Endometriosis Part 67 – Questions Before Endometrial Hysterectomy

As we mentioned in other articles, endometriosis grow somewhere else other than the endometrium also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. Hysterectomy always is the last resource in treating endometriosis for woman who has exhausted all the treatments without success, or endometrial tissues has become cancerous, her doctor may suggest some kinds of hysterectomy. If the hysterectomy is decided, there are questions that the woman may have before hysterectomy and this is the responsibility of gynecologist to address the woman concerns and some medical conditions that the women has must be treated urgently. Otherwise delay of hysterectomy may be resulted.
Most women feel anxiety and depress after the decision of hysterectomy is made. Make sure you find the gynecologist who is willing to listen and answer your concerns. Good doctor always is the doctor who is willing to listen, has the experience and ability to answer your questions in an understandable way. Removing the uterus has more psychological effects than other surgery. If you have feeling of fear of less like a woman after hysterectomy, you should address that to your gynecologist.

I. Joint the local endometriosis group
This is the best place to get your question asked and answers with real life of the women who has been gone through the good and bad time after hysterectomy caused by endometriosis. I have the chance to talk to some of them during the time I was invited to talk about the endometriosis to them. These people are most helpful group. I believe with their answers you will feel more positive about having hysterectomy.

II. Questions
A) Most important questions
1. Is my insurance company covers the cost of operation and hospital stay
The administration office or your doctor office is inter connected with most insurance company, you will get the straight answer from them. If not, the cost may be expensive for the surgery and days recovered in hospital.
2. Why certain hysterectomy is necessary and better than other?
3. The year of experience of your gynecologist.
4. Why the operation is necessary at this time ?and what is the consequence if not ?
5. If you have bad experience about anesthesia on the past, you should address that to your gynecologist?
6. The risk and complication during and after hysterectomy.
7. How long will the surgery take. Most hysterectomy require about 2 hours to complete depending on the underlying problem, sometimes it may take longer.

II. Other questions
1. What types of hysterectomy has less impact to my physical appearance and most effectively treating my problem?
2. What will I feel when I wake up after hysterectomy?
3. How long before I can be back to do my normal activities ?
4. How long will I have to stay in the hospital ?
5. Will the surgery limited my sexual activity and when I can resume my sexual activity ?
6. Will there be any risk that I will have to go back for another surgery?
7. Will the surgery alter my hormone balancing ?
8. How Do I prepare for the surgery?
9. I have previous health conditions, does that need to be address first?
10. I am taking some kind of medication now, do I have to stop to prepare for the surgery?
11. When can I leave the hospital ?and when I can go back to work ?
12. What types of symptom that I may have after surgery ?
13. Will hysterectomy will bring on menopause?
14. Will I have my menstrual cycle again after surgery?
15. Will the symptoms of irregular menstruation re appear again after surgery.

You might think of other questions, that needed to address talk to your gynecologist. Do not go into the operation without having your gynecologist to answer all your concerns.

I hope this information will help. If you need more information or insurance advices, please follow my article series of the above subject at my home page at:
http://medicaladvisorjournals.blogspot.com

To read the series of endometriosis visit:
http://endometriosisa.blogspot.com

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Endometriosis Part 69 – Pre Operative Evaluations Before Endometrial Hysterectomy

As we mentioned in other articles, endometriosis grow somewhere else other than the endometrium also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. Hysterectomy always is the last resource in treating endometriosis for woman who has exhausted all the treatments without success, or endometrial tissues has become cancerous, her doctor may suggest some kinds of hysterectomy. If the hysterectomy is decided and the gynecologist is chosen then pre operative evaluation is necessary to make sure that all requirements are address for a successful surgery.

The normal physical exam includes
I. General exam
1. Blood pressure, Weight, your pulse rate, respiration rate, listen to your lung and heart, breast examination and abdomen for any enlargement of internal abdominal or pelvic organs.
2. Other test that needed to be done annually, such as Pap smear, mammogram.
3. A complete pelvic exam including rectum examination or incision if necessary to check the size and location of uterus and other organs in the pelvic.

