I'm back and hoping for help please :(
When I first posted (1/7/17) I was given the common sense response to wait and see what the results were before asking questions.
Well, the tests are stretching out and I still have no concrete results.
So please, can you humor me and tell me your thoughts? (which I know are not medical opinions, just personal experiences.) I am 53 years old.
I started having bleeding in Oct 2016 following almost one year of no periods. I had been on oral birth control up until the fall of 2015, skipping the placebo because I had such difficult periods.
In October I called for an appt. which was scheduled for Dec. My PCP did bloodwork to see if I had reached menopause and it showed high estrogen levels.
In December I had a check up and Pap; still having bleeding or spotting daily since late October. Pap showed atypical glandular cells, endocervical type.
Decembger 27th I had a regular sonogram and one w/saline as well as endometrial biopsies. I have "complex endometrial canal w/ probable polyps." The endometrial canal is 17.8 mm. My left ovary has a cyst of 30,3 mm. My right ovary shows prominent follicles. The endometrial samples were negative, so I am now scheduled for a D&C on Febuary 14th so he can use a camera to get better samples as well as the polyps.
January 11th was an office visit to discuss all of the above. I was also scheduled for a colposcopy for the 7th of Febuary, but the doctor moved that up to January 13th because he said Febuary 7th was too long of a wait. At that appt. he also started the process for me to be scheduled for a D&C which will be on the 14th. There were two "suspicious" areas that he biopsied. I was told the results were "abnormal, and the doctor would discuss it with me at the pre-op visit but it was nothing to worry about.
So, my pre-op visit is the 6th. I know that I have atypical glandular cells, endocervical type. I know that I have abnormal cervical biopsies, a high estrogen level and a cyst on my ovary. I know I am still having bleeding that becomes much worse with any type of activity. I am not however, anemic.
I am concerned about "atypical glandular cells." I am concerned about what is causing my high estrogen level and my ongoing bleeding. I am concerned about the ovarian "cyst" being something else. Once I have the D&C I will then have another waiting period for the biopsies. If there is something, my doctor will operate with a gynogological oncologist to preform a hysterectomy.
The waiting, which started with the prolonged wait for an appt. is wearing me down. On Friday the 3rd I received a letter recommending that I schedule an ultrasound or MRI as a follow up to my mammogram d/t level 4 breast density.
Should I ask for some type of CT or MRI of my pelvic area before the D&C? I have been experiencing horribly sharp pains in the area of my left ovary as well as extreme cramping. I was told to take 800 mg of ibuprofen but it doesn't help. I alternate heat and cold. I know I need to ask the doctor, but I so want to hear from someone, anyone, who has experienced something similar. I have no one to talk to except my husband, and he repeats that the office said there is nothing to worry about.
Comments
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welcome
Hi nateandkatesmom - I'm sorry I don't have answers to your questions. But I wanted to welcome you to the board. You will find a lot of smart ladies here that are willing to share information and provide emotional support. Please don't get ahead of yourself. I know that is easy to say and hard to do! Your biopsy results will be the starting point of information as far as cancer or no cancer and what the next steps will be. Until you have that, it is only a guessing game and that will drive you nuts.
Please come back and let us know your results when you get them!
Love and Hugs,
Cindi
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I need someone, the waiting is so very hard
I submitted xxxxx's after reading Cindi's response to my initial post and resolved to await results. However, the biopsies keep happening and I need someone to talk to. I understand Cindi's response, but am hoping that since it has been another month and I have had more procedures someone may be able to give me feedback.
Thank you!
Dorothy
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Hello
Hello nateandkatesmom,
People on this board tend to be cautious about drawing conclusions or offering advice before medical diagnoses are available, and for good reason. No one knows what your situation is until the test results are in. But since you've asked for honest answers--
My situation pre-diagnosis was different from yours, so I'm afraid I can't offer any insights based on that. I had less time between the different steps--sonogram, D&C, hysterectomy--than you seem to have had. That may just be differences between providers or it may reflect something about our symptoms. For me I think everything moved pretty quickly from the time I first told my GP that I was having occasional spotting five years after my last period. I think that was because she and my gynecologist realized that cancer was likely. Once my gynecologist did an exam and a sonogram, I suspect that she was pretty sure it was cancer, although she didn't say that until after she did my D&C and got the results that showed some kind of cancer. The type, stage, and grade weren't known until after my hysterectomy a month later.
