i just had a hysterectomy in august. i had uterine prolapse , enlarged uterus and a very large cyst on my right ovary that had to be drained to remove. it was the size of a small watermelon by the time my surgery was performed . everything was removed leaving my left ovary to prevent going into surgical menopause.
I’m getting my uterus out tomorrow. Scared to death. I’m keeping my ovaries. Fallopian tubes and uterus are going, plus the grapefruit size fibroid that’s been pissing me off. I had a hard time accepting I needed a hysterectomy but I kept asking questions and learned more and realized it was the route to take. I came across a terrible website though and they claimed that your gate and bone structure changes from a hysterectomy. I asked my doctor and she shook her head and said absolutely not. Our uterus does not hold up our skeleton Lolol. But this is what you find when you search online! There are medical studies though that have some scary stats like increase in heart disease or bladder issues. I am going to be taking estrogen to combat the heart disease. Not sure if the bladder issue will be an issue but I found some aftercare videos for exercises to promote healing and pelvic floor that can be done once I’m cleared for exercise. I’m hoping for the best.
I'm scheduled for complete hysterectomy in October. You both mentioned you try to get patients home same day if possible. My surgeon mentioned i qualified for robotic but would be an overnight stay. I was experiencing post menopausal bleeding and had endometrial biopsy and ultrasound. Both cameback negative but still recommended hysterectomy due to family history of colon cancer. Thanks for sharing your expertise as i am extremely nervous about the surgery 😢
Yes I would say same day discharge is often the normal now with the minimally invasive surgery, wouldn’t hurt to ask! An alternative option could be to repeat endometrial biopsies on a yearly (or so) basis if bleeding continues. Also to get genetic testing if you have a family history of cancers. There are always options!
I had my surgery yesterday. Make sure you are not having it at a teaching hospital. I begged my surgeon and everyone in my pre-op room to plz have no students.. senior staff only. i did not want students doing exams on me while i was unconscious.. I just logged into my patient portal and it says that my surgeon.. who i did NOT see befor surgery.. he sent his lackey.. he said that i consented to vaginal and rectal exams AND I DID NOT. i cant stop crying and im so angry. do not trust them.
@@lushpaw1 Yes it is always your choice. I think you should try and clarify with them on what happened. I can see a couple scenarios ... maybe their note is a template and they forgot to remove that text, and they did respect your wishes. Also, in order to do a minimally invasive hysterectomy, we need to be able to access the vagina. Maybe thats all that was meant by vaginal exams, not that they did exams only for teaching purposes. Which i agree is wrong to do for an unconscious and vulnerable patient
@@newschoolobgyn I appreciate your reply. this is an excerpt from my patient portal information. 'Verbal consent was obtained from the patient prior to trainee participation in a sensitive exam.' trainee participation. I know I would have to be examined prior to surgery, I just didnt want it done by a line of students. I never consented verbal or otherwise.
@@lushpaw1 I agree with you and you are in the right to get an answer here...But just knowing how some surgeons may copy forward note templates, maybe they forgot to take it out. On the other hand...if it did happen against your consent, i would be very concerned
Hello. Im 48 year old in peri. I have 4 fibroids, the biggest is almost 8cm, then 4cm、and about 2-3 cm. According to my ob gyne, i have all three kinds of fibroids. Symptoms still manageable with a little discomfort. Should i take lzrtial hysterectomy or follow my docs advice to take gnRH? Thank you.
As always, I cannot give personal medical advice. However treatment of fibroids is often based on symptoms. I am assuming you mean GnRH agonist which is Lupron. I personally rarely use this medication because of the side effects. But I do think you should have good options still whether surgery or not 😊
If you haven’t already, get established with a gynecologist. They will start the work up and find the best option for you 😊. More to come about endometriosis in the future.
@@Melanie3581 It may depend on the reason for the hysterectomy. There are pros and cons that should always be discussed. The cervix is the lower part of the uterus and sometimes a supracervical hysterectomy can leave patients with bleeding and potential future fibroid growth.
I’m looking at getting a hysterectomy due to Adenomyosis, I also have Endometriosis. We’ve also discussed removal of the ovaries due to PMDD because I’m 45 and PMDD sucks and being able to have steady hormones through HRT sounds way better. I’m also in perimenopause.
Wow that is a long time!I am glad you are getting some help! If you haven’t already, could consider trying the HRT before to see if it helps the symptoms and no serious side effects. But overall sounds like a thought out plan!
