Ob-Gyn questions? Ask a gynecologist online.
Hello, and I am pleased to help, use of my answers are for educational purposes only.
What symptoms are you having?
do you have pain and bleeding?
Are you asking if sexual performance is impaired with JUST a hysterectomy (which is just removal of the uterus alone, NOT the ovaries)?
only symptom was a feeling of enlarged bulge in abdomen - thought it was a hernia.
So no abnormal bleeding,correct,
Just enlarged, bulky, fibroid uterus, correct?
No pain or bleeding - periods normal in time frames - some months (infrequently) were short and very strong but nothing that I could think that was more than stress from work
yes - however test today indicated a very large ovary
so I am concerned about the ovary I think most of all (as I understand that impacts lifestyle) but also of whether so many fibroids means I need to get a hysterectomy
How big is the ovary - I did not see that
The volume of the right ovary is 39.7cc and the volume of the left ovary is 4.7cc. Arising in the left ovary an 11mm x 32mm x51mm hypoechoic area containing an 11mm echogenic nodule is demonstrated. A colour duplex scan was performed. The ovaries bilaterally have a normal waveform. No free fluid.
A 51 hypoechoic nodule arising in the right ovary is demonstrated. This may demonstrate an endometrioma. Although unlikely a dermoid cannot entirely be excluded. Correlation with a CT scan is recommended.
so a 5 cm ovary - you should get this evaluated further and if you do plan on a hysterectomy - consider possibly removing that ovary and leave the other ovary
I would prefer NOT to have a hysterectomy - does the report indicate that this is a necessity?
Well it is NOT necessary to have a hysterectomy- since usually these fibroids shrink and go away as you go through menopause
also, then you should just watch your ovary with a repeat ultrasound in 6 to 8 weeks
Also if I remove one ovary does this mean I will suffer disfunction? some of the side effects of removing ovaries at all are really scary - is it possible to just remove the growth? or not?
And, if the ovary is still enlarged, then you might want to consider surgery just for the ovary
If just ONE ovary removed, you still have the other ovary and that would fine and you would not lose any function
ok - so one ovary should compensate enough so no hormone therapy is required, is that correct - it should auto-adjust?
Yes, one ovary is More than enough to compensate
no hormone therapy is required
I hope this helps
If you have more questions please ask
It does - thank you for your help
you are very welcome
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