Mechanical Options for Preventing Endometrial Uterine Cancer - 338 | Menopause Taylor
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- เผยแพร่เมื่อ 6 ก.ย. 2024
- What if you needed or wanted to rely on a “mechanical” option for preventing endometrial uterine cancer? Would you know what’s available to you? And would you know how those options differ in terms of the actual process of using them or their efficacy? In this video tutorial, I’ll reach into my toolkit and show you all the mechanical options to bring you up to speed.
Download Chart 1: "Progestin IUDs for Prevention of Endometrial Uterine Cancer" here: menopausetaylo...
Download Chart 2: "Endometrial Ablation Techniques for Prevention of Endometrial Uterine Cancer" here: menopausetaylo...
Download Chart 3: "Surgical Procedures for Prevention of Endometrial Uterine Cancer" here: menopausetaylo...
Download Chart 4: "Mechanical Options for Preventing Endometrial Uterine Cancer" here: menopausetaylo...
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About the risk reducing to only 90% with removal of ovaries and falopian tubes :
"When you have your ovaries and fallopian tubes removed preventively, the risk of ovarian cancer becomes minimal. But this cannot be completely ruled out. This is because the peritoneum on the inside of the abdomen is originally the same type of tissue as that of the ovaries." I had to know so I looked it up :D
Yes, the peritoneum is like a "Saran Wrap" covering that covers all the organs in your pelvis and abdomen. I'll be teaching you this in the unit on Ovarian Cancer.
I would have been interested to also learn about the risks/potential negative effects of having all those organs and structures taken out of the body. Wouldn’t that leave a whole lot of “space”, and what are the consequences of that?
Your assumption is incorrect. Your intestines are what need a lot of space. Not your (non-pregnant) reproductive organs.
Everything shifts, falls, etc. Risk of organ prolapse, etc. So many women have unnecessary surgeries that cause even more health problems. My mother was just one woman I know personally that had so many issues after hysterectomy. Digestive issues can arise, bladder drop. Research other articles, peer reviewed articles, other medical studies. It's very very common! I don't know one single woman who a hysterectomy that did not develop major problems after (not including hormone issues).
@@onewomansjourney760 The great thing about this education is that it empowers you to manage YOUR menopause YOUR way ... and let other women do the same.
Your circle of acquaintances will never represent a study.
The key to considering any kind of surgery is to know all the pros and cons as they apply specifically TO YOU.
I don't mean to spam and this is with all due respect to Dr. Taylor, but since this video had me with more questions than answers, I did some digging and this is more information, for the ones interested :
"It has been known for some time that female relatives of hereditary breast and ovarian cancer have an increased risk of both breast and ovarian cancer. Hereditary breast and ovarian cancers are often caused by a mutation in one of the breast cancer genes, BRCA1 or BRCA2. A woman with a mutation in one of the BRCA genes has a 60-80 chance of developing breast cancer before the age of 70 and a 10-60 chance of developing ovarian cancer before the age of 70.1 In addition, she will develop the disease for an average of 10 to 15 years rather than women in the general population. The clinical manifestation of a BRCA1 or BRCA2 mutation is usually a combination of breast and ovarian cancer in a family, but families with exclusively breast or exclusively ovarian cancer also occur. When ovarian cancer occurs in a family history in several women or at a relatively young age (below 40 years), in practice one should not ignore the increased risk of breast cancer in addition to the increased risk of ovarian cancer."
"Even if you had your ovaries removed, estrogen is still produced via a different route: the adrenal cortex hormone and the abdominal fat (aromatization system). Women continue to produce estrogen for life. Treatment with hormone therapy continues to apply in the case of estrogen-positive breast cancer. In addition, the gynecologist will never remove your ovaries without a medical indication. They also have a beneficial effect on other parts of the body such as your heart.->ha! Important!
Have a nice day, everybody 🙂
Sources : *Universitair Medisch Centrum St Radboud, Postbus 9101, 6500 HB Nijmegen. Afd. Obstetrie en Gynaecologie +
*www.radboudumc.nl/en/research/themes/womens-cancers
The great thing about this education is that you can use it (or refuse it) as you please. The goal is to manage YOUR menopause YOUR way ... and allow other women to do the same.
