Lets talk oophrectomy...
Good evening to everyone!
I'm scheduled to have this procedure this coming Monday. I'm not going to lie here, but I really do not want to go through with it. They wanted me to get this done last October. I objected so they tried the OS injections. They caused my blood pressure to sky rocket to where I was at the ER 3 times. So I cant go that route for sure. Please give me the pro's and con's. I want to hear the good and bad. I'm driving myself crazy trying to make this decision. And if anyone can also tell me this, do you get the menopause symptoms immediately?
Thanks for any input,
Aj
Comments
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Hi AJ- you don’t say how old you are, but if you aren’t comfortable with the decision, don’t do it. Get a second opinion, maybe a third. Ask them what is the absolute benefit you gain from it. If Tamoxifen is an option for you, that alone is supposed to provide 50% reduction in risk. AI gets you maybe another 5%. OS/ooph maybe another 5. That wasn’t worth it for me. My MO strongly recommended ooph when I had to come off Lupron shots. My second opinion said No Way. She Suggested I try Zoladex instead and if I can’t tolerate that to just stick with the Tamoxifen.
Above all, It is YOUR body, your decision. Having ovaries out before 45 increases your risk of dying from several other things. I can find these studies if you want, because I did a ton of research to help make my decision.
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I’ll be 49 tomorrow. I’m not sure why both oncologist I spoke with over this wants me to. I’m guessing it’s that extra 10 percent you speak of against it coming back. I just want things to stay the way they are. I’m afraid after I get my ovaries removed, I will regret it. The OS injections didn’t bother me. But the raging blood pressure did. I think I’ll call my gyno tomorrow and see if I can come talk to her before Monday.
They tell us to try and stay stress free. How can we with all this.
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I hope you find some way to celebrate tomorrow! I wish you a happy birthday. 🎉 🎈Funny how having cancer changed my own perspective on birthdays. Now they mean more to me.
Can I ask how long you did OS and which one? Lupron messed with my blood sugar, was on that for 10 months. My blood pressure has been steadily rising since I’ve been on Zoladex. It was 158/105 in the ER a few weeks ago. I may be coming off that soon too.
Good luck with your decision.
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Aj,
Everyone is diferent.
I was 49 at diagnosis and did not know how to get my ovaries out quicker. I scheduled it 20 days post mastectomy and 12 before the start of chemo.I am of generally good health and average weight.
Try and work out why you dread it - it may be more than one thing - is it emotional, do you worry about the practicalities of further surgery, complications or reaching menopause a few years earlier. Ask questions and give yourself time - no pressure on making a decision straight away. You have time to work out what is and feels right for you.
Happy Birthday for tomorrow.🙂
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Thank you both for the birthday wishes!
I think for the most part it's more side effects to deal with. Going through menopause in a day rather then gradually? I don't really know. I already suffer anxiety. I don't sleep. I worry constantly. And adding this, not knowing what to do is just too much. I was fine with it a week ago. I think the closer I get, the more fear comes in. Other times I just say let's do it and get it over with. One less thing to worry about. They are going to start me on the testosterone/anastrozole pellets. Not sure what to expect there either.
I was on Zoladex. My blood pressure got up to 198/125. They was going to try lupron but I declined. They said it too could cause a spike in blood pressure so I didn't want to go through that again. Once it's in there, they can't remove it. Or at least that's what they told me. And I had to deal with the blood pressure mess until it ran it's course.
Aj
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I would like to recommend the supplement DIM, It will help with the menopause symptoms. I started it recently by my sister inlaws recommendation, she is a RN. From what I have read it will balance hormones for men and women. I had a slight headache the first week, but after that I felt great. No hot flashes, anxiety, aches and pains. I also recently got a total robot Hysterectomy. It was much easier than my mastectomy or reconstruction surgery for me. Good luck with your surgery. C
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hello!
I had an ooph January 24. I was diagnosed June 2017 at 39 years old. My oncotype was 12 so no chemo, clear nodes. Recurrence 8% I asked my MO about the ooph at our first meeting and he felt I was low risk based on oncotype and didn't feel I need it. So I started on tamoxifen. Fast forward a year later, my MO moved and the new one asked at our first meet meeting if I had ever considered ooph. I let her know I specifically asked prior MO and he didn't feel I needed it. She said she felt at my age, it would provide some additional benefit plus switching to AI from tamoxifen afterwards.
I am not an optimistic thinker by nature. I worry about everything. I made my decision to have it done because I wanted to feel like I was doing everything I could and not question myself later. I have two kids 7 and 9 years old and I if that few extra percent benefit helps me to see them grow up, I'll take it.
The surgery itself was fairly simple. I was done in less than two hours and home before the kids got home from school. Sore for a few days. I have had some hot flashes at night but not totally awful like I'm soaking the bed or anything. The dr said if they're bothersome she can put me on an anti anxiety medication which can help with that. I'll see her in two weeks for follow up and I'll decide on that then. I'm comfortable with my decision and feel at peace with it. I hope that helps in your decision. Good luck!