As I was going through all those steps, I had a growing feeling that I was being pulled onto a conveyer belt in a giant medical machine--that things were out of my hands, that everyone around me was familiar with all these steps and already knew what the inevitable result would be. I guess now I just take that part for granted. Up until the time I received the D&C results that confirmed there was some kind of cancer, I held out hope that it would be something else, but I was doing enough reading in reliable sources to know that cancer was the most likely explanation. So when I did hear the C word from my gynecologist over the phone, it was sad and terrifying but not a big shock.
One of the things I learned when my mother had colon cancer years ago was that when doctors seem concerned about something, we should pay attention to that, even if they're not making diagnoses or offering conclusions. It might sound silly to say that, but that was my introduction to the world of cancer.
So I guess all of this is a way of saying that you're right to be concerned about "abnormal" results and the finding of atypical glandular cells (there may be benign conditions that can have that finding, but I'm not aware of them). One way to prepare yourself for the possibility of a cancer diagnosis might be to read through the stories of women on this board. They will reassure you that life does go on and that all of us can handle much more than we knew we could before we had cancer. I also find it reassuring to know that there are so many different treatment options now. A diagnosis of endometrial cancer is not a death sentence.
I hope your doctor will give you straightforward answers to your questions on Monday. I doubt that a CT scan would be recommended before the D&C, but it's something to ask your doctor about. And make sure he's aware of all your symptoms.
I hope that others with symptoms similar to yours will respond. Please keep us posted and know that there is a group of smart, supportive women here to help you in any way they can.
Rebecca
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thank you, Rebecca!
I totally understand Cindi's response to my initial post. However, as this continues to stretch out I do feel like I have no control, and like my life revolves around waiting for the next biopsy results. The "atypical glandular cells" result of the Pap and now the abnormal cervical biopsies are telling me there is something to worry about. I understand them telling me on the phone not to worry and that the doctor will discuss it with me, but it will be 10 days since I learned of the abnormal results when I finally get to see the doctor. He has told me he will be surprised if it is cancer, but in that same conversation he told me a gynecological oncologist would perform the hysterectomy alongside him if it was cancer "to increase the 5 year survival rate."
I agree that cancer does not equal a death sentence. My thoughts are not so much about death as about what the time frame will be. January 10th my husband had a long awaited consult with a neurosurgeon re: surgery for cervical stenosis. He is in constant pain and has now lost dexterity and sensation in areas of both hands. Knowing that he was waiting for a call back re: surgery I then found out on January 11th that I was to be scheduled for a D&C. And by all indications I am prepared to hear that I need a hysterectomy. So I need to get myself situated so he can proceed. He has been dealing with this since September of 2015, and is so worn down. Of course, I know we can't schedule to take turns for our bodies to break down, but... LOL. I know. Things will take their course and we will work it out.
As far as reading other threads on this board I have tried but quickly get lost. Since I don't know if, I don't know exactly where, and I don't know exactly what I just hop scotch around and confuse myself. Which is why you all wisely suggest that one knows if, where and what before asking more detailed questions. Of course, regardless of what I learn on Monday there is still the D&C awaiting to get better endometrial samples. And as you say, waiting after the probable hysterectomy for the specifications.
I am totally rambling and writing in circles, I know. If anyone reads this and can speak more about the atypical glandular cells endocervical or the high estrogen level I would love to hear from you.
Thanks in advance!!!
Dorothy
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Abnormal stuff
I have never had a scan nor an MRI. But I had Stage 1, grade 1 endometrial cancer and although I worried initially that none of this was ever done, there really was no reason for it. Had my biopsy been more suspicious, I'm sure it would have happened. However, it sure doesn't hurt anything to report your symptoms and to ask about these things. And you can do that easily via a phone call or via email. I'd rather ask questions about things I'm worried about than to not ask questions and not have a conversation about them. You may find that all of these things you're experiencing are due to pre-menopausal changes taking place and they will resolve themselves, but you're worried so you should ask about this. And keep reporting things you're concerned about - if you don't they assume you're just hunkey dorey.
