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What Causes Sharp Pain On Right Lower Abdomen After Blood Transfusion?

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Posted on Mon, 2 Jun 2014
Question: I'm a mother of two girls aged 12 and 6. I had an elective c-section birth delivery with my second child 6 years ago. She was born, everything went well with my baby and the c-section and while I was in the recovery room, I started haemorrhaging, they had no choice but to give me an emergency hysterectomy.
I lost 6 litres of blood and had to have a massive blood transfusion. I spent several days at the ICU and recovered well. Weeks later when I went for my check up, my gyneacologist told me from the autopsy, they found cancerous cells started to form. I would have had cervical cancer, having this child saved my life.
Recently, I have been having sharp pain on my right lower abdomen. Went to emergency thinking it was appendicitis, they did an ultrasound and was told the pain could have been caused by a burst cyst. I went home the next day. The pain had subsided then and no painkillers were needed.
Went to see a gyneacological oncologist a fews later, had an ultrasound and everything was clear.
My concern is, my older sister had a breast removed due to cancer. My aunt died of breast cancer. With my family history, I'm worried that I would get ovarian cancer. I understand there is no screening for ovarian cancer at the moment and because of that I'm considering having my ovaries and fallopian tube removed. I've been very well informed of all the risks involved having my ovaries removed. I've also been advised by my doctor that my risk of having ovarian cancer is very low as non of my family members have had ovarian cancer. I thought the risk is high enough for me with my own history cancerous cells found in my cervix. I just need a second opinion before I decided to have my ovaries removed. At the moment, I still have the pain on my lower right abdomen from time to time and it's only mild. Any advice would be appreciated. Thank you. Cheers, XXXXXXX
doctor
Answered by Dr. Indranil Ghosh (4 hours later)
Brief Answer:
Chance of ovarian cancer is not increased

Detailed Answer:
Hi
Thanks for your query.

Having precancerous cells in one's cervix does not increase the risks of ovarian cancer. These are two completely different pathologies.

But yes, breast cancer in one sister and one aunt (especially if the aunt is mother's sister) increases the risks of having breast cancer a bit. Ovarian cancer risk may not be increased unless it is proven to be due to BRCA gene. This gene increases the risks of both ovarian and breast cancers and runs in the family. You can test for this in your blood before taking any big decisions.

As you are 44, removing ovaries will cause an early cessation of ovarian function which may affect you otherwise, including reducing your bone strength.

Now coming to your recent pain, if everything is clear and the pain is subsiding then nothing needs to be done at present, just follow up.

Hope I have answered your query. I will be available to answer further followup queries, if any.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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What Causes Sharp Pain On Right Lower Abdomen After Blood Transfusion?

Brief Answer: Chance of ovarian cancer is not increased Detailed Answer: Hi Thanks for your query. Having precancerous cells in one's cervix does not increase the risks of ovarian cancer. These are two completely different pathologies. But yes, breast cancer in one sister and one aunt (especially if the aunt is mother's sister) increases the risks of having breast cancer a bit. Ovarian cancer risk may not be increased unless it is proven to be due to BRCA gene. This gene increases the risks of both ovarian and breast cancers and runs in the family. You can test for this in your blood before taking any big decisions. As you are 44, removing ovaries will cause an early cessation of ovarian function which may affect you otherwise, including reducing your bone strength. Now coming to your recent pain, if everything is clear and the pain is subsiding then nothing needs to be done at present, just follow up. Hope I have answered your query. I will be available to answer further followup queries, if any.