Doctor insights on:
Pcos And Hysterectomy
Yes and no: There are surgical treatments that will improve pcos, at least in the short term. Ovarian drilling and ovarian wedge resection are sometimes employed in the treatment of pcos and both can result in return of the normal cycle - but usually only for about 4 to 6 months. The majority of women will eventually become irregular again as the pcos returns. ...Read moreSee 1 more doctor answer
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
Just diagnosed with PCOS.have too many cyst inside and out. Is a hysterectomy my only option. does it cause brown spots all over your body?
No: Medical treatment is definitely an option. Ovarian drilling and wedge resection are also surgical options. Exercise and weight loss can help reverse the hormonal changes too. Insulin resistance is frequently associated with PCOS and insulin sensitizing meds can help and make it easier to loose weight decreasing the risk of developing diabetes. Good luck. ...Read moreSee 1 more doctor answer
Why?: PCOS is managed initially with lifestyle modification, such as weight loss. If this doesn't work, OCP's are tried. If the woman cannot tolerate OCP's, intermittent progestin therapy can be used. Getting a TAH-BSO to treat PCOS doesn't make any sense to me. Why throw the baby out with the bath water? (No pun intended). ...Read more
I had a full hysterectomy and now PCOS. I have amyopathic dermatomyositis and read PCOS causes inflammation. Is there a link why I have this disease?
No.: There is no established link between the two ...Read more
I was diagnosed with pcos I've been having a lot of pain on my ovaries and having yellow discharge should I get a hysterectomy?
I have severe adenomyosis, endo and pcos. I use fentanyl patch and oxy for pain management. Is hysterectomy mybest treatment option?
40yo endo, pcos, ulcerative c. childbirth via c-section, 2 surgeries to remove endo from rectus muscle. Many meds over 15y. Hysterectomy pro and con?
Complicated Surgery: Your history of surgeries makes me worry that another surgery for you might be difficult if you have a physical exam that shows a uterus that's fairly stuck in the pelvis. If you haven't tried medical methods of care for endometriosis, I would do that first. Consider continuous pills, Depo, Lupron, (leuprolide) etc. ...Read more
28 year-old woman was found during laparoscopy for endometriosis to have segmental areas of colon missing its musculature, and wonders about pro.....?
Segmental lack muscl: Segmental absence of colonic musculature is congenital and is usually diagnosed in childhood. It can be associated with constipation and also spontaneous perforation which is when it is diagnosed. Would follow up with colon surgeon , regarding the risk for perforation and whether prophylactic removal is warranted . ...Read moreSee 9 more doctor answers
Top part of uterus: A subtotal (or partial, supracervical) hysterectomy removes part of the uterus (the fundus or body) and leaves the cervix in place. A total (complete) hysterectomy is the removal of the whole uterus(body of the uterus as well as the cervix).The removal ovaries is a separate procedure (oophorectomy). Removing everything is a total hysterectomy and a bilateral salpingo (tubes)-oophorectomy. ...Read moreSee 1 more doctor answer
Yes, many: Depending on what sx you are trying to alleviate, there are many options, including: Medications that decrease bleeding Hormones that decrease bleeding or can shrink the uterus Hysteroscopic procedures that are done through the vagina in office or surgery center for bleeding or fibroids in endometrial cavity IR procedures that block bloodflow to uterus&shrinks it Ultrasound energy to shrink, etc. ...Read more
Infection bleeding: Hysterectomies have a low risk of complications. Infections in the abdominal wall, urine, or vaginal cuff sometimes occur. Bleeding into the wound or significant vaginal bleeding is less common. Very rarely, serious complications occur including intraoperative bleeding, injury to the intestine or urinary tract, or blood clot in the legs or to the lungs. ...Read moreSee 1 more doctor answer
Depends on her condi: If she has cancer, or precancerous cells of the uterus, or has excessive bleeding and/or pain, or anemia, or concerns for an ovarian cancer then a hysterectomy may be necessary. But if her condition is bleeding or pain, there are often other options and if she does not want a hysterectomy, she should seek a second opinion from another gynecologist, to make sure all options are discussed. ...Read moreSee 2 more doctor answers
Various reasons: There are a number of appropriate indications for hysterectomy including bleeding that doesn't respond to medical management, prolapse of the vagina or uterus, painful periods, endometriosis, etc. Your gynecologist will be able to help you decide if your best treatment option is a hysterectomy. ...Read moreSee 1 more doctor answer
As with any surgery.: Supracervical hysterectomy means removal of the uterus above the cervix. Da vinci is a tool that allows difficult surgeries to be done through small incisions. Complications of any surgery involve, bleeding, infection, organ injury, and anesthetic risks. None of these are common in the hands of an experienced surgeon and team. ...Read more