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Reply: HYSTERECTOMY QUESTION
Your situation differs from the original poster's. She never had an abnormal pap and...
Posted by sjb05151956
Your situation differs from the original poster's. She never had an abnormal pap and doesn't have a cervix hence no need for paps. You had atypical cervical cells prior to your hysterectomy which MAY have been pre-cancerous. (There are also relatively harmless conditions that can cause atypical cells and these oftentimes resolve on their own, no treatment needed.)
The progression of atypical cells to cervical cancer (if it even happens) generally takes many years so the current guidelines recommend screening every 3 years for those who're not at increased risk. Also, since most atypical cells resolve on their own, it's generally suggested that any abnormal pap be repeated before any treatment. Also to be considered is the wide range of experience of pathologists who interpret the paps, another reason for a re-do. Here are a couple of links:
http://www.cancer.gov/cancertopics/factsheet/detection/Pap-HPV-testing
http://www.cancer.gov/cancertopics/understandingcervicalchanges/page1View Thread
Posted bysjb05151956
The progression of atypical cells to cervical cancer (if it even happens) generally takes many years so the current guidelines recommend screening every 3 years for those who're not at increased risk. Also, since most atypical cells resolve on their own, it's generally suggested that any abnormal pap be repeated before any treatment. Also to be considered is the wide range of experience of pathologists who interpret the paps, another reason for a re-do. Here are a couple of links:
http://www.cancer.gov/cancertopics/factsheet/detection/Pap-HPV-testing
http://www.cancer.gov/cancertopics/understandingcervicalchanges/page1View Thread
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Reply: menopause issue's
Estrogen (especially oral) is supposed to lower cholesterol. And I know women who said...
Posted by sjb05151956
Estrogen (especially oral) is supposed to lower cholesterol. And I know women who said it also lowered their BP that increased after their hysterectomy.
Estrogen deficiency caused by ovary removal has many negative health effects so it would seem reasonable to take estrogen for many years afterwards. Even post-menopausal ovaries produce some estrogen as well as testosterone that aromatizes into estrogen for decades past menopause.
http://www.ncbi.nlm.nih.gov/pubmed/19702455
"Estrogen deficiency resulting from pre- and post-menopausal oophorectomies has been associated with higher risks of coronary heart disease, stroke, hip fracture, Parkinsonism, dementia, cognitive impairment, depression and anxiety in many studies. While ovarian cancer accounts for 14,800 deaths per year in the USA, coronary heart disease accounts for 350,000 deaths per year. In addition, 100,000 cases of dementia may be attributable annually to prior bilateral oophorectomy."View Thread
Posted bysjb05151956
Estrogen deficiency caused by ovary removal has many negative health effects so it would seem reasonable to take estrogen for many years afterwards. Even post-menopausal ovaries produce some estrogen as well as testosterone that aromatizes into estrogen for decades past menopause.
http://www.ncbi.nlm.nih.gov/pubmed/19702455
"Estrogen deficiency resulting from pre- and post-menopausal oophorectomies has been associated with higher risks of coronary heart disease, stroke, hip fracture, Parkinsonism, dementia, cognitive impairment, depression and anxiety in many studies. While ovarian cancer accounts for 14,800 deaths per year in the USA, coronary heart disease accounts for 350,000 deaths per year. In addition, 100,000 cases of dementia may be attributable annually to prior bilateral oophorectomy."View Thread
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Reply: Menstrual Cycle 6 weeks, heavy clotting, missed pe...
Nurse Practitioner Jane has addressed missed periods and heavy bleeding quite a bit on...
Posted by sjb05151956
Nurse Practitioner Jane has addressed missed periods and heavy bleeding quite a bit on this forum. You can do a search and find those other posts which may be helpful.View Thread
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Reply: Menstrual Cycle 6 weeks, heavy clotting, missed pe...
Jane's very good and thorough about answering questions here but she probably...
Posted by sjb05151956
Jane's very good and thorough about answering questions here but she probably overlooked your post. If there's a lot of activity it doesn't stay near the "top" and can get overlooked.
Here's an article about treatments for heavy menstrual bleeding - http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0015970/. This table shows % flow reduction of various meds along with side effects.View Thread
Posted bysjb05151956
Here's an article about treatments for heavy menstrual bleeding - http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0015970/. This table shows % flow reduction of various meds along with side effects.View Thread
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Reply: Endometrosis Questions
Endometriosis can be tough to manage. And hysterectomy isn't a cure because endo can...
Posted by sjb05151956
Endometriosis can be tough to manage. And hysterectomy isn't a cure because endo can usually be found throughout the pelvis including in the bowels and it's difficult to remove it all. I've connected with a number of women who had hysterectomies for endo and for most, it didn't end the pain for very long. Most of these women had pain since menarche; development of endo many years after menarche doesn't seem nearly as common. However, I've read that c-section can cause it - not sure about tubal ligation.