Excellent research! Also each woman is unique. My mother's had breast cancer 3x, uterine cancer but I won't dare remove my breasts or female parts just because of my mother's experience. To many factors are involved in why an individual gets cancer. I even had alot of genetic testing & do not carry the genes for breast or gynecological cancers or other health conditions that some of my family have had. It's not all genetic. It's lifestyle habits, vaccines, environmental, stress, sleep, meditations, etc....there are many factors that play a role in cancer. The medical professional who did my testing was baffled saying she couldn't believe I had no genetic markers of the diseases, cancers, etc she tested me for & for what was known to be in my family.
Not just Texans say fixin’…lots of “folks” from the south(myself included) use this saying. Don’t you just love how colorful all of our differences make us! I sure do! I love the charm of all the different colloquial sayings people have. I know “proper” English but love the fun of expressing myself with my regions’ charming words/phrases.
Yes, it's fun to use colloquialisms.
Now I understood that my gynecologist is bad. My uterus lining is elevated a bit, but no bleeding, no pain. She immediately wanted me to do an ablation or hysterectomy agter a normal biopsy result. She did not mention anything about the IUD option.
Boy, you can't trust so many doctors:(((
You should definitely consider scheduling a consultation with me at MenopauseTaylor.ME. I'll make sure you know ALL your options, what each can and cannot do for you, and school you in how to find the right practitioner for whatever it is you want. I do them all online.
They make big money off of hysterectomy.
@@onewomansjourney760 What matters is that you know all the pros and cons as they apply TO YOU.
Hi Barbie, thank you for this education so much. I have one question: Why does removing the ovaries reduce the risk of breast cancer by 50 % if estrogen doesnt cause/contribute to developing breast cancer?
Yes, removing your ovaries decreases y9ur risk of Breast Cancer by 50%. This is because the risk factors for Breast Cancer and Ovarian Cancer overlap a lot.
It's not about estrogen. It's about cycles. Both Breast Cancer and Ovarian Cancer are all about how many cycles you've had. The more cycles, the higher your risk.
Wow! What an eye opener! Removing all your female organs can reduce your risk of breast cancer by 50%!!!!!
Great explanations. I look forward to next weeks video. Hugs to you, dear Barbie XOXO
Hugs bak to my, my dear Maria.
I have watched all your videos Dr. Taylor and it is my first time commenting. Thank you Dr. Taylor for all the Menopause Information provided through this Manopause University. 338 videos! of such informative videos and from a Gynocologist-it is priceless. It is so informative and helpful. I have a question that is the same as one of the Participant- I was wondering about the risk of the different types of hysterectomies-risks if just uterus removed, versus uterus +cervix, versus uterus +cervix +fallopian tubes, versus uterus+cervix+fallopian tube+ ovaries. Maybe that is something you had planned to discuss in the video next week. Again thank you for all you do and know that you are truly loved. 💕
I will address all these things (benefits & risks) in the various units to which they pertain.
If you want me to tailor their pertinence specifically to YOU, I can do so in a consultation, which you can schedule at MenopauseTaylor.ME. I do them all online.
I have heard and read that the ovaries actually are not “dead” post menopause but continue to produce some types of hormones in small amounts. One of them being testosterone, if I remember correctly. Is this correct, Dr Taylor?
I heard that the ovaries are important for the brain.
@@ana-pi6ut "I heard" is a common claim. The problem is that most people do not:
(1) Remember where they "heard" things
(2) Recall who said them
(3) Know the credibility of the person delivering the misinformation
Yet, they've stuck it in their brain as "fact."
Estrogen prevents brain shrinkage (Alzheimer's). It doesn't matter whether or not the estrogen comes from the ovaries or from estrogen replacement.
By definition, menopause is when you ovaries stop producing eggs and estrogen.
Both your ovaries and your adrenal glands produce testosterone. Your adrenals continue producing testosterone after your ovaries stop producing testosterone.
there is no point in removing the ovaries, unless hormone replacement therapy with estrogens can cause ovarian cancer.
There are articles that reflect that the ovaries produce estrogen even after menopause until the age of 80. It is absurd to associate the removal of the ovary with less breast cancer when you are going to take subsequent to the removal of that ovary HRT.
You should explain clearly if it is true that more than 50% of women with HRT (estrogen only) after 5 years are diagnosed with CO. We would like to know your opinion about these articles that reflect such brutal data. In that case, it is normal to think about the removal of ovaries when one has hysterectomy
The great thing about this education is that you can use it (or refuse it) as you please. The goal is to manage YOUR menopause YOUR way ... and allow other women to do the same. You get to do whatever you want. And you never have to justify your choices to anybody. I'm not here to coerce you to manage YOUR menopause MY way. All the choices are yours.
