With the missed ovulations and erratic periods of perimenopause, thickening of the endometrium is fairly common. The lining should be thinnest right after a period so a u/s would seem most useful at that point. Most hyperplasia does not progress to cancer and most are treatable with a progestin. Hyperplasia with atypia is more concerning than without atypia. Here are a couple of resources: http://www.acog.org/~/media/For%20Patients/faq147.pdf http://www.jfponline.com/Pages.asp?AID=3184 Table 2 (about mid-page) shows regression, persistence and progression rates by type (simple, complex, with and without atypia).View Thread
You didn't mention the reason for your hysterectomy but if you didn't have endometrial cancer or hyperplasia with atypia, it doesn't seem like those endometrial cells would be a problem. Do some investigation in medical journals. A gynecology pathologist would seem to know but don't know how you get in touch with one of those!View Thread
Constipation seems to be a common complaint. My bowels are totally messed up. My bladder has issues off and on - doesn't always empty completely. Not sure why it's fine for awhile and then acts up - didn't have any of these issues prior. And sex is a disappointment. My belly is disgusting too even though I'm very thin.View Thread
Some women think that keeping the cervix helps preserve sexual function. I don't have my cervix and lost a lot of sexual function but I evidently had uterine orgasms so not sure that leaving my cervix would have helped. But I've also lost almost all sensation in my genitals, clitoris, vagina and even my breasts since my hysterectomy. No libido either. There may be more nerves that are cut when the cervix is removed and nerves (and blood vessels) are critical to sensation.
It's actually the vagina that is cuffed so if you have a partner who's a bit longer than average, this could be an issue. I don't think this happens very often but I have read of cases where it did.
Hysterectomy increases the risk of pelvic organ prolapse. Someone posted here http://forums.webmd.com/3/gynecology-exchange/forum/27538 that her hysterectomy was in May 2011 and her cervix is falling. The vagina can fall too since the pelvic support structures have been cut. There are some other medically documented risks of hysterectomy and even more of oophorectomy. Peruse the medical journals or just look in PubMed for studies.View Thread
It makes sense that the cervix can prolapse after hysterectomy just as the vagina can prolapse after the uterus and cervix are removed. The support structures that held everything in place were severed so that support is gone. This website http://vaginalsurgeryandurogynecologyinstitute.com/vaginal-prolapse says "Post-Hysterectomy Vaginal Vault Prolapse is a specific clinical condition in women who have had a hysterectomy, complete removal of the cervix and the uterus. In this circumstance, the top of the vagina gradually sags, falling toward the vaginal opening effectively turning the vagina inside out. In patients who have undergone a partial hysterectomy, removal of the uterus but not the cervix (supracervical hysterectomy), a cervical stump prolapse would be the synonymous condition."
That happened awfully quickly. My vagina is no longer a "straight shot" so it must be falling too. I'll be grossed out if it turns inside out!
If it were me especially since this happened so quickly, I'd find a good pelvic reconstruction doctor if I was going to have it corrected (not sure how they even correct it though).
If you're sexually active, can your partner tell the difference? Just curious.View Thread
The vulvar lesion sounds odd. Lack of estrogen to the genital area can cause itching and pain but not sure if it could be the cause of your lesion.
As far as your question about estrogen and cancer, studies show that:
Estrogen (taken without a progestin) does not increase risk of breast cancer.
Ovary removal increases risk of lung cancer.
Hysterectomy (with or without ovary removal) increases risk of thyroid cancer.
Hysterectomy (with or without ovary removal) increases risk of kidney (renal) cancer.
I'm not sure if the mechanisms of these increased cancer risks are known. The kidney cancer risk is thought to be from the "trauma" to the ureter. There doesn't seem to be much information on any link between cancer and estrogen replacement. However, since studies show that estrogen deficiency resulting from ovary removal increases risk of heart disease, stroke, hip fracture, Parkinsonism, dementia, cognitive impairment, depression, and anxiety, it would seem to be beneficial to take estrogen for many years after ovary removal.View Thread
There are other less invasive treatments for fibroids. Another option that may work is a change in diet and/or supplements. Hysterectomy is big business - $17B per year, 600,000 women. It's also permanently damaging to your overall health regardless at what age it's done. The uterus supports the bladder and bowel. Its removal increases risk of incontinence. Removal of the uterus increases risk of heart disease 3x that of an intact woman. When the ovaries are removed, heart disease risk is 7x. (A woman's lifetime risk of ovarian cancer is less than 2% so prevention of ovarian cancer isn't a valid reason for ovary removal absent a strong family history.) The severing of ligaments to remove the uterus will cause your spine to compress and the rib cage to descend toward the hip bones leading to a protruding abdomen and possible back, hip and leg problems over time. The severing of blood vessels and nerves will cause reduced sensation in the pelvic area and possibly throughout your body (including possible loss of nipple sensation). If you experience uterine orgasms, you will no longer experience them. Many women report loss of libido and sexual response even when the ovaries are not removed. In 35-40% of cases, removal of the uterus causes the ovaries to fail within several years. The ovaries produce hormones througout life in an intact woman. Our body's own hormones are essential to physical, emotional, mental and sexual health. Some women even report a loss of loving feelings, romantic and maternal, after the removal of their uterus (even when ovaries are left). The Bloom Study ads for a female testosterone drug even ask if you've lost that loving feeling after a hysterectomy. The HERS Foundation at http://www.hersfoundation.com/index.html provides facts about the adverse effects of hysterectomy as well as resources for organ-sparing treatments. They can be reached at (888) 750-HERS. I have no affilation with HERS. I'm just trying to spare women from the permanent devastating effects of hysterectomy after being tricked into it for suspected ovarian cancer. (My ovarian cyst was benign.) There are also some good books about alternatives to hysterectomy such as The Hysterectomy Hoax, A Gynecologist's Second Opinion, The H Word, What your Doctor may not tell you about Fibroids"026 Good luck with whatever treatment you choose.View Thread
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