After having had FOUR normal endometrial biopsies over my lifetime and waiting for my fifth, I asked my gyn if she would perform a prophylactic hysterectomy if this biospy was normal. She actually agreed (I just could not go through any more of those stupid biopsies and did not want the worry - something was wrong afterall). I was 62 at the time, tho, but I was only 5 years postmenopausal. This fifth and last biopsy did show endometrial cancer, so it was rather a moot point, but even to this day I feel good that we had the conversation. If all is well after your procedure on the 14th (and I hope it is), you might want to think about discussing a prophylactic hysterectomy with your gynecologist. You are considerably younger than I was, tho. I have this non-medical theory that if things do not get better (in my case, I had postmenopausal bleeding), then something just isn't right. This is just MY theory, absolutely nothing medical. I did not want to wait until I was 70 and then have to have surgery. You have a long way to go to be a surgical risk because of age.
Good luck
Suzanne
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Thank you, Suzanne!
I have my pre-op on Monday and am definitely taking a list of things to discuss. Re: the hysterectomy I think it is going to happen. My endometrium is extremely thickened and having bleeding since October is maddening. I am fine with that surgery happening.
I think I am menopausal, although the blood work shows high levels of estrogen. I had almost one year without periods. Then a never ending one started in October of 2016. I did ask about going back on the birth control pill but due to my age he doesn't recommend it. It's funny, I only started birth control when my periods became unbearable, and it was a huge relief.
Thanks again for sharing your story and responding to me!
Dorothy
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thank you, no time for cancer and 1 ?
I had bloodwork @ my PCP and also had to get a pre-op clearance for the upcoming D&C. The exam, Pap, and everything else have been with a gyn. I totally agree with what you are saying about specialization.
My gyn said that if anything indicates cancer a gynocological oncologist will work with him on the hysterectomy. This will be someone from a major teaching hospital in our state. These are oncologists involved in research as well as practice. When the gyn mentioned Cleveland Clinic I felt reassured that I could have care locally while also receiving the expertise of a larger medical facility.
I, too, did not really understand the importance of an oncologist being involved in the hysterectomy until the gyn explained that it improved the 5 year survival rate. However, I first need to be told the biopsy results from my colposcopy and also complete the D&C so better endometrial samples are obtained. I am thinking that if the D&C is on the 14th it will be at least the 21st of Feb. before I receive results.
MY QUESTION: Are you aware of any benign conditions where there would be atypical glandular cells endocervical type?
Thanks again.
Dorothy
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Hey Suzanne, Great newDouble Whammy said:Abnormal stuff
I have never had a scan nor an MRI. But I had Stage 1, grade 1 endometrial cancer and although I worried initially that none of this was ever done, there really was no reason for it. Had my biopsy been more suspicious, I'm sure it would have happened. However, it sure doesn't hurt anything to report your symptoms and to ask about these things. And you can do that easily via a phone call or via email. I'd rather ask questions about things I'm worried about than to not ask questions and not have a conversation about them. You may find that all of these things you're experiencing are due to pre-menopausal changes taking place and they will resolve themselves, but you're worried so you should ask about this. And keep reporting things you're concerned about - if you don't they assume you're just hunkey dorey.
After having had FOUR normal endometrial biopsies over my lifetime and waiting for my fifth, I asked my gyn if she would perform a prophylactic hysterectomy if this biospy was normal. She actually agreed (I just could not go through any more of those stupid biopsies and did not want the worry - something was wrong afterall). I was 62 at the time, tho, but I was only 5 years postmenopausal. This fifth and last biopsy did show endometrial cancer, so it was rather a moot point, but even to this day I feel good that we had the conversation. If all is well after your procedure on the 14th (and I hope it is), you might want to think about discussing a prophylactic hysterectomy with your gynecologist. You are considerably younger than I was, tho. I have this non-medical theory that if things do not get better (in my case, I had postmenopausal bleeding), then something just isn't right. This is just MY theory, absolutely nothing medical. I did not want to wait until I was 70 and then have to have surgery. You have a long way to go to be a surgical risk because of age.
Good luck
Suzanne
Hey Suzanne, Great new picture! You look so good. :-)
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Just like Notime, I had a d+c
Just like Notime, I had a d+c with my gynecologist and when the results came back I was immediately referred to the gyncholigist oncologist. I had two week waits between results and meeting with gynecologist. I live in a mid sized city, but we do have our own cancer center and excellent medical services.
