Ovariectomy Decision

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simonet
simonet Member Posts: 5

Greetings,

I'm 48 and had a bilateral mastectomy and AC chemo a year ago. E+/Her2-.

Because I developed a blood clot from my port during chemo, I can't take Tamoxifen. Doctors are pressing me to have my ovaries removed or shut down and then take aromatose inhibitors. I'm reluctant and keep putting off the decision. Has anyone had to make a similar decision?

Thanks.

Comments

  • TenderIsOurMight
    TenderIsOurMight Member Posts: 4,493
    edited March 2008



    Hi Simonet,



    I had my ovaries out! Was glad to loose the little buggers and drop down my natural estrogen. They were pretty finished off anyways during the chemotherapy, and at 48, I just wanted them out. So they took the uterus too, as I had irregular bleeding. I healed well, small incision, short operation. But it still is an operation, and I'm not trying to make light.



    Then I got switched from Tamoxifen to Arimidex. Going on my mid fourth year, and anticipate at least another two with some aromatase inhibitor. So far, so good.



    Why not respect that your cancer said hey, I'm estrogen sensitive and take your ovaries out like your doctors advise. They can do it through a laparoscope nowadays, much less incision healing. Doing so may just work in your favor, and you won't have to fall asleep at night wondering.



    So sorry about the blood clot, and hope it's completely resolved and non-tender.

    Tender (smile face)

  • Traci-----TripNeg
    Traci-----TripNeg Member Posts: 2,298
    edited October 2007

    I just turned 41 and was supposed to have a total hysterectomy on 10/3 but had an insurance hiccup. Damn it.

    I can't wait to get them out.

    I'm trip neg though......and have a strong family history of cancer.

    Good luck girl.

    Traci

  • moonie
    moonie Member Posts: 194
    edited October 2007

    Hi!

    I had an ooph @ age 47 done lapro.  It was an easy (for me anyway--compared to all the other surgeries) outpatient surgery.  I had it done on a Wednesday and was back to work on Monday.  For me, it was a choice I made because I WANTED to take an AI as studies have shown them to reduce recurrence more than Tamoxifen.  It does push you into menopause and some people have more issues with that than others.   I just really wanted to get rid of most of that nasty estrogen running around in my body.

    But...it must be your decision.

    Good luck to you!  Cool

  • simonet
    simonet Member Posts: 5
    edited October 2007

    Thanks everyone for your thoughts. I guess my worry is that estrogen and my ovaries have other life-enhancing purposes in my body and brain (know and unknown) but I realize that I am worrying about what may be happening in my body. I will make the appt to discuss with a gynecological oncologist. I guess I'm dreading the sudden menopause side effects. I was put into menopause during chemo and my period returned like clockwork one month later. I guess I feel really healthy right now.





  • AnneW
    AnneW Member Posts: 4,050
    edited October 2007

    I had mine out at 46. I feel so much "safer" for some reason. Plus, I had problems with Tamoxifen, so I needed the AIs. Menopause has not been as difficult for me as for others, but the body changes have been irksome. Vaginal dryness, less mental acuity (subtle, but there), fat in places that I never had...It was going to happen at some point, regardless. But I have NO regrets about losing the buggers. I fear ovarian cancer above all, I think.

    Anne

  • Anonymous
    Anonymous Member Posts: 1,376
    edited October 2007

    I had a complete hystorectomy done in April this year at 46...I too wanted to make sure that the estrogen in my body is as low as possible since my tumor was highly positive....compared to the other sugeries Ive had that one was easy....

    Hope you can make a decision that is comfortable for you because that is really what counts...

    Jule

  • sharebear
    sharebear Member Posts: 332
    edited October 2007

    I had mine out at 38. I'm now 44. Menopause will  hit hard and fast but then it does end. I'm now post menopausal. The nightsweats which were the worst are gone. No more hot flashes. My body changed but it did that with bc and chemo anyways. Oh and the forgetful thing you might notice. I don't as I'm also epileptic and the meds do that to me too so I'm use to it. You'll want to watch your bone density. I did shrink an inch and then I stabilized and I'm fine. No osteoprosis.

    Sharon

  • Calico
    Calico Member Posts: 1,108
    edited October 2007

    Simone,

    I had mine out too and I must say the the gyn promised me "lots of flashes and a hell of a summer" and it did not come true.....

    I had experienced hot flashes during chemo and got a few more off and on.

    It appears that I can reduce those to minimum with Omega 3 fish oil and Turmeric.

    God Bless

  • simonet
    simonet Member Posts: 5
    edited October 2007

    Thanks everyone for the feedback. It's encouraging to know that having had hot flashes during chemo doesn't mean I'll have "lots of flashes" after the ovariectomy. I have used fish oil and turmeric in the past and am inclined to address menopause side-effects with alternative-meds, so thanks, Calico, for the info.



    Can you tell me how old you are and why you didn't go with Tamoxifen instead of the ovariectomy?



