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Uterine Prolapse endometriosis are the biggest players in this “do I or don’t Register
Vaginal Laxity
I” hysterectomy arena. Let me help you understand
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something most of you already intuitively know – one
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woman’s hysterectomy blessing is another woman’s
Vaginal Rejuvenation hysterectomy nightmare. What turned your neighbor’s life Comments RSS
into a happy healthy place might not work so well for you. WordPress.org
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According to a beautifully designed and implemented
July 2010 research project recently published in the bible of
June 2010 gynecologic research, ”Obstetrics and Gynecology”,
May 2010
whether you’ll celebrate or regret your hysterectomy
depends on how much headache your uterine condition is
April 2010
causing in terms of pain, painful sex, heavy bleeding,
December 2009 pelvic pressure, and fatigue from the anemia caused by
November 2009 heavy bleeding, combined with how you feel about your
October 2009 uterus, and how you feel about hysterectomy.
August 2009
With the right mix of severe, recalcitrant uterine problems
in the setting of unsuccessful non-hysterectomy therapies,
and a laissez-faire attitude toward the role of your uterus
in your version of womanhood, a hysterectomy may turn
out to be best thing you ever did. But when the
clinical/personal mix leaves you feeling like less of a
woman and wondering why you signed up to remove an
organ that plays a crucial role in your feminine identity,
you may well regret your hysterectomy.
At the beginning of the trial, women were asked how they
felt about the
lack of menstruation,
uselessness of uterus once childbearing complete,
no more birth control concerns
the
sexual function
feeling complete as a woman
and
“hysterectomy concerns”
feeling older
violated
sad about loss of fertility resulting from hysterectomy
Over the ensuing decade, these self-rated attitudes were
compared to symptom impact on each woman’s overall
quality of life and sexual function as she dealt with her
gynecologic disorder.
So now we’ve got choices, and they often work quite well.
It used to be wait for menopause, take harsh hormones,
(look up Danazol for endometriosis when you have a
chance), clean out the uterus with a D&C, and if none of
that worked, your options were restricted to toughing it
out or hysterectomy.
Besides these new therapies, it is important to understand
that not every condition needs treating. Mild endometriosis
may never cause a problem short of a tendency to painful
periods, or it can be as brutal as a cancer, socking onto
every organ in the pelvis, ruining your fertility and making
you feel like your belly’s on fire. Fibroids can be cute little
nubbins scattered here and there with nary a clinical
impact, or they can be gigantic super-ball-consistency
uterine tumors the size of your head. Dysfunctional
bleedng tack a few extra days on to your period, or it can
be a hemorrhagic pad-soaking, anemia inducing tsunami
that knocks the wind out of your life every month.
http://www.ncbi.nlm.nih.gov/pubmed/20226402,
http://www.ncbi.nlm.nih.gov/pubmed/17513923,
http://www.ncbi.nlm.nih.gov/pubmed/16055568.
Really need a hysterectomy? Make it a happy one, keep
your ovaries.
I have the privelege of contributing my literature reviews to
the Journal of Sexual Medicine (JSM). Below you’ll
find my JSM synopsis of the SOPHIA trial:
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