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Hey Dorothy,
Hey Dorothy,
I don't have answers to your questions but wanted to let you know that I was diagnosed in May 2015 with UPSC (the aggressive kind) and didn't have surgery until July 22, 2015. I'm telling you this so that you know even the aggressive kind takes time to spread. Mine came back as stage 1A. The waiting part really is the hardest part of this journey in my opinion.
One thing that helped me get through the initial part of this was using Lorazepam. Not my normal way to handle the stress but there is nothing normal about this entire process. You may want to consider asking your doctor for some. It helped me a lot.
It sure sounds like you have a lot going on between your stuff and your husband's. So sorry for that. I hope you have a solid support system around you that can help with aftercare for both of you.
Please take care and come back with your results and additional questions. We are here for you.
Love and Hugs,
Cindi
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Anxiety
Hi NateandKatesMom. I'm so sorry to hear that you are having so much anxiety, in part because of how long it is taking to get some definitive answers for you. Becca really hit the nail on the head on how it feels when we all start having concerns that something insidious is brewing inside us. That conveyor belt metaphor is so apt!
How to deal with the anxiety? Reading may be a bit premature at this point because there is so much out there that will only add to your anxiety when you don't have enough details to narrow what you research. During my wait between suspicion and surgery, I channeled my anxiety into spring cleaning and doing crossword puzzles. The one helped me to relax and feel like I had control over something preparing for being laid up for awhile and the other engaged my mind enough to distract me from thinking constantly about what I was facing. I think our brains need those kinds of escapes to be able to cope the rest of the time. Asking for anti-anxiety meds is another possibility and there is no shame in doing that, either.
Remember, this is a no apology zone, so go ahead and post what seems like rambling concerns to you. We all get it. I lost 8 pounds in a week before my surgery just from all the anxiety, so I think any of us can appreciate how intense what your feeling right now is.
Atypical glandular cells just means that there were a few odd looking cells found on a pap smear, but that they don't exhibit the characteristics of adenocarinoma. Adeno means relating to glands and carcinoma means cancer. It's really not something you need to be anxious about. I had a finding like that from a colposcopy I had in my early 20's and nothing ever really came of it.
If you have endometrial cancer, odds are it wouldn't be detected from a pap smear in any case. There is no reliable screening test for this cancer other than biopsy and those are only routinely recommended for women diagnosed with Lynch Syndrome (a genetic mutation diagnosed from gene testing) who haven't had a hysterectomy. Most don't get genetic testing until after that happens to them because of a cancer diagnosis. I was tested for Lynch Syndrome during chemo and was positive for it. Colon cancer is the other thing it puts me at higher risk for, so now I get to have annual colonoscopies.
High estrogen levels are a risk factor for endometrial cancer. It can be an inherited trait or influenced by outside factors such as diet, weight (fat produces it's own estrogen), low excercise levels, certain drugs, or exposure to endocrine disruptors (there are so many in our lives that isolating oneself from them is almost impossible).
Things you can do for yourself to help lower your estrogen levels are: reduce weight if necessary; establish a daily excercise regime; eat organic to the extant that you can to limit exposure to pesticides and other endocrine disruptors that may have been fed to factory-farmed animals; do not cook in, eat from, or store food in plastic; avoid products containing paraben (scents and candles for instance); avoid processed foods (especially metal cans with BPA).
Foods that can help with estrogen levels are: 1). Foods that contain polyphenols which counteract estrogen effects and inhibit estrogen production. Examples are flaxseeds, chia, sesame seeds, and whole grains. Just don't go overboard on them because they also have phytoestrogens which can mimic estrogen. 2.) Sulfur rich foods that promote liver health since the liver is the organ that eliminates estrogen in bile. Examples are onions, green leafy vegetables, garlic, egg yolks, and citrus. 3). Cruciferous vegetables that contain phytochemicals which impede estrogen production. Examples are broccoli, cauliflower, Brussles sprouts, bok choy, kale, collard greens, turnips, and rutabega. 4). Any fiber rich foods that aid the liver to eliminate estrogen faster.
Hope this helps you and gives you somewhere productive to focus your attention on as you go through what seems to be a painfully slow path to definitive answers for what causing your symptoms. Hang in there!
