Doctor insights on: Elevated ca 125 levels after a hysterectomy

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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.

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

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Ca125 (Definition)

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


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Hi I had a total hysterectomy 7 months ago my doctor checked my ca125 and it is 48 I am 35 y?

Hi I had a total hysterectomy 7 months ago my doctor checked my ca125 and it is 48 I am 35 y?

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

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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?

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

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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 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

More information: Complex cysts in postmenopausal women often need surgical removal. Very specific treatment options in individual cases need to be managed one on one with your and your doctor. There is not enough information to provide a definitive answer. ...Read more

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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, 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

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70 yr woman who had hysterectomy with removal of ovaries & uterus, diagnosed with congestive heart failure, liver enlarged+abd ascites. CA125= 341.Why?

70 yr woman who had hysterectomy with removal of ovaries & uterus, diagnosed with congestive heart failure, liver enlarged+abd ascites. CA125= 341.Why?

No explanation: One reason that CA125 is such a poor cancer screen is that a great many healthy people run relatively high levels for no apparent reason.. IThe key is managing her underlying illness if at all possible. I trust that cause has been found and is not tumor. ...Read more

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Does an elevated ca 125 level always indicate that ovarian cancer is present?

Does an elevated ca 125 level always indicate that ovarian cancer is present?

No: Ca-125 may also be elevated in other cancers (i.e. Endometrial, fallopian tube, lung, breast and gastrointestinal cancers.) it can also be elevated with endometriosis or any inflammatory condition in the abdominal area. ...Read more

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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

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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

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Very low LH and FSH levels after partial hysterectomy at 35--why is that?

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

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If I have not had a hysterectomy, will soy lecithin granules effect my estrogen levels in a negative way? (1tbsp per day)

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

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What should FSH level be if you are on HRT post hysterectomy?

What should FSH level be if you are on HRT post hysterectomy?

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

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Is it possible for you to still have a hysterectomy with low hemoglobin levels?

Is it possible for you to still have a hysterectomy with low hemoglobin levels?

See details: It depends how low is low. Usually one will be transfused or the anemia otherwise corrected prior to surgery. ...Read more

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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?

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

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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?

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

Dr. Jeff Livingston
1,879 Doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more