Did you have any of these symptoms prior to your tubal ligation? TL can cause some of these same symptoms. Google it.
The removal of ovaries has been shown in medical studies to increase risk for a number of health problems. Google "oophorectomy mortality increased risk." If I'd received all the necessary information, I wouldn't have allowed any of my organs to be removed. Not only were my ovaries doing a lot more than I realized, so was my uterus.View Thread
Posted bysjb05151956
Did you have any of these symptoms prior to your tubal ligation? TL can cause some of these same symptoms. Google it.
The removal of ovaries has been shown in medical studies to increase risk for a number of health problems. Google "oophorectomy mortality increased risk." If I'd received all the necessary information, I wouldn't have allowed any of my organs to be removed. Not only were my ovaries doing a lot more than I realized, so was my uterus.View Thread
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Reply: After DaVinci surgery vaginal dysplasia & laser tr...
You deserve to understand your diagnosis and all treatment options along with their...
Posted by sjb05151956
You deserve to understand your diagnosis and all treatment options along with their risks and benefits. Sounds like a change in doctors may be warranted. As a nurse you probably already know to get a copy of your records including pathology reports to take to a new doctor. And doing some research ahead of time and making a list of questions for your doctor will make your appointment more productive.
I've been in your shoes in that my doctor wasn't upfront about my diagnosis and prognosis. He overtreated me and caused permanent harm.View Thread
Posted bysjb05151956
I've been in your shoes in that my doctor wasn't upfront about my diagnosis and prognosis. He overtreated me and caused permanent harm.View Thread
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Reply: PCOS, Thick Uterine Lining, Cysts, Not Pregnant
According to this link http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001408/ "Losing...
Posted by sjb05151956
According to this link http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001408/ "Losing just 5% of your body weight can help your hormone imbalance and may make it easier to get pregnant."
Since Provera is typically used to treat a thickened lining, hopefully that will be the case for you. According to the above link, diabetes drug metformin is another option to regulate periods. It also treats insulin resistance and may help you lose weight. There are some studies in PubMed about PCOS and pregnancy. Good luck to you in managing your PCOS and having a baby!View Thread
Posted bysjb05151956
Since Provera is typically used to treat a thickened lining, hopefully that will be the case for you. According to the above link, diabetes drug metformin is another option to regulate periods. It also treats insulin resistance and may help you lose weight. There are some studies in PubMed about PCOS and pregnancy. Good luck to you in managing your PCOS and having a baby!View Thread
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Reply: thick uterine lining15.5mm to 19mm
Since you're mid-40's, you could very well be in peri-menopause when ovulations tend to...
Posted by sjb05151956
Since you're mid-40's, you could very well be in peri-menopause when ovulations tend to be sporadic. This can cause a thick lining that can come and go during this transition to menopause. I personally know a number of women who had a thick lining that ended up being nothing serious. Some were in peri-menopause and others in early menopause. I don't know though if the short amount of time it took for your lining to thicken since the D&C is unusual or not. But the good thing is that endometrial hyperplasia is usually treatable with meds. Hope that's all you need.View Thread
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Reply: thick uterine lining15.5mm to 19mm
Here's a link about hyperplasia - http://www.jfponline.com/Pages.asp?AID=3184 .....
Posted by sjb05151956
Here's a link about hyperplasia - http://www.jfponline.com/Pages.asp?AID=3184.. Progestins are the first line treatment. Table 2 details regression and progression percentages by type (simple, complex, with and without atypia).
You didn't mention your longer menstrual history such as if you were very regular for many years prior to February. Polyps can cause heavy bleeding but if they're completely gone, something else must be going on. Endocrine problems or clotting disorders can also cause menstrual irregularities.View Thread
Posted bysjb05151956
You didn't mention your longer menstrual history such as if you were very regular for many years prior to February. Polyps can cause heavy bleeding but if they're completely gone, something else must be going on. Endocrine problems or clotting disorders can also cause menstrual irregularities.View Thread
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Reply: Hysterectomy
My bowels have been abnormal since my hysterectomy. I tend to be either constipated or...
Posted by sjb05151956
My bowels have been abnormal since my hysterectomy. I tend to be either constipated or have to make a "mad dash" for the bathroom. Thankfully, I don't have to push the stool out (not yet anyway)! There's a forum on Hystersisters called "Pelvic Floor and Bladder Issues" that has many posts about bowel and bladder problems including rectocele, fistula, cystocele, incontinence, physical therapy, surgery. Hope you find the information and support you need.View Thread
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