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Wow!Double Whammy said:Abnormal stuff
I have never had a scan nor an MRI. But I had Stage 1, grade 1 endometrial cancer and although I worried initially that none of this was ever done, there really was no reason for it. Had my biopsy been more suspicious, I'm sure it would have happened. However, it sure doesn't hurt anything to report your symptoms and to ask about these things. And you can do that easily via a phone call or via email. I'd rather ask questions about things I'm worried about than to not ask questions and not have a conversation about them. You may find that all of these things you're experiencing are due to pre-menopausal changes taking place and they will resolve themselves, but you're worried so you should ask about this. And keep reporting things you're concerned about - if you don't they assume you're just hunkey dorey.
After having had FOUR normal endometrial biopsies over my lifetime and waiting for my fifth, I asked my gyn if she would perform a prophylactic hysterectomy if this biospy was normal. She actually agreed (I just could not go through any more of those stupid biopsies and did not want the worry - something was wrong afterall). I was 62 at the time, tho, but I was only 5 years postmenopausal. This fifth and last biopsy did show endometrial cancer, so it was rather a moot point, but even to this day I feel good that we had the conversation. If all is well after your procedure on the 14th (and I hope it is), you might want to think about discussing a prophylactic hysterectomy with your gynecologist. You are considerably younger than I was, tho. I have this non-medical theory that if things do not get better (in my case, I had postmenopausal bleeding), then something just isn't right. This is just MY theory, absolutely nothing medical. I did not want to wait until I was 70 and then have to have surgery. You have a long way to go to be a surgical risk because of age.
Good luck
Suzanne
Love the new picture Suzanne!
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Dorothy, are you dealing with
Dorothy, are you dealing with a gynecologist or a PCP? I can't really tell. I would recommend working with a gyn who does nothing but the female reproductive system. PCPs are great, all around people, but when I have one area that needs attention I don't mess around. My gyn did my D&C and as soon as cancer was detected she immediately turned me over to a gynecologic oncologist. She was not so arrogant to think she could 'do it all'. I didn't know gyn onc's existed up to this point - my ignorance - but would say today any woman with gyn cancer should be working wtih one.
Again, not sure if you are working with a gyn or a gyn onc, but after all this time if you are not maybe you can try there for help.
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Hi DorothY
i am so sorry that you have to go through this. Waiting is absolutely the worst part of ant health issue. And we all have the bad habit of putting the horse before the cart. Our mind jumps to the worst possible outcome and it sticks there. I use jigsaw puzzles and adult coloring books to relieve stress. My own diagnosis was just the opposite of waiting. It was more like a whirlwind. I went to my GP for a visit because I thought I had a yeast infection, and I did but he found a small tumor on my cervix. Two days later I was back for a pap and some type of test where they vacuum cells from my uterus. Three days later, post ve results and an appointment with gynocologist two days later. He wanted a CT scan and then a D&C. They couldn't decide if it was cervical or untiring cancer. All within two weeks, my head was in a major spin, no time to think. the Gyro wanted to do a radical hysterictomy immediatel, I asked for a consult with a Gyno-oncologist. He argued but followed through. That was the best decision I ever made. Before seeing me, he told me he wouldnt do the hysterictomy until I was healed from the D&C. Finally a little time to think. I am writing to tell you that even it it turns out to be the worst, life does not end. It will be different. I have stage IV Serous Papillary Endometrial Andocarcinoma and I have been around for 4 1/2 year. I have more good days than bad. There are new treatments coming all the time. There is always hope.
Hugs and prayers, Lou Ann
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thank you all so much for responding
I do understand that I do not have adeuate information to get real answers. I just really, really needed someone to talk to and to connect with. The very few IRL people who know keep asking me, and I keep telling them. but they do not understand. They see the D&C as the solution for the problem, rather than just another diagnostic procedure for more biopsies.
I do have a prescription for Valium, 5mg from my PCP that I use on an as needed basis for things like the dentist and unexpected panic attacks. This is just such a different , heavy feeling.
We do not have an extended support group/family support. I emancipated from foster care and my husband at 62 is the youngest of 5. So basically it is us and our two college age children here.
Activity is difficult as it causes really heavy flow and clots. Also, my pain has worsened as the days have gone by. I am definitely going to be clear with the doctor about these things, although I do know I have mentioned them. I guess I need to paint a stronger picture of how debilitating this has become.
