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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Menopausal. Have Bleeding, Anemia, Ovarian Cyst, Fibroid In Uterus, Hyperplasia. Done Vaginal US. Fear Cancer?

Like so many I am trying to decide what to do. I am 53 and not done with menopause. After no periods for about 5 months I started mild bleeding but got heavier continuing for 2 months. Became very anemic.(been prone to anemia most of my life) Went to gyn. found I needed iron pills. Stopped bleeding within 8 days. Little to no pain the whole time just rather bloated but quit once iron kicked in. A vaginal ultrasound revealed uterus about twice it's size, walnut size fibroid inside, hyperplasia of uterus and a "baseball" size left ovarian cyst (appears fluid like). Uterus biopsy was negative. Had CA-125 test revealing score of 95. Gyno wants to remove left ovary and cyst.(laproscopically) Suggests removal of uterus while there, leaving 2nd ovary but says up to me. Second opinion Gyno says take out both ovaries and what ever I want to do with my uterus says up to me. I do understand that if cancer is found what is taken out changes but what should I ask for initially? After hearing both and reading all these web sites I am thinking just the left ovary with cyst. What do you think? What if left ovary shows cancer? What should they take then? I am now having an uneventful light period starting 2 days ago rather right on time. I stopped having painful periods about 18 months ago and still without notable pain so this discovery and all these tests really caught me off guard. I have read about the CA-125 test being elevated due to exactly what I have, without cancer. However, it does not say how elevated. How concerned should I be?
Tue, 29 Oct 2013
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Oncologist 's  Response
Dear,
I am happy that you have done a good study about your problems. I should tell you that post menopausal bleeding should be seen with concern more so when there is fibroid also along with the ovarian cyst.
I personally feel that you should get your uterus removed along with your both ovaries called hysterectomy with bilateral oophorectomy. you will be saved from getting repeated anaemia due to unwarranted bleeding and the fear of malignancy will go. At this age you don't need these parts. Once you undergo through this procedure your health will definitely improve and you will have good time ahead..
I wish you good luck.
Dr. Ticku
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Menopausal. Have Bleeding, Anemia, Ovarian Cyst, Fibroid In Uterus, Hyperplasia. Done Vaginal US. Fear Cancer?

Dear, I am happy that you have done a good study about your problems. I should tell you that post menopausal bleeding should be seen with concern more so when there is fibroid also along with the ovarian cyst. I personally feel that you should get your uterus removed along with your both ovaries called hysterectomy with bilateral oophorectomy. you will be saved from getting repeated anaemia due to unwarranted bleeding and the fear of malignancy will go. At this age you don t need these parts. Once you undergo through this procedure your health will definitely improve and you will have good time ahead.. I wish you good luck. Dr. Ticku