II. Laboratory tests
a) Check X ray
An important procedure that helps to evaluate the lung function before using general anesthesia and for woman who has previous lung disease.

b) Eltectrolytes
to measure levels of sodium, potassium, chloride, and bicarbonate in the body.
c) Blood urea nitrogen
Test that shows how your kidney function, when the body breaks down protein.
d) Creatinine
To check for creatinine in your blood, high amount of creatinine indicates kidney abnormality.
b), c) d) are the test if you have kidney diseases or adrenal, thyroid disorder.

e) Micro- urinalysis
It is needed for women who has kidney disease, diabetes or urinary infection in the past 3 months
f) Complete blood counts and chemistry
It is necessary for woman who has some kind of blood disorder or anemia or in case blood transfusion is needed during or after surgery.

g) Coagulation test
if you have past experience of excessive bleeding or a history of deep veins disease.

h) Electrocardiogram
that helps to measure the electrical signals that control the rhythm of your heartbeat, if you are over the age of 40 with high blood pressure, diabetes, heart disease or other metabolic diseases

I hope this information will help. If you need more information or insurance advices, please follow my article series of the above subject at my home page at:
http://medicaladvisorjournals.blogspot.com

To read the series of endometriosis visit:
http://endometriosisa.blogspot.com

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Endometriosis Part 71 – Electrocardiogram and Chest X Ray Before Endometrial Hysterectomy

As we mentioned in other articles, endometriosis grow somewhere else other than the endometrium also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. Hysterectomy always is the last resource in treating endometriosis for woman who has exhausted all the treatments without success, or endometrial tissues has become cancerous, her doctor may suggest some kinds of hysterectomy. If the hysterectomy is decided and the gynecologist is chosen then pre operative evaluation is necessary to make sure that all requirements are address for a successful surgery.
in this article, we will discuss electrocardiogram and chest X Ray as pre operative evaluation before hysterectomy

1. Electrocardiogram
An electrocardiogram (ECG or EKG)is needed for women with endometriosis before hysterectomy. It is define as a record of the electric activities of the heart over the duration of 20- 30 minutes. With the selective of electrodes placed on different places of the heart, it can measure the activity of different parts of the heart muscles. In assisting to the blood test to measure the level of sodium, potassium, chloride and bicarbonate as we indicate in the electrolytes blood test. It also helps to measure the function of the heart muscles. It is the best way to measure and diagnose abnormal rhythms of the heart. For woman over 40 and has a past history of heart diseases, peripheral vascular disease or diabetes will need to have EKG done before hysterectomy can be performed.

2. Chest X ray (CXR)
Chest X ray is a projection radio graph, taken by a radio technician with a dose of radiation of about 0.06 mSv for an adult. A X ray is necessary for woman before hysterectomy, if she in the previous six has diagnosis with symptoms or acute lung injure, such as a period of most intense lung injury.

I hope this information will help. If you need more information or insurance advices, please follow my article series of the above subject at my home page at:
http://medicaladvisorjournals.blogspot.com

To read the series of endometriosis visit:
http://endometriosisa.blogspot.com

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Uterine Cancer – Are You at Risk?

Here we will discuss one of the most dangerous and fatal type of cancer that is Uterine cancer

What is uterine cancer?

Uterine cancer starts in the membrane of the cells in the uterus. It usually develops in women between the ages of 50-70 after their menopause.

It is of two types of uterus cancer. The first one concerns the premenopausal women and the other occurs in old females following menopause.

Symptoms

Women suffering from uterine cancer have some common symptoms such as:

· Pain or difficulty in passing urine,
· Abnormal discharge or bleeding from vagina,
· Extreme pain during sexual intercourse,
· A pelvic lump,
· Unusual loss in weight,
· Pain in the pelvic region and
· Having never breast-fed

Causes

Uterine cancer can develop due to number of reasons which includes:

· Diabetes,
· Obesity,
· Polycystic ovaries having prolonged ovulation,
· Lack of menstruation,
· Extensive use of tamoxifen for the treatment of breast cancers and
· Taking only estrogen without progestin

Diagnosis

It is diagnosed by taking endometrial and endocervical samples. Sometimes vaginal ultrasound is also done to explore the disease and changes in uterus. Pap smear test is another accurate method to detect the cancer of uterus but it is not very reliable.