Mabound I love your comprehensive response. I will need to return to it, as well as to this thread, as the days progress. The healthy lifestyle recommendations are excellent, but unfortunately many are out of our financial means. However we do try to make the best choices whenever possible. The atypical glandular cells explanation was so reassuring. Thankfully I had a routine colonoscopy in Sept. which was perfect. Because of pneumonia complications, I had a chest x-ray, chest CT and then a follow up chest x-ray earlier in the year. The last x-ray showed clear lungs. (at one point there was a pneumonia dx and also an "undetermined mass" in the other lung.)
LouAnn I have recently joined a faith journaling group on FB, where you create a page to represent the weekly Scripture. It is challenging, but it has been something purposeful. I also have a few adult coloring books and do at times use them. I am a reader, but my attention span makes it difficult to focus.
All of you have affirmed me in a way that I needed so much. I worked at a children's hospital as a child life specialist and so am familiar with pediatric cancers. I definitely do not see a possible diagnosis as "death," but rather as a medical condition I will need to manage. I agree with everyone saying to make these days productive. I am feeling defeated by the waiting. I don't want my days then my weeks then my months consumed with waiting for the next test result.
Soup52 and Cindi, thank you for your caring responses. I have read some of the older threads and have copied and pasted some posts into a word document. Not to fret over, but because there were such clear explanations that I wanted to have them on hand if need be. Cindi, your first response to my original post was perfect. It was a stop sign for me to turn around and do something else until I had more complete information. I definitely get the need to avoid overload of info. when I don't even know a diagnosis. I returned last night because I felt that although I still do not have a diagnosis I at least can formulate some scenarios for which to ask questions. Thank you all for honoring those questions by your caring and informed responses. I will definitely post Mon. afternoon when I know what exactly the "abnormal" cervical biopsy results are, and what the dr. thinks about the pain and bleeding.
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Good luck on Monday
This group is a Godsend. Be sure to let us know how your day goes. We'll be with you in spirit.
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thsnk you cheese queen
I will definitely update Monday afternoon.
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I don't remember the terms he used re: cervical biopsies
So, I waited almost 2 hours for the doctor, the second half in the exam room. It was soooo hot. DH and I were sweating.
He answered my questions, but I didn't get the copy of the biopsy report and don't remember what terms he used. My anxiety got the better of me and I just had so many questions.
Atypical glandular cells, as MABound stated, can be benign. Which I didn't totally understand what he said after that, but it doesn't matter because that was my biggest concern. (I'm going to stop by the office tomorrow to get a copy of the biopsy report.)
Overall, he thinks the D&C may stop the bleeding and I may not need a hysterectomy. He will remove the polyps and get better endometrial biopsies at that time as well as scrape the lining. He thinks this will stop the bleeding. He thinks the biopsies may show that I do not need a hysterectomy.
The ovarian cyst may have burst, causing all that pain last week. The cyst may be causing the high level of estrogen. So, after the D&C he will do another untrasound to check on the cyst and prominent follicles on the other ovary.
If the endometrial biopsies show cancer and a hysterectomy is needed the oncological gynecologist is not just there to do the staging but to actually complete the surgery with my gynecologist. I do have the option of being referred to Cleveland or Pittsburgh for the surgery to be performed there but that is not really feasible d/t our car, gas, parking and other expenses. It is not usually any longer of a wait if the oncologist is needed for the surgery locally than it would be if I only had my gyn.
I got a call from the facility w/ my pre-op instructions while writing this. I go at 6 am next Tuesday.
You all helped me so much this weekend. Thank you for listening and answering and caring. I know you are on this board for reasons that are personally challenging and it is generous of you to reach back to a novice while you are in your own struggle.
Dorothy
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Chat room for nate andkatesmom
well, it all sounds like more stress than one person should have to deal with. I have breast cancer not endometrial or uterine but my mother had uterine. i want to urge you to go to the chat room on this site, especially in the evenings. i am in claifornia and usually go on about 8pm my time. i dont know where you are but try somewhere about then from your state. there are a lot of caring and empathetic people in the chat room who have helped me get through many a night where all i wanted to do was just talk. and they listened and offered help. so please do the chat room as well as the discussion boards. you wont be sorry, i promise.
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Hi Dorothy,
I didn't have good answers for you but have been following along and am so glad that you got some good information today! Sounds like also a plan for moving forward and anticipating a REALLY GOOD outcome to all of this! Please do keep us posted as we do care and we'll be cheering the loudest when you come out the other side. (((HUGS))) and prayers
0
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