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Can I request a hysterectomy?!

(30 Posts)
Euphemia Sun 12-Jun-16 21:32:40

Ten years I've tolerated perimenopause and menopause. TEN. I'm done in with it. I've tried various interventions, to no avail.

Can I go to my GP and request a hysterectomy?!

AlwaysDancing1234 Sun 12-Jun-16 21:34:58

Ive recently wondered the same. Sick to fucking death of heavy/irregular/constant periods with apparently no proper reason behind them.
I'm done having kids, don't need it anymore so can we just get rid of the whole damn lot and be done with please?

Euphemia Sun 12-Jun-16 21:36:12

I feel you! I'm 49: 37 years of bastarding periods! Enough!

AlwaysDancing1234 Sun 12-Jun-16 22:01:38

I'm going to sound like Catherine Tates Nan now but - I bet if men had period they'd have fuckin found a way to make them easier by now!

PollyPerky Mon 13-Jun-16 11:45:35

In a word 'No'.
Are you asking this seriously or are fed up with periods and heavy bleeding?

What interventions and treatments have you tried so far?
Gynaes are doing fewer hysterectomies now for bleeding because there are other options- Mirena, cauterising the lining or hormonal treatments.

The risk with the op is that you will most probably go right into menopause quickly even if your ovaries are left, so you'd need to think how you'd cope with that and if you'd want something like HRT to help.

Euphemia Mon 13-Jun-16 13:41:26

I'm serious! Since I was 40 I've tried:

Tranexamic acid - worked for a while then didn't
Mirena coil - ditto
Endometrial ablation - they couldn't get my cervix open so were unable to do it
HRT patches - gave me three or four migraines a day

I'm fed up!

Period cramps started three weeks ago, bad enough to need painkillers. No bleeding until ten days later, still bleeding ten days after that.

What can I try next if not hysterectomy?

AlwaysDancing1234 Mon 13-Jun-16 13:52:28

I understand your frustration OP and you've tried more than me.
I'm bloody serious about hysterectomy, just so sick of constant bleeding and feeling so ill

PollyPerky Mon 13-Jun-16 14:33:55

Perhaps you've just had poor treatment?
ie 'not being able to get your cervix open'- this was under a GA? This sounds like incompetence tbh. I had a hysteroscopy and my lovely consultant took 30 minutes to access my uterus, using dilating rods, with me awake all the time. I can't understand why they couldn't access yours because operations need access.

And the HRT- it can take a while to settle down but also find the right dose. Many people on HRT have migraines when the progestogens are withdrawn in the 2nd half of the cycle if they use the sequential type (which presumably you were, if you are still having periods?) There are different types of patches and often it's trial and error finding the one that suits.

Is it worth asking for a referral to a gynae with more expertise in this area?

crazycatladyonthecorner Tue 14-Jun-16 08:23:09

I had a hysterectomy 5 days ago.
I had been bleeding constantly for 9 weeks. I tried different combinations of medication, which didn't work. I even had to have a blood transfusion.
I considered an ablation but as there is no guarantee to stop the bleeding I went for a hysterectomy. I was going under GA anyway with either op which I was more nervous about that the actual op.... I wanted a 100% guarantee that the bleeding would stop
My gynea was very supportive of MY decision and we talked through all the pros and cons.
I am in no doubt I made the right decision at the right time in my life for the right reasons.
I will never have another period, my life will not be controlled by bleeding, I am so looking forward to this summer already I can feel my mood lifting.
It is emotionally and physically exhausting having nightmare periods.
I'm 51 and I feel this is a new chapter for me, period free......

AlwaysDancing1234 Tue 14-Jun-16 14:26:30

caady that's very interesting to read and clearly the right thing for you. Wishing you a speedy recovery flowers

Euphemia Tue 14-Jun-16 19:01:35

Really interesting Crazy - thanks.

PollyPerky Tue 14-Jun-16 19:18:31

I think it all depends on the consultant tbh.

Glad you are sorted Crazy.

Nowadays, hysters are avoided usually until all other options have been tried.

Still don't understand how a cervix was inaccessible under a GA. The procedure to dilate is standard and mine was done while I was awake and I didn't feel a thing. It's also less common for the cervix to be closed during peri because it opens every month(or whenever) for periods.
I'd have been really annoyed if I'd gone in and been prepared for a GA, had the GA and then woken to find they couldn't gain access! I think you've been fobbed off Euphemia and you should question whatever happened. What did they say when they discharged you?

Euphemia Tue 14-Jun-16 19:47:59

The hospital treatment was shit, it's true! I've never been in labour and apparently my cervix is at a slightly strange angle. They had a good old poke about, were worried they might have ruptured the uterine wall, gave up and frankly I wanted no more to do with them!

I'd go private if I was having a hysterectomy.

PollyPerky Tue 14-Jun-16 21:14:21

That's appalling ! angry

When I had a hysteroscopy (ok, it was private) the plan was go in with nothing, have a local if painful, reschedule for another day and a GA if necessary. I was the one insisting I wanted nothing because the same dr had already managed a biopsy in his surgery a few months before that and it was easy peasy.

It did take him a long time and I do wonder if the NHS would have persevered for 30 minutes, but all credit to him (he's great) it worked and I didn't have any pain.

Why not make an appt to see a gynae privately anyway and see what they suggest (if you can afford the cost of private surgery from what you've said.)

LunaLoveg00d Tue 14-Jun-16 21:17:26

You definitely need to ask to be referred to a gynaecologist.