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I had a oopherectomy/hysterectomy and am so glad that I did. I had low iron, was always cycling, and just did not feel energetic. Fast forward 2 years, and I am amazing, walking all the time, busy with my life, husband, kids 20 and 22, 2 puppies. If you have this type of surgery, you most likely will never develop ovarian or uterine cancer. I take Tamoxifen because of osteopenia in hips, and really feel amazing. Take Tamoxifen for a while, and see what happens. You do not have to make this decision over night. Does your doctor think it is extra protection because of the positive lymph nodes and no chemo?
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Well, there's no need to rush it. Surgery is surgery and you should want to do it. I had the Ooph four months after radiation ended.
Because my tubes were already tied, I could take Tamoxifen without any extra medication. The Ooph was my idea.
Chemotherapy brought me to menopause. I wanted to have a urethral sling and a total hysterectomy with the Ooph, so I fixed my leaking at the same time. Bonus. The gynecologist was VERY happy that ovarian and uterine cancer would never happen..
Note: The AI's could still give you HBP issues. It wasn't until the Oncologist adjusted the dosage that my BP went back to normal.
I hope that discussion here at breastcancer.org will help your anxiety calm down as you make your own health care decision.
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Good morning! I know what I need to do to lower my chance of this coming back. I just need to get past all this and do it. Stop reading into it so much and just go with it. I just really want to keep my ovaries. I like my life with them, lol. I guess I'm just worried of all the menopause side effects that's going to come along.
To answer your question Michelle, I was told by my first MO I had 2 nodes with tiny micromets. My second opinion told me I had tiny micromets in 1. Im not sure where to go with that so I just put on my Tx I had 2/5 nodes. They both told me the AI would benefit more then chemo. Thats why I went the no chemo route, Buts its been 5 months since finishing treatmet that I have been on nothing and its starting to worry me. They tried the injections and so forth to get me into menopause and I cant take those so now its on to this so I can get started on something.
Aj
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Aj, can you try Tamoxifen first? If so, ask to start on 10mgs and work your way up to 20mgs. The slow into helps diminish side effects
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aj,
I am in the same situation. Saw my oncologist yesterday and she hit me with this recommendation. I’m 43, still having periods. I am scared of the side affects, have been on tomoxifen for the past 7 months. If you don’t mind, I would like to know how it goes for you. Goi g to follow this thread. Thank you and good luc
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Good evening!! I had the ooph Monday morning. Surgery wasn't bad at all. A little sore still and very fatigued, but otherwise doing great. I'm glad I went through with it because after surgery she told me i had a 4.5 cm cyst on one and several on the other. Pathology already back and it was negative. I'm waiting not so patiently for the hot flashes to set in. As soon as I got home from the hospital I started on vitamin E. My MO told me those help with hot flashes when they started me on Zoladex. I'm hoping they work, lol. I go back in 2 weeks and she's going to start me on the testosterone/anastrozole pellets. That supposedly takes all the surgical menopause symptoms away and help with energy and brain fog. We shall see.
Aj
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Glad you are doing so well Aj1970! My sister's MO told her about testosterone as well. Going to ask my MO about it when I see him in the spring!
Happy smooth healing!!!!
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Just got back home after a trip to UCSF to get my ovaries removed. The ovarian suppression shots were costing about $650 a month for the first half of the year, then about $400 until November, then $120.
I also really disliked the private onco group in Reno. Always a challenge to communicate with them. My onco laughed at me when I asked for an extra-sensitive estradiol test (like I get at UCSF). She had never heard of it!? I asked locally if I could change to the 3 month zoladex shot, and see how I reacted, go in for labs, etc, as there was a chance I was in menopause after chemo anyway. My UCSF onco said to give it a try. Reno Onco said no. 'No one has every heard of such a thing" I mean, really now.
So I made a date, met with a great Ob/gyn at UCSF who works with the cancer team, and had my laparoscopic bilateral salpingo-oophrecyomy. (Tubes and ovaries) removed Monday. We stayed in San Francisco for two days to have some piece and quiet, and just returned home. So happy to not have to shuffle to that local office every month. So happy that this was the last significant intervention. Starting up with a personal trainer for the spring and summer as a gift to myself. It will be 5 years in late July.
I was worried about the pain, it’s really not too bad.referred shoulder pain, huge bloat, painful gas that isn’t resolving too quickly, but so happy this is over. No more shots from dismissive docs. Yay
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Good evening! Just to update, it’s been a month since my ooph and I have to admit, I worried for months over nothing. I know everyone reacts differently to these things but I haven’t had the first side effect. Not to say they won’t hit at any time or in the future but for now I’m happy. I did get the testosterone implants Monday along with the anastrozole. I can’t tell if they are doing anything yet or not besides making my backside sore, lol. That can take 3-6 weeks they said. I had to get blood work before the implants and I had zero estrogen. Also found out my thyroid isn’t functioning properly so now it’s meds for that.
I’ll keep everyone updated on the pellets.
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