Doctor insights on:
Laparoscopic Oophorectomy Recovery
Surgical procedure: It's a minimally invasive surgical procedure, utilizing small incisions and a camera as well as narrow diameter instruments to operate within a body cavity. Oophorectomy means to remove an ovary. Postmenopausal refers to a women who has stopped menstruating, and has left their reproductive years. ...Read more
Depends: Usually it's an outpatient procedure but there are times when hospital stay needed ...Read more
Normal: The stress of surgery or removal of a cyst may throw off the first cycle, but then you should return to a normal monthly pattern. As long as you have one healthy ovary, you will ovulate once a month. You will go through menopause at the same age you would have if you had 2 ovaries. ...Read more
I would recommend oophorectomy in a postmenopausal patient, due to the (small, but possible) risk of a malignancy. While the most common type of dermoids are benign, they can be some that are malignant, and in a menopausal female I would recommend oophorectomy instead of cystectomy, to ensure that the tumor is removed entirely.
For a premenopausal patient I would recommend cystectomy. ...Read more
I had a laparoscopic bilateral salpingo oophorectomy last monday (6 days ago)...On friday 4 days after surgery I started bleeding. Its quite heavy, ?
I have a 'solid' 3.1 x 2.2 CM cyst on my left ovary. My doctor recommended a laparoscopic salpingo-oophorectomy. Is this the correct recommendation?
YES: This is an appropriate recommendation. Once he looks at the cyst he may be able to save the ovary and take only the cyst, but it is best to plan for removal of the ovary. He could also find things that require more than removal of the ovary & tube. That is not so common and hopefully you won't have that experience. Good luck. ...Read more
I had a laparoscopic bilateral salpingo oophorectomy 4 days ago have started bleeding heavily like a period with dark clots feel nauseous what's wrong?
Call your doctor: You should expect some bleeding post procedure but when in doubt let your doctor know. We rather be bothered with routine issues than not be notified with something more serious is happening. So call your doctor asap. ...Read more
Ask your surgeon: It shouldn't be too long a time, but each surgeon will have her/his own recommendations. Good luck. ...Read more
3 to 7 days: Many women can have the procedure done on a friday and be able to return to work and light activities on monday though there will still be some soreness and fatigue for a week. The discomfort can generally be relieved with nsaids. You should avoid heavy lifting, abdominal exercises, and intercourse for 2 weeks. ...Read more
1 week: After a minimally invasive so (robotic or laparoscopic), you will be groggy, and feel the worst incisional and pelvic discomfort for the first 24 hours. Motivated women may return to work after 2 to 3 days. You will continue to be achy, possibly bloated, and aware of the incisions with movements for about a week. Avoid heavy lifting and high impact activities for 2 weeks. ...Read more
This means removing the fallopian tube and ovary. For ovarian cyst or mass on one side, the tube and ovary may be removed. In menopause, if having a hysterectomy, we often recommend removing both fallopian tubes and ovaries as they can both cause dangerous cancers that are hard to detect until it is too late.
Tube and ovary are sometimes removed due to infection. Certainly cancer requires remova. ...Read more
Partial?: There is no such thing as a partial bilateral oophorectomy. A bilateral oophorectomy may take as little as an hour or longer if there is scar tissue to work around. ...Read more
Family history: Women who are brca 1 or 2 positive are definitely candidates for preventative or risk reducing surgery including removal of tubes and ovaries. Brca negative women with a family history of ovarian cancer can also be offered risk reducing surgery. Their lifetime risk can range from about 4-11% and their are no good screening tests available. ...Read more
1 to 2 weeks: A prophylactic oophorectomy done by minimally invasive laparoscopic surgery should require no more than 1 to 2 weeks before you can be back to your normal energy levels and most normal activities. Heavy lifting, abdominal exercises, and sex are the only activities that should be deferred for 4 to 6 weeks. ...Read more
Risk vs. Benefit: If you are at high risk of ovarian cancer, such as carriers of a brca or lynch mutation, or women whose mothers have ovarian cancer, the surgery is your best risk reducer. If you are at average risk of ovarian cancer and having a hysterectomy, the risks of estrogen deprivation in premenopausal women must be carefully weighed. Most postmenopausal women have more benefits than risk with bso. ...Read more
Depends: There actually is no recommendation to have a preventive oophorectomy. However, if you have a family history of ovarian cancer, personal history of breast cancer, or are about to undergo hysterectomy for other reasons, that is a question to consider. If you are merely undergoing hysterectomy for benign reasons, it is not recommended under the age of 60. ...Read more
Yes: In most cases with an anxious patient, anti-anxiety medication is routinely given when the patient is cleared for the operating room, all necessay preoperative discussions have been completed, and surgical consents are signed. These medications are usually given by or on the order of the anesthetist assigned to that patients procedure. ...Read more
How long after: This would certainly be normal the first few months after surgery and would probably resolve on its own as the tissues healed. If this is a long standing problems you might have internal scarring, or what we call adhesions. These can be painless but can cause pain under certain circumstances. This scarring is not dangerous. Sometimes a second surgery can clear the scarring - but not always. ...Read more
Why oophorectomy instead of cystectomy abd it neasured 6.2✖️4.4cm last week its probably getting smaller anyway?
Depends on age/size:
SOmetimes if a large cyst is encountered and you are concerned about a malignancy, you take the ovaries out to get a pathologist to review it as a whole. If you take bits and pieces out, you can spread malignancy in your abdomen and worsen prognosis
In younger women, sometimes, preservation of the ovaries is attempted because risk of ovarian cancer is low and there is need for ovaries for fertilit ...Read more
I had unilateral oophorectomy a month ago, this is first cycle after and has been spotty heavy and light for 2 weeks. Is this normal?
No: Although the first period post ovarian removal is often shorter or heavier then usual, it is unusual for the bleeding to last two weeks. Talk to or go see your GYN surgeon for clarity. ...Read more
I had a unilateral oophorectomy April 23rd, I been having to do heavy pushing and some lifting, how can that affect me since I was adviced not do that?
In order to get into your abdomen, doctors call it the peritoneal cavity, we have to cut through the tough lining of your abdomen, called the fascia. It takes time for the fascia to heal. Anytime you push or strain, you have to strengthen your core. This pressure on your abdominal wall can impair healing of the fascia.
The best way to rule out a hernia is with a physical examination. ...Read more
Likely good: All other thigns being equal, and assuming the other ovary and tube are normal, it will probably have little if any impact on ability to conceive. ...Read more