I saw one about 3 years ago regarding horrendous heavy periods - won't go into too much detail but I was losing so much blood it was making me ill. She talked me through the range of options, saying she would recommend Mirena, if that didn't work some sort of ablation, and finally hysterectomy. I must have looked shocked because she said "Yes it's a bit drastic, but you've told me your family is complete, this situation is making you ill and can't continue, and I'm just putting it on the table as an option". And at that point I was only 41 or 42.

MandyEmz Tue 14-Jun-16 23:21:39

Hi, I had an elective hysterectomy 5 weeks ago because of terrible periods. I'm 45 and I can honestly say it was the best thing for me and would recommend it. I also can't wait for summer, white linen pants with no fear of a surprise period. My consultant offered me several options but the hysterectomy was my immediate choice. I'm recovering well and hope to be back to work in a couple of weeks. You'd be surprised at the pain( I was expecting agony), it's not pain free but easily bearable. I would recommend every one get one 😊 I'm now on evorel conti patches and they're also great, no more PMS and mood swings. My two lads are also very happy.

PollyPerky Wed 15-Jun-16 08:05:02

Greta that you feel better Mandy but why are you on a conti patch? Conti HRT ( oestrogen and progestogen) is for women with a uterus- (the progestogen is there to stop the lining building up as the oestrogen stimulates it.)
You need an oestrogen-only patch. The only exception to this is if a woman keeps her cervix after a hysterectomy , and then some drs prescribe conti HRT to prevent any build up of the lining in the cervix.

Have a chat with your Dr. You don't want to be using progestogens if they are not needed because they are the part of HRT that may cause breast cancer- not the oestrogen.

Chillipowderpuff Wed 15-Jun-16 08:17:27

I had a hysterectomy a couple of months ago and it is so great to not get periods any more. I'm in my 40's and I recommend it to anyone who has terrible periods. I recovered very quickly and was back at work after 5 weeks. I had it done privately but I'm sure you should be able to get it on the NHS.

My ovaries were left but I am getting bad hormonal side effects like hot flushes and pmt. My dr doesn't think I need HRT as I still have oestrogen but I might see if I can take it if my symptoms don't improve. But my life is so much better and can deal with the hormonal effects if I haven't also got to deal with periods too!

MandyEmz Wed 15-Jun-16 08:29:08

Polly I've been wondering that myself having read different articles about the patches. My consultant put me on them 4 days post-op as I left hospital. I might make an appointment with my gp to check with him. I'm a bit reluctant because I've felt great on the conti, no symptoms at all. Thanks for the advice 😊

DocMcFanjo Wed 15-Jun-16 08:38:12

You know, I'm doing a course on HRT and the menopause at the moment and I reckon if I were in your situation (namely that Mirena etc had failed to settle the bleeding) I would go for a hysterectomy.

Once the uterus is out of the picture so to speak, you can go on oestrogen only HRT if needed and, as Polly mentioned, avoid the (admittedly small) possible increased risk of breast cancer. Plus if you do it early then the HRT seems to have a protective effect on cardiovascular health.

My vote is to see a gynaecologist and ask the question.

Sympathies re the symptoms also. flowers It seems like a truly shit way to bid farewell to periods. Nice one natur. biscuit.

DocMcFanjo Wed 15-Jun-16 08:39:24

Ugh. Nice one "nature". (<Eats biscuit herself>).

BG2015 Wed 10-Aug-16 21:39:59

I'm 47 and have been suffering from heavy/prolonged periods since 2009!

I had my first Mirena put in in 2009 which worked well but then went up into my uterus and had to be removed in Jan 2014! In Nov 2014 I couldn't stand the bleeding any longer and had a second Mirena put in. It worked fantastically up until May when I started bleeding and haven't stopped since.

Went for a scan within 2 weeks because my GP couldn't see the coil threads but it was still in place, tried Northisterone to kick start my cycle back in - didn't work. Referred to a gynaecologist who I saw yesterday.

He's suggested an endometrial ablation. He also suggested a hysterectomy as an option but he felt the EA would suit my situation better so I basically was given the choice.

I've decided to go for the EA as it's less dramatic and recovery is better. But the gynae has said a hysterectomy is still an option if the EA doesn't work.

I think you need to push for a hysterectomy - you've tried everything else. Demand it! No one should have to suffer continuous heavy bleeding.

bettydelacy2 Sat 20-Aug-16 11:45:58

I had a total abdominal hysterectomy at the end of February this year to remove fibroids after an endometrial ablation 3 years ago for the same reason. I am 58 and was already using HRT so now use Oestogel. As it is now almost 6 months since my surgery I would warn anyone considering an abdominal hysterectomy that I have not returned to my normal activities, have a lot of pain in my tummy and am waiting to find out the cause before getting treatment.

Costacoffeeplease Sat 20-Aug-16 11:53:59

I had a hysterectomy almost 4 years ago due to fibroids, I had such heavy periods that I was severely anaemic. They left one ovary, and I've had some hot flushes, but not unbearable, and I'm not on hrt. I'm now 50

It is without a doubt, THE BEST thing I've ever done - no more periods, flooding, pain, I can swim/wear white trousers whenever I want - the relief is tremendous. I'd insist on it if I were you

Blacksheep78 Sat 20-Aug-16 12:06:15

I'm booked for an ablation next month, but would prefer the certainty of a hysterectomy. Unfortunately this is apparently not an option until "we" have tried everything else. (4'th opinion, so decided to cross my fingers)

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