Ovary Removal
Anyone who had an oophorectomy, give me your experience! I have a consult next month, but just curious how the procedure was, if it's inpatient or outpatient, and what your recovery was like. I have googled it and saw mixed answers, but just wanted some real opinions!
I am 32 years old, I have 3 kids, and with my dr's consent, i have decided on this procedure.
Comments
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I just had it done laproscopically last month, along with a total hysterectomy. It was considered an outpatient procedure for insurance purposes, but I spent one night in the hospital. My recovery was pretty smooth. I took some pain medicine occasionally, but it wasn't too bad pain wise, and I was getting around pretty good after a week or two. No pushing, pulling, or lifting for six weeks, which I imagine might be tough with little ones.
I started Arimidex a week after my surgery, and that was a bad idea I think, since it's hard to tell where the side effects are coming from. My main issues are hot flashes/night sweats and insomnia.
You didn't say whether or not you were keeping your uterus, but I am having a couple issues with bladder and bowel that I think are the result of the hysterectomy. I have a follow-up next week and will see what my Gyn says about it. I would be familiar with the possible complications of a hysterectomy before your consult, in case your doctor makes that recommendation. I think most doctors push to take everything out. I wasn't prepared for my consult and just went along with my doctor's recommendation. I don't know that I would've chosen differently, but I wish I'd come in more prepared.
I am sorry that you are going through this at such a young age. I wish all the best for you!
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Thanks so much for your reply! I am not planning to have a hysterectomy, but who knows....
So you had surgery and you're taking Arimadex? I opted to have the surgery so I don't have to take it.
I had pretty severe symptoms of menopause as I went through chemo, but they have since subsided. My doctor said as long as my estrogen levels are still low, I won't suffer too bad with the night sweats/hot flashes.
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Arimidex is only given to women whose ovaries have shut down (either naturally or artificially). It stops estrogen from being made elsewhere in the body. I confess I was a bit puzzled when you said you were going to have the oopherectomy so that you wouldn't have to take Arimidex. I would have thought that you would have your ovaries taken out so you could take it. Was there a reason you could not take Tamoxifen? If I hadn't had the surgery, that's what I would be on. With you being stage 3 and having several positive nodes, I can't imagine that you wouldn't be on some type of hormone blocker.
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hmmm. Maybe I misunderstood the dr at my appt. it was a lot of information And I’m still suffering from chemo brain LOL. I really could have sworn he’d said I wouldn’t need to take anything if I did the surgery.
Well thanks for the information, it will give me more to prepare when I go for my consult.
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You're welcome. It would be worth clarifying with your MO, in any case. If he did say that you wouldn't have to take Arimidex if you have an oopherectomy, I would be very interested to know the logic behind it. It might be something I could share with my own MO. I would love a good reason to not take the Arimidex.
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Tamoxifen is given to pre-menopausal women as it allows circulating estrogen to continue but blocks it from breast cells. It can also be used by post-menopausal women with osteopenia/osteoporosis, or by those who cannot tolerate aromatase inhibitors. The three aromatase inhibitors - Arimidex, Aromasin and Femara, and their generic formulations - are given to post-menopausal women, or those who use ovarian suppression, or have surgical menopause via oopherectomy. These drugs are given to stop the conversion of androgens to estrogen by inhibiting the enzyme aromatase. They can be taken by this subset of patients because the assumption is that they are no longer producing estrogen from their ovaries, but need to control this remaining source of estrogen from fueling any breast cells. Oopherectomy, and the loss of that source of estrogen, does not negate the need for anti-hormonal therapy.
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Ovary removal was one of my easiest surgeries. It was just a day in hospital and was released the same evening. Just rest for a few days. I had some bleeding after but I think I had overdone it too soon. Once I went back to rest it stopped. It was laparoscopic so not too bad. I am in agreement with others who posted ...having your ovaries removed does not mean you can skip Arimidex or another AI. It actually means you can take an AI because you have ovaries removed of you are pre menopausal. I had mine removed as I wanted to skip tamoxifen and go straight to AI’s. After chemo and radiation I had four months of shots to suppress my ovaries so I could go right on Arimidex and then had them removed. Ovary suppression or removal with an AI has a slightly better track record than tamoxifen so I went with the extra percentages. Please double check with your MO as if that’s what he is saying that you can skip AI’s I’d get another MO as it does not make sense. Best of Luck.
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thanks for all your input!
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Had mine done laparoscopically last week . I'm 31 and have one child.
It was outpatient for me and really not too bad at all. A bit sore for a few days but yeah the menopause is pretty instant. I'm mainly having a lot of hot flashes and knee aches. I did have a headache for a few days but I read that it is usually caused by the sudden drop of estrogen.
Other than that, it's really not so bad. I'll be put on letrozole soon. Not sure When but I assume at my next appointment in august.
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