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How long does the hysterectomy operation for atypical endometrial hyplasia ademoysis last ?

im 31 im having a hysterectomy in 3 weeks for atypical endometrial hyplasia ademoysis. I have a cervical prolapse. I have pcos and non pcos ovarian cysts . The consultant has asked me to think whether i want to keep ovaries or not. All the articles i have read say ovaries should be removed. I have been told mine produce mininmal progesterone and excessive estrogen. Also when i had my hysteroscopy they said i was suitable for vag hysterectomy when it was thought only polypoid endrometrium will this still be the case if so how long should i expect to be in theatre. only found out tues def hysterectomy got date for op 2 days later so no chance to ask questions yet.
Asked On : Sun, 15 May 2011
Answers:  3 Views:  105
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OBGYN 's  Response
Hi ,
In case of atypical endometrial hyperplasia if you have completed your family then ideally the ovaries should be removed.You are only 31 that's why your doctor must have asked you to decide as it will cause premature menopuse but in my opinion NDVH (non descent vaginal hysterectomy ) or TLH ( total lap hysterectomy ) with bilateral salpingoopherectomy (BSO) should be done.
Best wishes
Take care
Answered: Sun, 15 May 2011
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  Anonymous's Response
Sorry Im New to all this can someone tell me these types of hysterectomys are done. the NDVH TLH BSO.
Answered: Sun, 15 May 2011
OBGYN Dr. Minoo Bhagia's  Response
NDVH is non descent vaginal hysterectomy means you remove the uterus , cervix and if required ovaries also from vaginal route .In this case it is not necessary to have prolapse
and VH is vaginal hysterectomy done for prolapse with repair of the pelvic floor.
TLH is total laparoscopic hysterectomy done from the abdominal route with the help of laparoscope.In NDVH there are no marks on abdomen.In TLH there will be port marks.
BSO is bilateral salpingoopherectomy means when you remove ovaries and adenexae along with uterus and cervix.
Answered: Mon, 16 May 2011
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