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Hysterectomy

Discussion in 'Ob/Gyn' started by Smilemaker100, Dec 9, 2005.

  1. Smilemaker100

    Smilemaker100 Membership Revoked
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    If one of you had a nulliparous healthy patient in her 30s request a hysterectomy, what would you tell her?
     
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  3. Global Disrobal

    Global Disrobal Along for the ride
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    Rather than "telling her" I would "ask her" as to what the reasons are... give us some of her reasons and then the speculations can begin.
     
  4. Smilemaker100

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    A hysterectomy which include the ovaries and Fallopian tubes would be ideal (bilateral salpingo-oophorectomy).

    Suicidal thoughts which occur once in a while when she has PMS (not 100% treatable with psychotropic meds), reduce chances of having ovarian/uterus cancer (which runs in her family) and finally, she is looking into the possibility that she may never have kids.

    She is worried about the consequences such as a premature menopause. Anything else of concern?
     
  5. Wednesday

    Wednesday Senior Member
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    Yeah, that she might want to have kids.

    Premature menopause is a pretty big deal. Has she received genetic counseling and/or testing related to her family history of ovarian CA?
     
  6. Smilemaker100

    Smilemaker100 Membership Revoked
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    Of course, not having kids crossed her mind but at this point she has decided that she will be devoted to her career. Actually, she hasn't had genetic counseling so I'll tell her to do so. She has been married for five years and her husband doesn't want kids anyhow.
     
  7. community

    community Senior Member
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    I would also inform her of the likelihood of prolapse issues later in her life as well.
     

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