Risk Factors

The major risk factor of developing uterine cancer is due to prolonged exposure to estrogen. Increase in estrogen level can increase the risk too. Listed below are the things which can add to woman’s exposure to estrogen:

· Early menstruation – before 12 years of age
· Late menopause – after 52 years of age
· Never having children
· History of no ovulation
· Tamoxifen – a drug to treat and reduce breast cancer risk
· Estrogen replacement therapy-to treat symptoms of menopause
· Race – white women are at higher risk than African women
· Colon Cancer – women who had inherited colon cancer are more likely to develop uterine cancer.
· X-rays – women exposed to radiation of pelvis are at higher risk

Treatment

Treatment depends on stage and grade of the disease. The standard mode of treatment is the removal of uterus, ovaries and fallopian tubes by surgery. Some doctors prefer hormone therapy to reduce the risk.

The treatment of uterine cancer is possible if it is treated immediately and without delay.

Related Articles:
Top Menopause Products
Relief of Menopause

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Cancer – One Of The Top Killing Diseases In The World

It’s sad, but very true. Variations such as prostate cancer, ovarian cancer, skin cancer, and bladder cancer have widely become “top killers” amongst people all over the world. One of the reasons for this is because of the way people eat. I know that might sound really far-fetched, but if you do a little research you soon find out that this is actually a very true fact. Fatty foods, candy, junk food, etc can possibly turn your body into an infestation of not only fat, but also some other scary diseases such as cancer.

Doctors will normally acquire the implants on the ovaries, outside of the uterus, intestines, the lining of the pelvic cavity, or the Fallopian tubes. In particular examples they are able to be discovered on the cervix, vagina, and bladder. It is even more rare for the implants to attach themselves to other more critical organs that include the lungs, liver, and brain.

While the endometrial implants themselves are considered to be benign – which means non-cancerous – certain researchers still think that there is a link. They have done several tests and consider that women who endure from this problem are at a slight risk of developing particular types of cancer that begin in the ovary. This is most commonly known as ovarian cancer.

Breast chemotherapy is the cancer treatment used when the disease has attacked the mammary glands. Its purpose is to kill or to reduce in size the tumor consisting of cells that multiply very quickly compared to the normal rate of multiplication of normal cells. Various kinds of breast chemotherapy can be identified depending on the drug combination chosen by the doctor. Correct information on the way the medication works as well as an analysis of the side effects and the optimistic evaluation factors ought to be part of the discussion between doctor and patient that precedes the treatment as such.

Depending on the size of the cancer, location, overall general health, and in what stage the cancer was detected will play a factor into what type of treatment will be discussed with you through your doctor. The most common method of colon cancer treatment is surgical removal often followed by chemo or radiation is it is felt there is any risk of cancerous cells remaining. Surgical removal of cancer in the colon often results in a temporary or permanent colostomy. Your surgeon will remove the cancer from your colon along with a certain percentage of healthy colon on each side of the cancerous growth. They will then reattach the colon. In many cases, if the cancer is not caught at onset, the surgeon will have to remove quiet a large section of the colon leading to the need of a permanent colostomy bag. A colostomy bag becomes the new exit for your bodies waste. Sometimes a patient will have to wear a temporary colostomy bag to give the colon the proper time needed to heal successfully.

Another case when breast chemotherapy represents a necessity is when cancer has passed from the lymph nodes or breast to other parts of the body. This particular cancer invasion bears the name of metastatic breast cancer and it usually represents the ultimate and often lethal form of development.
Whichever of the breast chemotherapy treatments you are to receive it is important to know how you can figure out if it has any effect. The efficiency of the treatment is not related to side effects: these adverse reactions appear whether the procedure works or not. This would be the wrong approach to it all. Adjuvant breast chemotherapy may have no side effects but it has always proved to be very helpful as it impedes unhealthy cells from spreading or redeveloping in your body.

