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Second opinion required for hysterectomy
Discussion in 'All Categories' started by Shyama Shukla - Aug 6th, 2016 9:50 pm.
Shyama Shukla
Shyama Shukla
I am a 48 years old woman having bleeding from more than a month.
Trans-vaginal ultrasound done. Uterus appeared anteverted. Uterus measured 7.3*5.8*3.5 cms. normal appearing uterus with homogenous myometrial echoes. There's a 24*20 mm posterior intramural fibroid. Endometrial thickness measured 14.9 mm. Right ovary measured 3.3*1.7*3.0 cms with 11 mm cyst. Left ovary 3.4*3.3*2.2 cms with 22 mm cyst. Impression - thickened endometrium likely cystic hyperplasia.

Doctor suggested hysteroscopy with therapeutic endometrial curettage.
Histopathology report- sections show narrow, tubular to cystically dilated glands lined by columnar epithelium. The stoma is compact. No atypia seen. Opinion - endometrial hyperplasia, cystic glandular type.
After this doctor suggested hysterectomy and also removal of ovaries.
Second opinion needed. Please provide your advice.
re: Second opinion required for hysterectomy by Dr R K Mishra - Aug 6th, 2016 10:00 pm
Dr R K Mishra
Dr R K Mishra
Dear Mrs Shyama

Thanks for your interest in World Laparoscopy Hospital for the treatment of your patient. As your irregular bleeding is only for one month so it could be due to menopausal syndrome. Symptoms of menopause can include abnormal vaginal bleeding, hot flashes, vaginal and urinary symptoms, In our opinion you should try medical management first and if this bleeding continues then only hysterectomy should be planned. The average age of menopause is 51 years old. But there is no way to predict when an individual woman will have menopause or begin having symptoms suggestive of menopause. The age at which a woman starts having menstrual periods is also not related to the age of menopause onset. Most women reach menopause between the ages of 45 and 55, but menopause may occur as earlier as age of 40s, or may not occur until a woman reaches her 60s. As a rough "rule of thumb," women tend to undergo menopause at an age similar to that of their mothers. Please wait for few more month and seek medical therapy by a gynecologist.

With regard

Dr R K Mishra
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