Doctor insights on:
Elevated Ca 125 Levels After A Hysterectomy
CA 125 level in a 70yr woman who had hysterectomy with removal of ovaries+Fallopian tubes=341U/ml. Possibillity? Waiting for results of pelvic+abd u/s.
Waiting is hard: Although it's hard to wait, your doctor is evaluating you for possible abdominal or pelvic cancers which can show up even after removal of the uterus, tubes, and ovaries. They may also recommend a CT (cat scan) or PET scan If the u/s isn't helpful. Best wishes for good results! ...Read more
Ca-125 (cancer antigen 125 or carbohydrate antigen 125) is a biomarker/tumor marker for ovarian cancer (etc); however, it is not sensitive or specific enough to use as a screening test. Also, a uk study showed that treating based on ca125 level did not improve outcomes. "125" comes from the 125th attempt to develop a marker. It was introduced by bast ...Read more
All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, CA 125 is a screening test for ovarian cancer, albeit not a good one. If you still have your ovaries, that may be the cause of elevated CA 125. you may visit this site for more info:
https://www. Mayoclinic. Org/diseases-conditions/ovarian-cancer/expert-answers/ca-125/faq-20058528 ...Read more
What is your Questio: Please ask a question, so we can help clarify your concerns. Ca125 can go up due to many abdominal conditions causing irritation, inflammation or infection. A value like yours is not of much concern to me. You need to ask your doctor why she checked it in the first place? She must have had some reasons to do the test...So she can address it better than I can. ...Read more
I am 49/post menopausal, I have an 11cm cyst on my right ovary, CA-125 test normal. He wants full hysterectomy, I am unsure. Scared. Thoughts?
It depends!: There is some concern that a large cyst in the ovary can be or become cancerous. So removal is often advised. But if you prefer, you can be monitored with serial physical exam and Ultrasound examinations at 6 to 9 month intervals and delay surgery unless the cyst continues to grow or become more complex like showing solid components inside the cyst.. ...Read more
Complex left pelvic cyst 5cm. Previous hysterectomy ovaries remain. Blood test s oestradiol 2768 pmol/l, ca125 7 iu/l.What are causes, what is treatment
Complex ovarian cyst, told need complete hysterectomy & need 2 see oncologic gyn. Is this standard or should I worry? Also sent 4 ca-125 & CEA tests
Complex Ovarian Cyst: It is not uncommon for a doctor to be cautious and have you seen by a gyn oncologist with a complex ovarian cyst. Most ovarian cysts are benign but some can be cancerous. The size and ultrasound appearance of the cyst as well as the results of the blood tests may raise or lower the suspicion of cancer. It might be best to ask your doctor what they are thinking because they have those details. ...Read more
Hello Doc, ovarian serous cystadenoma of 7.4cms was diagnosed accidentally, . MRI confirms the condition. CA 125 value is 11.44. I do not have any bleeding problems. I had got my last period in may 2015.I was advised open hysterectomy. Please advic?
The mass needs to:
Come out. Removing the ovarian mass is essential for your health. It would be better to have the uterus and both ovaries removed at the same time.
Wish you good health! ...Read more
70 yr woman who had hysterectomy with removal of ovaries & uterus, diagnosed with congestive heart failure, liver enlarged+abd ascites. CA125= 341.Why?
My ca125 levels are slightly elevated and there is a solid mass on my ovary, should I be concerened that it is ovarian cancer?
Depends: Ask your gyn. A solid mass is concerning, but your age, menopausal status, and the ultrasound characteristics are important as well. Elevated ca-125 suggests ovarian cancer, but may be somewhat elevated in many benign conditions, as well, including endometriosis. All of this needs a discussion with your gyn and a possible referral to a gyn oncologist - who are the real experts in this area. ...Read more
7 CM ovarian cyst, ca-125 levels elevated (48), roma score & all blood tests good. Previously had nasopharyngeal cancer. Recurrence or endometrioma?
