Patient's question:
Age Description: 12 years ago, the right ovary was removed due to a membranous cell tumor. One year later, during a pregnancy ultrasound, a cyst was found in the left ovary, which has been present since then. Three years ago, the cyst was measured at 2030, and now it has grown to 5862. There are occasional pain sensations. There is concern about changes or further growth, and the desire for surgery is tempered by fears of postoperative complications. Will menopause occur prematurely? What changes will the body undergo,,, Can the uterus be removed along with the ovaries,,,,,, Thank you for your help,,,,,, Thank you so much. What are the postoperative complications of bilateral oophorectomy? Can the uterus also be removed?Doctor's answer:
You do not have to have your uterus removed. The uterus is an important internal reproductive organ, and it is not uncommon for women to undergo hysterectomy due to uterine conditions such as uterine fibroids, dysfunctional uterine bleeding, and adenomyosis. The uterus is not only an important reproductive organ but also has endocrine functions. After a hysterectomy, the body undergoes a series of changes, specifically: ① Menstruation ceases. Menstruation is formed by the cyclical shedding of the endometrium. After a hysterectomy, menstruation naturally ceases. ② Reduced vaginal discharge. Vaginal discharge is composed of secretions from the uterine cavity, cervical glands, and shed vaginal cells. In women with uterine fibroids, the enlarged uterine cavity leads to abnormally increased discharge. After a hysterectomy, vaginal discharge significantly decreases. ③ Premature onset of menopausal symptoms. The blood supply to the ovaries comes from the ovarian artery and the ascending branch of the uterine artery. Literature reports indicate that the uterine artery supplies approximately 50% to 70% of the blood to the ovaries. Hysterectomy can affect the blood supply to the ovaries, accelerating ovarian function decline. Siddle et al. demonstrated that women who undergo a hysterectomy experience ovarian failure four years earlier than those who experience natural menopause. Furthermore, 34% of women exhibit ovarian failure and menopausal symptoms within two years of the surgery. ④ Hysterectomy affects the integrity of the pelvic floor, shortens the vagina, and can impact sexual life. A subtotal hysterectomy or a (fascial hysterectomy) greatly reduces the impact on sexual life. ⑤ Increased incidence of cardiovascular diseases. After a hysterectomy, ovarian function declines prematurely, estrogen secretion decreases, and the incidence of cardiovascular diseases rises. Patients are more prone to conditions such as obesity, hypertension, heart disease, and osteoporosis. Ovarian cysts are a type of ovarian tumor in a broader sense and can affect women of all ages, but are most common in women aged 20-50. Ovarian tumors are common among female reproductive organs and come in various types and forms, including: unilocular or multilocular, unilateral or bilateral, cystic or solid, benign or malignant, with cystic types being most prevalent and having a high risk of malignancy. Early diagnosis is difficult, and 70% of cases are already in advanced stages by the time of diagnosis, making early treatment rare. The five-year survival rate remains stagnant at 20-30%, making it one of the most severe malignant tumors threatening women's lives. You do not have to have your uterus removed. You can take traditional Chinese medicine such as ginsenoside Rh2 (Humedix) to control the condition, reduce suffering, and prolong life.