Dr. Uzma Arqam
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I am a 41-year-old woman having a 15-year-old son. I have heavy periods and iron deficiency anemia. I was given an appointment for a salpingectomy next week and my coil got removed. The scan showed a six-centimeter fibroid in the muscle. I am also having pressure in the bladder and a frequent tendency to urinate. I cannot take any hormone-based treatment due to other health conditions. So I think surgery will be the only option. Is it unnecessary to have this operation next week? Or it would be better to have a subtotal hysterectomy by leaving my ovaries and cervix in place? I consulted my specialist and she still recommends salpingectomy. I cannot understand why? I am taking Lithium and Carbamazepine medications for bipolar disorder for the past 15 years. This is the reason I do not take any mood-altering or hormone-based medications. I am taking iron tablets daily for the past three years.
Kindly help.
Hello,
Welcome to icliniq.com.
I went through your query and understood your concern.
It would be better if you send the scans and blood reports that have been done recently. For a woman of your age with multiple reasons for hysterectomy, it is better to have the ovaries and tubes to be removed as the ovaries have risks of cancer in the future. So in the case of hysterectomy and oophorectomy, you will need hormonal therapy to prevent menopausal side effects after the removal of ovaries. Menopausal symptoms include bone pain, hot flashes, loss of libido, and all the symptoms of post-menopausal life would be observed. But as said you cannot take hormonal medications due to other health issues. With many medical conditions surgery is difficult and mostly anesthesia department does not give permission for long surgery or longer unconsciousness. This is the reason you can have a subtotal hysterectomy with ring removal as this could be a less prolonged surgery when compared to total abdominal hysterectomy and salpingo-oophorectomy.
I hope this has helped you.
Thanks and regards.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Obstetrics and Gynecology
Related Questions
Is hysterectomy necessary for uterine fibroid?
Is it safe to take Carbamazepine while breastfeeding?
I am suffering from Migraine for the last 15 years. There is throbbing pain is on the one corner of the head
Will hysterectomy cure adenomyosis?
I have heavy periods with painful acne and cramps. Is IBS the cause?
How to mange heavy periods with clots?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