I wonder why you reduce your risk for fallopian and ovarian cancer by only 90% and not 100 if you remove them?
It's because there is a "Saran Wrap" covering that covers all the organs in your pelvis and abdomen. I'll be teaching you this in the unit on Ovarian Cancer.
Hi Menopause Barbie. Can you have a femring and a IUD both at the same time? Thanks your a lifesaver.
Yes, you can.
I had an endometrial ablation several years ago at about age 51 due to heavy periods. I continued to have periods for about a year although not as heavy. My obgyn told me it was a ‘failed ablation’ due to their instruments being too large for my small uterus. This disappointed me because I had all the preliminary testing to determine I was a candidate for the procedure. I’m 60 now and have been post menopausal for several years. Is HRT too late for me?? I’m sure noticing the discomfort in last couple of years.
Glenda,
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Thank you very much for that great information !
You are very welcome!
A day late, my apologies. My book I'm reading is quite good....your props are hilarious....
I can truly say that my TAH BSO was a life saver! PCOS is a problem and that meant complex atypical hyperplasia, oooh it gets better. Gyno oncology was worried and moves very fast. I'm sure when my hot young resident doc pulled out the monster ovarian cyst he and the surgeons thought all was well when intra-op pathologist said no cancer. Ya, then onto ripping the She Shed out and take the ovaries and tubes with it. Pathology found the surprise the gyno oncologist didn't probably expect. A endometrial polyp with Stage 1a cancer. It's truly a tricky cancer and it can pop up anywhere in the uterus or, worst cases, outside!
Never think hysterectomy isn't an option. My hot young senior resident was smart and forward thinking. If your close enough to menopause, take it all so I don't have any chance of cancer in an ovary left behind because of PCOS. As a side note, it was smart to take the ovaries cuz one had three decent sized cysts and the other had two small ones growing. Any remaining ovary would have spawned another canteloupe sized cyst, which is how big the cyst was. He was quite giddy when he came by that night to tell me what they found. He was an angel and will make a brilliant OB/GYN
Your comments are always so fun to read.
Thank you for the new video ❤
You are so very welcome, my dear!
Is Prometrium safe to take for insomnia if you have a Mirena IUD?
Prometrium does not treat insomnia per se. And you can take it with an IUD in place.
Most women have the misconception that progesterone “helps you sleep.”
But the reality is not quite as advertised. Estrogen is actually the hormone that helps you sleep … like a baby, that is. Progesterone can help you sleep, but more like a zombie than a baby.
Here are the facts:
Insomnia is a symptom of estrogen deficiency. So if you take adequate estrogen, you will sleep deeply and continuously throughout the night and wake up perky and energetic in the morning.
But if you take progesterone, things will be a bit different. Instead of just getting a good night’s sleep, it will make it difficult for you to wake up in the morning, make you feel sluggish when you do get up, and leave you feeling like a zombie all day. You’ll feel like you could sleep standing up. And you’ll have a hard time being productive.
The reason women “hear” that they should take it at night is because the Alternative community claims that it helps you sleep. Progesterone gives you that all-day drugged, drowsy, you-could-sleep-while-standing-up feeling that is so characteristic of early pregnancy. With progesterone, you do not merely get a good night’s sleep. You get a sluggishness that lasts all day (which is good during pregnancy because it makes you lazy so that the baby gets more calories to grow). But now that you’re peri-or post-menopausal, you don’t want to be sluggish all day.
So, if you want to sleep like a baby at night, take estrogen. If you want to be sluggish like a zombie all day, take progesterone.
@@MenopauseTaylor Thank you so much for replying to my question Dr. Taylor! I have learned so much from your channel. It's just so hard navigating these perimenopausal symptoms when doctors aren't all on the same page!
@@nattyp76 That's why, in consultations, I school you in precisely HOW to go about getting what you want.
Thank you ❤️
It's my pleasure.
Thank you so much 😊😊😊
You are absolutely welcome!
This question is not on this specific topic. I've used an estrogen patch for the last three years. I've heard a lot of comments lately that " bio identical" estrogen is much safer. Is there a video you've done already addressing this?
I've addressed ALL your options, along with all the pros and cons for each.
