Hysterectomy w/C-Section

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audrey s.
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Re : Hysterectomy w/C-Section

Postby audrey s. » Wed Sep 09, 2009 02:08 am

Check out Hystersisters.com for all things hysterectomy. It is extremely rare (I used to moderate over there) to do it for all the reasons stated above. Having a hysterectomy, even if they do keep ovaries, can lead to menopausal symptoms, as the ovaries are somewhat "shocked" from the interruption in blood supply. And surgical menopause with both ovaries out is NOT the same as "natural" menopause. Especially at your age, the bone loss and other issues (such as increased cardiovascular risks) would contra-indicate the surgery for anything but cancer or severe endometriosis/adenomyosis. Even my surgery at age 46 was considered "young" (I had a six-inch ovarian mass that was glued to all my internal organs and twisting them, markers and family history for ovarian cancer, severe adenomyosis that was causing profound anemia, and stage IV endometriosis). It was NOT a walk in the park, and I was otherwise quite healthy (a runner at the time) and not trying to recover from a complicated pregnancy.

If your husband is having surgery, and you have a tubal ligation, that's about as certain as it gets without a hysterectomy. Even tubals and the Essure procedure are not without their risks, but a lot less high-impact than having such a drastic surgery done.

If you do plan to do the tubal ligation during the c-section, make sure you take any required classes in time. I had to take a four-hour class at least one month (maybe even two) before the surgery; luckily I'd scheduled it in time since I did have a somewhat early delivery at 37 weeks. Most insurers (or maybe it's the state, I don't know) require some sort of "counseling" well in advance of the surgery. And, if you're pregnant now, your DH could have a vasectomy at any time (after his class, of course) during your pregnancy. Just a thought; that way, he'd be "ready to go" by the time you're ready to resume relations after your baby comes!

Good luck. I do know how tempting it is to ask for that. It never would have occurred to me, to be honest, and we did have one moment about two years after DD was born where I thought I might be pregnant for a day or two (but I wasn't). Even with my history and symptoms, I never would have had the hysterectomy had it not been for the risk that my mass was ovarian cancer (thankfully, it wasn't). And yes, my hysterectomy turned out to be a good thing (for me) in the end, but the recovery process and menopause process was long and not particularly easy or without complications, some of which still affect me.

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hannahsmom
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Re : Hysterectomy w/C-Section

Postby hannahsmom » Tue Sep 08, 2009 03:41 am

I have issues like fibroids and major ovarian cysts. Before I found out I was pg, my OB and I had talked about a hysterectomy in the near future. When I found out I was pregnant, I asked if she could do the hysterectomy during the c-section and she said no way! She said it would be way too risky, so we're doing a tubal during the c-section and a hysterectomy at another time.

Good luck!

jamilyn
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Re : Hysterectomy w/C-Section

Postby jamilyn » Fri Sep 04, 2009 12:03 am

Going into Menopause earlier then need be would not be fun BUT if it will help you... Hopefully you can decide what is best for you. I've heard they have some great natural supplements to help with Menopause now.

missgamecock
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Re : Hysterectomy w/C-Section

Postby missgamecock » Thu Sep 03, 2009 10:49 pm

Good Luck!!!! I still have to decide what to do with my ovaries. On one hand, don't want instant menopause. On the other hand, endo can still grow because of the estrogen. I think I am compromising and looking at getting the right one taken out.

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Re : Hysterectomy w/C-Section

Postby jamilyn » Thu Sep 03, 2009 04:58 pm

Well I spoke with my Peri and we decided on a Tubal and if anything goes wrong during the C-Section then she will just leave my ovaries. My husband will also be getting a little snipping done!

Thanks ladies for sharing your thoughts!

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Re : Hysterectomy w/C-Section

Postby sheri-ct » Tue Sep 01, 2009 10:37 am

I would be very shocked if they would even consider an elective hysterectomy during a c-section. The uterus gets very large during pregnancy and this could make the procedure a lot more difficult. I almost had to have an emergency hysterectomy due to excess bleeding and it is was not something any of the doctors wanted to do. I asked if my OB if she would remove my left ovary during my next c-section (I get LOT of painful cysts from my endo) and she refused. She said that any additional cutting during a c-section creates risks.

Sheri

hols537
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Re : Hysterectomy w/C-Section

Postby hols537 » Tue Sep 01, 2009 09:57 am

I had a tubal with my c/s and it was basically a non-event. I understand that the risks of a tubal regrowing are very low (my OB said she has never had a patient with a pregnancy after a tubal) and that the risks are highest for those having it done early in their childbearing years (highest of a very low chance). I don't know if at 25 you would qualify as early, but that's definitely a question for your OB. My nurse case manager suggested (she said it half jokingly, but made an interesting point) that I ask to have them remove my uterus so I wouldn't require hormones, but wouldn't have the risk of pregnancy or the hassle of monthly periods (she had that done herself, but not for birth control reasons). But, like Kara said, if you have any doubt about doing it or a method, then don't.

jamilyn
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Re : Hysterectomy w/C-Section

Postby jamilyn » Tue Sep 01, 2009 09:56 am

I have other Medical problems so I'm not feeling pushed at all, I know they are trying to protect me and im just trying to keep all my options open. I had never heard of the Essure procedure, thank you, I will look into that and bring it up as well on thursday.

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Re : Hysterectomy w/C-Section

Postby kara » Tue Sep 01, 2009 00:48 am

I'm a bit shocked that anyone would suggest a medically unecessary hysterectomy for a 25 year old, and permanent birth control for someone so young. You do not have to make a permanent decison because your doctor wants you to, even if you are done having babies. To pressure someone into that is not right. There are many other options, like the IUD (and there are two kinds to choose from - mirena which is hormonal, and the copper iud which has no hormones). The Mirena is deemed to be MORE effective than a tubal - not sure of the stats on the copper iud.

For permanent birth control beyond tubal, there is the Essure procedure, which they can do vaginally, at some point after delivery. They put coils in your fallopian tubes which scar the fallopians until the openings are completely closed. They have a follow-up test to make sure they are 100% closed.

These all sound like much better options than a hysterectomy and potentially early menopause.

If you don't think you should be making a decision like this, then listen to your instinct. There's really no need to make that kind of decision. At the very least, a second opinion seems warranted.

jamilyn
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Re : Hysterectomy w/C-Section

Postby jamilyn » Mon Aug 31, 2009 11:43 pm

I had an IUD put in at my 6 week appt after my last pregnancy and it did do the trick of me not getting pregnant it did cause me to have a lot of cramping and pain for most of the 4 1/2 years I had it in. It was perfect though since they were so worried about me having any kind of hormones. Now my Peri is saying they dont see that being a problem though. Hopefully they can clear it up more on Thursday when I see them.
So far my options have come down to something being added to my C-Section I just never thought id be making a choice like this right now. Thanks for letting me vent and putting your opinions out there, it really helps me look at all my options.


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