I have a prolapsed uterus. Im getting my uterus out, tube's, keeping my ovaries and cervix. This will be done laproscopicly with 3 small incisions in my abdomen. My surgeon is trying to talk me into taking my ovaries out. I researched saw they protect you from strokes, heart attacks. Is that true? Im 63
Yea you are right, the hormones from the ovaries protect many functions of the body. However this is a time where that production goes to zero. It can be different for everyone but generally after 55-60 yo we may recommend removal as the hormone level often is minimal and to reduce chances of ovarian cancer. Maybe a hormone lab test could help sort this out?
I am 72 going through my 1st major surgery I have endometriosis, and after 2 d and Cs, my lining kept getting thick. I had monthly periods, up until I was sixty nine years old. The periods went down to maybe two a year. I'm wondering, should I still just keep getting D&Cs. I have never had night sweat. Will this change my quality of life. I am in no pain at all
It’s definitely a choice. That is a long time to have bleeding. I’m hoping the hysterectomy would be minimally invasive, which should make recovery better. I don’t think there is a wrong choice there
Dumb question, but what happens to the ovaries if the uterus is no longer holding them in place? Do they just bounce around in your pelvis, or is there something else holding them in the same place?
Not a dumb question! The ovaries have their main connections to the uterus via the utero-ovarian ligamant and your pelvic sidewall via the IP ligament/ ovarian vasculature
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i just had a hysterectomy in august. i had uterine prolapse , enlarged uterus and a very large cyst on my right ovary that had to be drained to remove. it was the size of a small watermelon by the time my surgery was performed . everything was removed leaving my left ovary to prevent going into surgical menopause.
5:30 they start taking about the topic
I’m getting my uterus out tomorrow. Scared to death. I’m keeping my ovaries. Fallopian tubes and uterus are going, plus the grapefruit size fibroid that’s been pissing me off. I had a hard time accepting I needed a hysterectomy but I kept asking questions and learned more and realized it was the route to take. I came across a terrible website though and they claimed that your gate and bone structure changes from a hysterectomy. I asked my doctor and she shook her head and said absolutely not. Our uterus does not hold up our skeleton Lolol. But this is what you find when you search online! There are medical studies though that have some scary stats like increase in heart disease or bladder issues. I am going to be taking estrogen to combat the heart disease. Not sure if the bladder issue will be an issue but I found some aftercare videos for exercises to promote healing and pelvic floor that can be done once I’m cleared for exercise. I’m hoping for the best.
Glad to hear you are getting help! Your surgeon sounds good, I’m sure you are in great hands. Overall a very low risk surgery if it’s needed!
@@newschoolobgynthank you!! Your podcast helped. So much anxiety with unknowns.
I'm scheduled for complete hysterectomy in October. You both mentioned you try to get patients home same day if possible. My surgeon mentioned i qualified for robotic but would be an overnight stay. I was experiencing post menopausal bleeding and had endometrial biopsy and ultrasound. Both cameback negative but still recommended hysterectomy due to family history of colon cancer. Thanks for sharing your expertise as i am extremely nervous about the surgery 😢
Yes I would say same day discharge is often the normal now with the minimally invasive surgery, wouldn’t hurt to ask! An alternative option could be to repeat endometrial biopsies on a yearly (or so) basis if bleeding continues. Also to get genetic testing if you have a family history of cancers. There are always options!
I had my surgery yesterday. Make sure you are not having it at a teaching hospital. I begged my surgeon and everyone in my pre-op room to plz have no students.. senior staff only. i did not want students doing exams on me while i was unconscious.. I just logged into my patient portal and it says that my surgeon.. who i did NOT see befor surgery.. he sent his lackey.. he said that i consented to vaginal and rectal exams AND I DID NOT. i cant stop crying and im so angry. do not trust them.
@@lushpaw1 Yes it is always your choice. I think you should try and clarify with them on what happened. I can see a couple scenarios ... maybe their note is a template and they forgot to remove that text, and they did respect your wishes. Also, in order to do a minimally invasive hysterectomy, we need to be able to access the vagina. Maybe thats all that was meant by vaginal exams, not that they did exams only for teaching purposes. Which i agree is wrong to do for an unconscious and vulnerable patient
@@newschoolobgyn I appreciate your reply. this is an excerpt from my patient portal information. 'Verbal consent was obtained from the patient
prior to trainee participation in a sensitive exam.' trainee participation. I know I would have to be examined prior to surgery, I just didnt want it done by a line of students. I never consented verbal or otherwise.