Likely endometrioma: At your age, ovarian cancer would be exceedingly rare. Ca-125 levels can be elevated in young women for a variety of reasons that have nothing to do with cancer. Nasopharyngeal cancer and ovarian have no relation to each other. Your doctor should tell you what features or characteristics the ovarian cyst has, this will tell you what kind of cyst it is. Good luck! ...Read more
Normal: If your ovaries were left in place, you are not in menopause, which is confirmed by low FSH and lh. A partial hysterectomy in medical terms means removal of the uterus but not the cervix. Complete hysterectomy means removal of uterus and cervix. Removing the ovaries is separate. ...Read more
If I have not had a hysterectomy, will soy lecithin granules effect my estrogen levels in a negative way? (1tbsp per day)
No: Oral intake of soy products is not likely to effect your overall hormonal balance. Not sure why you would want to take this supplement though? ...Read more
High hormone levels 2 yrs ago. Hysterectomy last yr with 5.6 CM cyst ovary, left in 1 ovary. No one said stuff about hormones yrs ago. What to do?
Check with: Your doctor. Not sure what you're asking. It is impossible to evaluate this problem over the internet as we don't have adequate info. ...Read more
Not measured!: If you had a hysterectomy with oophotectomy (which is removal of the ovaries) your FSH will go very high, usually into the 100's. The FSH responds differently in different people to HRT. In some it does not change in others it comes to undetectable. What is important is how you feel not a number! Also, know in situation it is safe and appropriate to be on HRT, see link. ...Read more
Estradio level serum is 50.79 what does it mean I'm 30 years of age I had a partial hysterectomy 4 months ago been having hot and cold sweats?
Follow up visit: For highly specific result interpretation it's best to discuss with the ordering physician who can put it in the proper context. If you still have your ovaries then one expect normal hormone production. Your Estrogen level is normal but a doctor would not test Estrogen levels typically when evaluating hot flashes. They would test an FSH level. Looks like your hot flashes are not from menopause ...Read more
I had hysterectomy 5weeks ago. Last week I started having pain between tailbone and anus. It hurts to sit. Bm's r normal. No straining. Pain level 7?
How much pain Rx?: I'm wondering a few things. First, why did you have a hysterectomy? Did you have a posterior repair or other surgical procedures? Second did you suddenly stop taking pain meds? Is there an area that you can press on that worsens pain? Infection is a concern with new onset pain of that intensity at this point post op. Nerves can be damaged during surgery as well. Contact your surgeon right away. ...Read more
What to do if I'm a woman with naturally high testosterone levels (may or may not be due to pcos) and a hysterectomy?
Nothing unless. . .: Remember that we treat patients, not just numbers so unless testosterone is causing problems, there's nothing to do about a single high result. In fact, there's no reason to check levels unless one is worried that high (or low) T is causing problems. Besides, it's always better to recheck results before starting therapy. Regarding PCOS, exercise & eat right to lower diabetes & heart disease risk. ...Read more
My mother had hysterectomy 5 months back, is it possible of bleeding and low haemoglobin level after surgery?
Many possibilities: While it is possible that the low haemoglobin is related to the hysterectomy, most patients recover to relatively normal levels within a few months of surgery. Late bleeding from a hysterectomy is fairly rare. You did not indicate the reason for the hysterectomy. If it was for non-cancer reasons, your mother's haemoglobin should have resolved by now. I would encourage her to have this evaluated. ...Read more
Diagnosed with Hashimoto 7 yrs ago and had hysterectomy 7 weeks ago. Can a hysterectomy throw off thyroid levels?
Had 3misscarriages & 1 laparoscopic hysterectomy, my prolactin level 749, fsh-5.7, lh-5.4, estradiol-34.What does this mean? Answer please!
My mom age 47 had hysterectomy 5 months back and removed specimen was diagnosed non cancerous, still have low level of haemoglobin 8g/dl, weightloss?
