my option list as I was leaving his office.

I know a number of nurses in the area, and asked for their opins. Also just started asking friends, and all kinds of hyster stories started coming out of the walls. Truly amazing. Also, when I called for an appt I asked the receptionist if that office ever did myos or other alternative treatments.

good luck in your search!

D. Tracy, Fibroid Investigator
SLH 7/11/00
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Unread 08-30-2000, 05:41 PM
How does your doctor handle alternatives?

I had fibroids and found that naxproxen reduced the pain and bleeding substantially (I'm in Canada, there may be other names for this elsewhere).

A kind of weird, off the cuff, suggestion is to tell your doctor you are having fertility problems. Let them figure out it is the fibroids and suggest a method that will improve fertility (which OBVIOUSLY a HYST can't ) Oh well, it would be worth a try, your doctor's memory doesn't sound the best!
Unread 08-30-2000, 08:24 PM
I like that thought

I like that thought, but I'd really confuse this doc if I asked about a fertility problem. I'm sure she'd tell me the first thing I'd need to do was - well, uh... I'm a Christian and am waiting until I'm married to, uh you know (I'm a shy and modest one)! I'm guessing that might be pretty obvious to most gynecologists - but I loved (and laughed) at that thought!

I've decided to seek other counsel on this situation - in the way of a new doctor. I don't want to have to tell her the fourth time that I'm not interested in a hysterectomy at this point. Some different friends mentioned the same name, so I decided to see if I could get in to see this doctor any time in the near future. I told the receptionist my situation, and she said I didn't need to wait for his next available appointment - they'd get me in sooner. I was surprised and pleased - next Friday!

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