  • Calico
    Calico Member Posts: 1,108
    edited October 2007

    I was misdiagnosed to begin with and felt I needed to be as agressive as possible. 41 at dx, mammo at 40 was misread as normal which is was not.

    I also had Fibroids (4 cm's) and the side effects of Tamoxifen and the risks to get uterine cancer, blood clots etc. even though they might be slim, scared me.

    Having read good things about Femara, I wanted to be able to take it, that was my drug of choice.

    I had a bladder lift when I had my hysterectomy and stayed one night. I walked 2 miles the day I got out. It was an easy surgery compared to the mast. Don't get me wrong, you need to listen to the doc. I just want to say as scared as I was before, it wasn't as bad as expected. Maybe it was just such a great feeling to nip the possible cancer cells remaining (if any) in the rear....(if you know what I mean) and depriving estrogen.

    I still feel "young" enough, I take Biotin for the hair and nails, I try to eat healthy and the weight comes of slowly if I don't go overboard with the chocolate ;)

    God Bless

  • Calico
    Calico Member Posts: 1,108
    edited October 2007
  • pamela_halls
    pamela_halls Member Posts: 2
    edited October 2007

    Being high risk due to family genectics I am now considering having an Ovariectomy Unfortunately I have another tumour in my Pec muscle so having to deal with that. Reading all the comments( which are benificial by the sounds of it) Ithink it could my way forward. good luck to all you women.

  • kimjct
    kimjct Member Posts: 8
    edited October 2007

    I am 46 and getting the "buggers" out in Dec--no need to keep them anymore! I can't wait and will feel better--I take Lupron now. It will give me peace of mind that the estrogen isn't cranking up those cancer cells again. My doc said just the ovaries, no hysterectomy--why did you get the whole works out?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited October 2007

    I had a total abdominal hysterectomy about 2.5 years ago (not by choice--large ruptured ovarian cysts) and still take tamoxifen and will for another year.  I have LCIS and am taking it preventatively.  I would just recommend a yearly transvaginal ultrasound to monitor both the uterine lining AND the ovaries.            

  • mimiflower07
    mimiflower07 Member Posts: 6
    edited October 2007

    hi hope some one can offer some words of wisdom. i am 4 wks post op had a bilat with recu surgery. Positve er,pr and strong + her2. will start chemo in nov at some point but am wondering when to request oopectomy or total hysterectomy? Lastly which surgery has best recovery results ie vag hysterctomy or lapro?

    ho yea my name is Suzanne 42yrs with lots of living to do!

    thanks anyone

  • Anonymous
    Anonymous Member Posts: 1,376
    edited October 2007

    Hi Suzanne,

    I had my complete hystorectomy done in April this year...I stayed one night in the hospital and took one week off work.....I didnt have any issues with it or recovery at all.....I had mine done lapo w/vaginal assist since I insisted they remove everything at once.....Im 46 and very active so I think the active part helps with recovery. As for when to request it....talk with your doctor the next time you see him, I dont think they will do it while you are doing chemo so it might be a bit before they will ok the surgery.

    Hugs

    Jule

  • mimiflower07
    mimiflower07 Member Posts: 6
    edited October 2007

    jule thanks for your replie.  I just will feel so much better losing the whole lot then just the overies.  want to be as aggressive as i can be. Do you know if having a complete hyster affects your sexual feeling, or drive.  i imagine your libido might be alter.

    thanks for your thoughts

    suzanne

  • pod1257
    pod1257 Member Posts: 262
    edited October 2007

    Simonet-

    I am trying to make the same decision and leaning towards the ooph. I was 48 at dx in 06. IDC 1.5cm. Grade 2 Oncotype of 10. Had bilateral mast, no chemo, on zolodex and tamox.

    I was concerned, as you, about health issues, such as heart, bone health. - BUT since I am at menopause age anyway, it makes sense  to get all this estrogen out of my system for good. My internist said something that made me think: He said,"We can always treat heart,bone and other issues with lifestyle changes or meds but we can't cure met's." Not that ovary removal guarantees no mets, but it's another step that should be helpful if there are many little micro mets floating around in the blood.

    I am supposidly at low risk of recurrance but don't want to take any chances. I feel for now, I am "covered" by the shots and tamox (was found to be a good metabolizer of tamox through the CYPd26, test).

    I want to make a decision soon and get on with my life.

    Good Luck to you.