I recently had a hysterectomy. On HRT and now thyroid levels are low. Can my hormones cause my thyroid to be mistaken for hyperthyroid?
My estradiol level is 2768pmol/l am52 and have had hysterectomy but ovaries remain, have 5cm cyst on abdominal scar. Can high estradiol cause cyst?
My estradiol level is 376 &estrogen is 870.Had a partial hysterectomy in march they just removed the uterus. What do these levels mean? Any advice please
Not menopause: Well, first of all you are not in menopause. Estradiol < 28 means menopause. Beyond that, angelique, it does not mean much else. It seems to be a healthy level of estrogen despite your partial hysterectomy. If you want to get pregnant, at that Estradiol level, it may still be possible. If you had the partial hysterectomy because of a fibroid, you want to keep your Estradiol at a healthy level. ...Read more
35 yo hysterectomy, w/ ovaries. I have hot flashes, night sweats, can't lose weight, with menopausal systems, FSH level is 1.8 LH level is 1.2, test 37?
Did they check tsh?: Appears that your ovaries are functioning. Your thyroid can also cause some of the same symptoms. ...Read more
Is an hCG level of 9 normal 1 year post full transvaginal hysterectomy no uterus, no ovaries, no cervix. Taking 1mg of estrogen daily?
No it's not: Probably a false reading, but i'd check again to be double sure. ...Read more
Per my blood work, my estrogen level is 7. I got a prscriptn for divigel but my mom had breast cancer 3 yrs ago. Pls advs. Currently in great health for 51. Black female, straight, otr, cdl driver. Hysterectomy 4 yrs ago for fibroids. I get a physica
I: I share your concerns. I do not know what symptoms you are having that you were prescribed Divigel for, but I assume that you are having menopausal symptoms that you are suffering from. My concern with you would be your family history of breast cancer. In addition, there is increased cardiovascular risks in women over 50 and in women who are overweight. I am very concerned that you could have consequences from taking this medication, so please discuss your risk factors with your doctor. My concern with herbal medications is that they carry the same risk with their estrogen-like substances as regular estrogen, so the herbal medication or bio-identicals have not been proven safe in large peer-reviewed studies either. There are other non-hormonal medications that can help menopausal symptoms, such as neurontin, (gabapentin) but there are several others that you can read about or ask your doctor about as well. ...Read more
Should I have a hysterectomy? I have had 6 blood transfusions in 7years. I am 33yrs old with one pregnancy/one child. I have symptomatic uterine fibroids and iron defiency anemia. My blood levels normally run between 6.9 and 7.3. The lowest has been 5.8
Short answer no: Losing your uterus at such a young age will likely have negative consequences which are completely avoidable by undergoing uterine fibroid embolization (ufe) instead. Your uterus is important to you psychologically, sexually, and there is increased osteoporosis and heart disease risks with hysterectomy. I'd find an interventiomal radiologist with particular experience in ufe and keep your parts! ...Read more
Unknown: At this point in time there is a lot of discussion about this topic and many who feel there may be some association but there has been no known proof of an association of Lyme disease and an elevated CA 125. This is still being researched and nothing that can say a definite cause and affect. Hope this helps. ...Read more
CA-125: This marker is quite non-specific for cancer, particularly in pre-menopausal women. Any things that irritate the lining of the abdomen (such as cysts, endometriosis, and non-ovarian things as well) can prompt elevations in the range you have noted. Other means of screening for cancer however are also imperfect. If you are at high risk, other follow-up may be needed. ...Read more
None to minimal: If the ca-125 was going to be used simply as another blood test for example in a yearly physical, you should not be terribly concerned at all. My answer is different however, if you have a history of a disease such as ovarian cancer and that it should be checked. I also might order it if you have a strong family history of ovarian cancer for example. If not you should not be concerned. ...Read more