@@lushpaw1 I agree with you and you are in the right to get an answer here...But just knowing how some surgeons may copy forward note templates, maybe they forgot to take it out. On the other hand...if it did happen against your consent, i would be very concerned
Thanks for this sharing your expertise. The drawings were perfect!
I bleeding for 6 months I just had a hysterectomy on the 5th of July I’m still recovering but I was so sick and had to go to 5 different doctors
I am sorry it took so long to get help! Have a speedy recovery!
I undergo total abdominal hysterectomy last Sept. Now, i’m having an issue with urinary incontenence 😢😢
Go to your doctor to get checked out! There may be another cause or simple solution
3 days ago I just had my subtotal hysterectomy with bilateral salpingo oophorectomy.
I hope you're recovering well.
I hope you are doing well! Progress each day
Hello. Im 48 year old in peri. I have 4 fibroids, the biggest is almost 8cm, then 4cm、and about 2-3 cm. According to my ob gyne, i have all three kinds of fibroids. Symptoms still manageable with a little discomfort. Should i take lzrtial hysterectomy or follow my docs advice to take gnRH? Thank you.
As always, I cannot give personal medical advice. However treatment of fibroids is often based on symptoms. I am assuming you mean GnRH agonist which is Lupron. I personally rarely use this medication because of the side effects. But I do think you should have good options still whether surgery or not 😊
I would like a hysterectomy. I have painful periods, prolapse (to some degree) and have been diagnosed with endometriosis in the past. Do I qualify?
If you haven’t already, get established with a gynecologist. They will start the work up and find the best option for you 😊. More to come about endometriosis in the future.
My doc wanted to remove my perfectly healthy cervix and that I don’t want
@@Melanie3581 It may depend on the reason for the hysterectomy. There are pros and cons that should always be discussed. The cervix is the lower part of the uterus and sometimes a supracervical hysterectomy can leave patients with bleeding and potential future fibroid growth.
I’m looking at getting a hysterectomy due to Adenomyosis, I also have Endometriosis. We’ve also discussed removal of the ovaries due to PMDD because I’m 45 and PMDD sucks and being able to have steady hormones through HRT sounds way better. I’m also in perimenopause.
I guess I could’ve added I’ve had PMDD for 30 years so I’m pretty over it;)
Wow that is a long time!I am glad you are getting some help! If you haven’t already, could consider trying the HRT before to see if it helps the symptoms and no serious side effects. But overall sounds like a thought out plan!
I have a prolapsed uterus. Im getting my uterus out, tube's, keeping my ovaries and cervix. This will be done laproscopicly with 3 small incisions in my abdomen. My surgeon is trying to talk me into taking my ovaries out. I researched saw they protect you from strokes, heart attacks. Is that true? Im 63
Yea you are right, the hormones from the ovaries protect many functions of the body. However this is a time where that production goes to zero. It can be different for everyone but generally after 55-60 yo we may recommend removal as the hormone level often is minimal and to reduce chances of ovarian cancer. Maybe a hormone lab test could help sort this out?
I am 72 going through my 1st major surgery
I have endometriosis, and after 2 d and Cs, my lining kept getting thick. I had monthly periods, up until I was sixty nine years old.
The periods went down to maybe two a year. I'm wondering, should I still just keep getting D&Cs. I have never had night sweat. Will this change my quality of life.
I am in no pain at all
It’s definitely a choice. That is a long time to have bleeding. I’m hoping the hysterectomy would be minimally invasive, which should make recovery better. I don’t think there is a wrong choice there
I have dermoid both right and left ..but my left ovary was removed and my right has 6cm dermoid ..I'm 31 no kids yet .How can I save my right ovary?
Choose an ovarian cystectomy!
Thanks for sharing! Can the patient sleep on their side after hysterectomy?
Absolutely! For most, you can do everything normally, exception for heavy lifting/strenuous activity and nothing in the vagina.
What does Heterogeneous parenchyma of the uterus with prominent vascularity mean on an ultrasound?
Without seeing it myself, I would assume they are describing adenomyosis
Dumb question, but what happens to the ovaries if the uterus is no longer holding them in place? Do they just bounce around in your pelvis, or is there something else holding them in the same place?
Not a dumb question! The ovaries have their main connections to the uterus via the utero-ovarian ligamant and your pelvic sidewall via the IP ligament/ ovarian vasculature
@@newschoolobgyn So they still stay attached to the pelvic sidewall at least?
@@marcilk7534 yep!
@@newschoolobgyn Thanks for the response!