However, no video can tailor everything specificallyTO YOU. And that's where success lies. We are not robots. No two women are alike.
So, if you want to ensure success, schedule a consultation with me at MenopauseTaylor.ME. I do them all online.
Does it matter WHICH levonorgestrel iud is used for preventing uterine cancer as part of the hrt? I see from your chart they have different daily doses of progestin. Could the lowest dose iud (14mcg/day) be used and still have the added benefit of no periods for those still in perimenopause?
It doesn't matter at all of purposes of HRT. They just last different lengths of time: 3, 4, 5, or 6 years.
I am confused as so many other doctors recommend progesterone (micronized capsules) for sleep and general health as well as to oppose estrogen. They say it helps us sleep and helps us build bone etc. Can you clarify a bit on this?
Progesterone is something your body produces only for the benefit of a baby during pregnancy.
The word, "progesterone" means "hormone in support of pregnancy:"
"Pro" = in support of
"Gest" = gestation (pregnancy)
"One" = hormone
Once you are post-menopausal, progesterone's only role or benefit for you is to prevent uterine cancer. That's it!
People who believe that progesterone has other benefits have fallen prey to marketing, not science.
Most women have the misconception that progesterone “helps you sleep.”
But the reality is not quite as advertised. Estrogen is actually the hormone that helps you sleep … like a baby, that is. Progesterone can help you sleep, but more like a zombie than a baby.
Here are the facts:
Insomnia is a symptom of estrogen deficiency. So if you take adequate estrogen, you will sleep deeply and continuously throughout the night and wake up perky and energetic in the morning.
But if you take progesterone, things will be a bit different. Instead of just getting a good night’s sleep, it will make it difficult for you to wake up in the morning, make you feel sluggish when you do get up, and leave you feeling like a zombie all day. You’ll feel like you could sleep standing up. And you’ll have a hard time being productive.
The reason women “hear” that they should take it at night is because the Alternative community claims that it helps you sleep. Progesterone gives you that all-day drugged, drowsy, you-could-sleep-while-standing-up feeling that is so characteristic of early pregnancy. With progesterone, you do not merely get a good night’s sleep. You get a sluggishness that lasts all day (which is good during pregnancy because it makes you lazy so that the baby gets more calories to grow). But now that you’re peri-or post-menopausal, you don’t want to be sluggish all day.
So, if you want to sleep like a baby at night, take estrogen. If you want to be sluggish like a zombie all day, take progesterone.
@MenopauseTaylor Thank you for this detailed reply! I am sure it will help others who read it. I sincerely appreciate the time you take to educate us. I am currently on a low dose progesterone capsule at night but am considering a Mirena for my uterus. Thank you, thank you, thank you again for all the education. Xxx
@@Corrans You are so very welcome, my dear.
Can a ob-gyn dr check your endometrial lining for thickness? I’m very concerned as my sister has stage 4 endometrial cancer. She had a hysterectomy and it still spread to abdominal wall. She is 71 and I’m 67. Any advise here?
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
11:02 I am one week into having an ablation. I can't even describe which ablation method I had.
You deserve to know what you've had.
@@MenopauseTaylor thank you! My f/u appt is in two weeks; it is among my questions, along with it any update/revision on my progesterone needs.
Is there a risk of bladder dropping or pelvic floor issues after different types of hysterectomy? I already have some rectocele issues. These are very major concerns for me as I near my 50th bday this year and look to start some type of hrt.
Sonja,
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
I’m
New here I have a questions that I can’t find the answer to , is over the counter estrogen cream as strong as prescription estrogen cream?
I want to know because the price differences are insane sometimes
Especially for Premarin
Welcome aboard to "Menopause Taylor University." You'll find that if you start at the very first video (going by the number after each title), you'll understand absolutely everything. And you'll be shocked at what you didn't know, and delighted that you now do know.
Each video builds on the last. It's just like school: You had to learn the alphabet before you could read. And nowadays, there are so many overwhelming misconceptions that women mistake as facts ... that you just don't know what you don't know.
I respond to all comments here on TH-cam daily. So, I will answer all your questions ... but I'll also know if you aren't watching the videos in order. (I'm like your mother. I have eyes in the back of my head!)
And if you need me to help you tailor anything to your personal situation, you can schedule a one-on-one consultation at MenopauseTaylor.ME any time. I do them all online.