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Endometriosis Part 88 – Symptoms of Menopause After Endometrial Hysterectomy

As we mentioned in other articles, endometriosis grow somewhere else other than the endometrium also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. Hysterectomy always is the last resource in treating endometriosis for woman who has exhausted all the treatments without success, or endometrial tissues has become cancerous, her doctor may suggest some kinds of hysterectomy. In some women, removals of ovaries might cause symptoms of menopause caused by low level of estrogen and testosterone. In this article, we will discuss symptoms of menopause.
With the ovaries removed, it causes suddenly dropping of level of estrogen in the women body resulting in symptoms of menopause
1. Hot flashes
Hot flashes can be considered as the first sign of menopause. many women experience hot flashes during their years of perimenopause, post menopause and after the removal of ovaries. It is caused by low level of estrogen resulting of over production of follicle stimulating hormone triggering the malfunction of temperature control of hypothalamus leading to hot flushes.

2. Vagina dryness
As level of estrogen decrease causing the loss of a thin layer of moisture always coats your vaginal walls leading to itching and stinging around the vaginal opening and in the lower third of the vagina and making intercourse difficult.

3. Loss of bone density
Loss of bone density is very common symptom for women with endometrial hysterectomy as well as women in menopause state. It is unknown what is the causes of diminishing of estrogen and testosterone. It may be caused due to aging or inability to absorb calcium because of weaken digestive system.

4. Insomnia
Insomnia is normally happened to women with endometrial hysterectomy. Some women have difficulty falling to sleep and also have pattern of sleep interruption. It is said insomnia is caused by decreasing of level of melatonin which is produced by the pineal gland causing sleep disorder.

5. Mood swing
Mood swing is happened commonly in the peri menopause, menopause as well as women with removal of ovaries because of low level of ovarian hormone. Many researchers argue that mood swing is caused by unadaptive to the life change or stressful life circumstances more than the change of hormone level.

6. Vagina shrinkage
Low level of estrogen may cause the tissue of the vulva and the vagina to become dry and thin leading to loss of elasticity of the tissues and vagina shrinkage.
Other symptoms include loss of sex drive, aches and pain, bladder problem, shrinkage of breast, memory loss. hair loss, etc.

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Endometriosis Part 72 – Pre Operative Evaluation- Urinary Studies and Endometrial Biopsy

As we mentioned in other articles, endometriosis grow somewhere else other than the endometrium also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. Hysterectomy always is the last resource in treating endometriosis for woman who has exhausted all the treatments without success, or endometrial tissues has become cancerous, her doctor may suggest some kinds of hysterectomy. If the hysterectomy is decided and the gynecologist is chosen then pre operative evaluation is necessary to make sure that all requirements are address for a successful surgery.
in this article, we will discuss urinary studies and endometrial Biopsy as pre operative evaluation before hysterectomy.

I. Urinary study
1. Urinary tests is needed to provide information in assisting to other tests diagnosis. It can helps to monitor and provides treatment of a wide range of diseases. It can be tested very quickly by using a strip of special medical paper, which is dipped in the urine. If there are any abnormal substance in the urine such as sugar, protein, or blood, it will show up on the medical paper. Since it can get easily contaminated through bacteria on the skin, it is best to take your sample in the middle of urinary stream. Women with urinary symptoms such as infection, your gynecologist may order urinary test to check for any urinary tract infection.

2. Cystometrogram
Urinary system sometime may be caused by urinary incontinence. A cystometrogram is a medical procedure by applying pressure and see how your bladder behave when it is filled by fluid. If the caused is found, the problem can be corrected at the same time with hysterectomy.

II. Endometrial biopsy
Endometrial biopsy is necessary, if the woman who has made the decision for hysterectomy and has a history of abnormal uterine bleeding. By identifying the endometrial abnormality early, it helps the gynecologist to make a best choice of hysterectomy.

I hope this information will help. If you need more information or insurance advices, please follow my article series of the above subject at my home page at:
http://medicaladvisorjournals.blogspot.com

To read the series of endometriosis visit:
http://endometriosisa.blogspot.com

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