    Julie

  • simonet
    simonet Member Posts: 5
    edited October 2007

    Hi Julie,

    Our stats are similar. I was Grade 1, but higher oncotype numbers for my 2 tumors. Had a bilateral with no reconstruction. I'm not familiar with the CYPD26 test, but I'm not eligible for Tamoxifen anyway. I've done nothing about my estrogen levels for a year now. After mulling it over, I've decided to have the ovariectomy. I've come to realize that metastisis is still a real threat. Thanks for adding to the conversation.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2007

    ---About 2 and a half years ago, I had to have a total abdominal hysterectomy (not by choice; due to large ruptured ovarian cysts) so I was thrown into immediate surgical menopause.  I had my first major hot flash while still in the hospital--- complete with nausea, a racing heartbeat,  uncontrollable crying and panic---but never happened like that again. SEs came on gradually over 2 or 3 months (hot flashes, insomnia, achiness) and while annoying for sure, still certainly manageable.  There are no specific medications for "surgical menopause" that I know of (believe me, I've asked many doctors); but there's usually something out there for the various symptoms of menopause.  I take melatonin to help sleep and ibuprophen for the various aches and pains.  Nothing really for the hot flashes (just dress in layers, use ac and fans, deep slow breathing for relaxation, try to exercise AMAP, limit alcohol, etc....) but a lot of women find Effexor works well for them. I rather just put up with them, rather than have SEs from yet one more medication.
     I've been taking tamoxifen for 4 years, less than 1 to go.  If they say mastectomy and oopherectomy needed, perhaps they could give you heparin to help prevent blood clots?  Good Luck.
  • SLH
    SLH Member Posts: 566
    edited November 2007

    I was 51 when I had a bilateral for stage 1 ILC. I hadn't started menopause, so my onc thought it would be wise for me to have a complete hysterectomy for many reasons:

    1) Family history.  My mom has ovarian c, my sister has bc.

    2) I have Factor 5 Leiden, a fairly common, genetic blood-clotting element

    3) Tamoxifen has a higher risk for blood clots than an AI

    4) Women who have bc have a higher risk for ovarian & endometrial cancers

    For me, the abdominal hysterectomy was a quick decision, because I've watched my mom suffer with ovarian cancer for 5 years. It was an easy surgery, compared to my bilateral, and I don't miss the monthly "curse"!  

     
  • jdg1
    jdg1 Member Posts: 608
    edited December 2007

    My Onc. said that there is a shot they can give you that will put you into menopause so that you can take the AI'S has anyone had this done?

    I to want to have my ovaries taken out so that I don't have to take Tamoxifen.

  • MissChris
    MissChris Member Posts: 3
    edited December 2007

    I'm in a clinical trial and I was taking the shots and am still taking aromasin.  I decided to have a total hyster since I'm brca 1+ and my mom had bc and died with ovarian cancer.  The downside of the shots were the se's and making the time to go each month.  You can only vary the length between appointments by a day or two.  They did tell my I could self administer, but I couldn't do it.  Feel much better now that they are gone for good.  I know it's no guarantee, but it gives me some peace of mind.

  • hi5
    hi5 Member Posts: 374
    edited December 2007

    I had bilat mast in May 2006, started Tamoxifan Sept. 2006, had ovaries and uterus removed Sept. 2007 and onc told me I had to stay on Tamox!!! I am BRCA1+ 

  • karol61
    karol61 Member Posts: 128
    edited December 2007

    hi5,

    I had a complete hysterecttomy in 1983 at the age of 35 + ovariectomy on the right side in 1968 +ovariectomy on  my left side in 2000.

    After my DCIS dx in March 2007,my onc put me on Tamoxifen,because our bodies have other sites that make hormones. He recommended Tamox because  I have osteoporosis. Tamox does not deplete bone density. 

    karoline 

  • kathysea
    kathysea Member Posts: 30
    edited December 2007

    Hi Girls,

    I was diagnosed with BC in 2006 at the age of 45.  Had a mastectomy and put on Tamoxifen.  Been thru several uterine biopsies, all negative thank god, but the fibroids I developed since tamoxifen have grown tremedously in 1.5 years. Since my BC is estrogen fed I am now faced with the decision of a full hysterectomy.  What type of meds are best to prevent bone loss? And is Fish Oil something that will help with hot flashes?  Oh, and any suggestions on products to enhance a healthy sex life after the sudden onset of menopause is appreciated :)

  • ajlive
    ajlive Member Posts: 134
    edited August 2009

    Hello all.  I had an hysterectomy 18 years ago leaving an ovary.  I just got Estradiol test results back that showed post menopausal woman should have a level 27.  My level was 47 which meant my ovary is still building estrogen.  I have been on Femara for 5-months and was told to immediately quit taking the Femara because it would not work form.  Med Onc wants to put me on Tamoxifen now.  Do not want to do it.  I prefer to stay on Femara (was not having to much trouble with SE's).  I asked about having ovary removed and was told to get with my gynecologist.  Was also told that most insurance will not pay for this.  What?Frown  If you are ER/PR+ I would think reducing the estrogen level will be preventative or recurrence of cancer since you are now at higher risk of getting other cancers.

    Thanks for starting this forum it has helped me make my decision to have ovary removed even if the insurance doesn't pay for it and with all the BC expense I can't really afford it.

  • Daudine
    Daudine Member Posts: 221
    edited September 2009
    I have no cancer but I chose to have an ovariectomy and a prophylactic bilateral mastectomy last year at 37. I am BRCA1 positive and lost my mother and 2 aunts to BC.

    I don't regret having the surgeries...it is tough but I am able to say that I have done everything possible to lower my risks.

     I wish you good luck

    Claudine

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