![]() If you were my patient, and either have a second ovary present (as most women normally do) or are menopausal, I would recommend to remove the entire ovary rather than do a cystectomy as it is a much easier, and therefore, safer procedure. If you are already menopausal, then either or both ovaries can be removed without any change in risks. If only one ovary is being removed, you should have another ovary that will produce the estrogen unless it has already been removed in the past. Once menopause occurs, estrogen then should be replaced as hormone replacement therapy. We know that estrogen is a vital hormone for a woman's body so we want her to have that natural hormone as long as possible. ![]() The increased risks of heart disease is not from the loss of an ovary but the lack of estrogen from having both ovaries removed. But I will try to give you as much information as possible to consider.Īt 52 years old, you may already be menopausal. There is some more specific information that I need in order to give you a more specific answer. Women:s health and fertility Maat 11:14 AM If the pathology returns showing a malignancy, even if the whole ovary were removed, they would still have to proceed in the same way with additional surgery to remove the remaining ovary and uterus, and radiation or chemotherapy. If you are absolutely keen on keeping your ovary, and willing to take the risk of a malignancy in that ovary, then your doctor should be willing to work with you and do a cystectomy. But one has to individualize treatment and come to a mutuallly acceptable decision. A cytectomy is usually adequate for this tumor and the ovary does not have to be removed. That is why the treatment is more aggressive.ĭermoid tumors in general are benign and the chances of a malignancy within are very small. Ovarian cancer is a deadly cancer and often not diagnosed until too late. In women over 48 years old with an ovarian tumor, it is standard practice to counsel to remove both ovaries if one is diseased. Yes, you probably have a few months to years of ovarian function for natural hormone production, but you are probably going to enter into menopause somewhat soon. I don't necessarily see a need to remove both ovaries as long as the opposite ovary is normal. Women:s health and fertility Jat 11:09 AM Ps, I bet the US Open was fantastic, was it? Reply Delete I accept oophorectomy as a last resort but feel like I am being railroaded into a situation which I think could be salvageable. My reasons for keeping the ovary is 1) to maintain some oestrogen in the body after menopause (I am not menopausal and do not have any major symptoms) and 2) because I am a completist and want to have both ovaries for symmetry (the opposite of body dysmorphia?) which is a bit paranoid but it is really what I would like. I have read that the chances of malignancy are 2% but was led to believe this was much higher by the last two consultants I have been sent to. My original consultant (who is quite a distance from here) had said he would be willing to do a cystectomy, but if there was any spill and any chance of malignancy, I would have to start chemo. In fact, they wanted to remove both my ovaries and I refused. I really want a cystectomy rather than an oophorectomy but because I am 50, they say the risk of ovarian cancer means they are not willing to do this. ![]() I am not sure how to actually post a proper blog, sorry! My question is, I have a cyst 10 x 9 x 9 centimetres that looks dermoid by ultrasound. Hi, I'm from the UK and my problem is similar to K from Nevada.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |