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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Severe Abdominal Pain. Had Hysterectomy Due To Endometriosis. Ultrasound Revealed Spread To Cervix And Ovary. Guide?

HI, my user name is helpus because I have a friend who has no internet access, I am a caregiver by trade, and WE need help. She recently had surgery to remove her uterus and one overy due to endremosis. she is experiencing continued pain. She had an ultrasound that reveiled that the problem has progressed to her cervix and other overy. Her doc has advised her to keep her cervix in spite of the involvement there because it will spare her a more drastic menopause. I do not think that the cervix has any impact on menopause....Any Advice???
Thu, 2 May 2013
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General & Family Physician 's  Response
Hello & thanks for posting on HCM
You are quite right - cervix has no impact on menopause
I feel that at the time of surgery it should have been picked up if the other ovary & cervix was also involved in endometriosis process as it would have been easier to do all clear out in one go.
But in case if it was spread post op / was not picked up at the time of original surgery - then she can have some hormonal suprressant medication ( OR injections) which induce pseudomenopausal state to suppress active endometriotic lesions.
This helps to buy time & also will give her sysmptoms relief till sugery can be delayed
Hope this helps
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Having Severe Abdominal Pain. Had Hysterectomy Due To Endometriosis. Ultrasound Revealed Spread To Cervix And Ovary. Guide?

Hello & thanks for posting on HCM You are quite right - cervix has no impact on menopause I feel that at the time of surgery it should have been picked up if the other ovary & cervix was also involved in endometriosis process as it would have been easier to do all clear out in one go. But in case if it was spread post op / was not picked up at the time of original surgery - then she can have some hormonal suprressant medication ( OR injections) which induce pseudomenopausal state to suppress active endometriotic lesions. This helps to buy time & also will give her sysmptoms relief till sugery can be delayed Hope this helps