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Total Hysterectomy at 25: The Consequences and Benefits to the Surgery on a Young Woman

Updated on April 19, 2016

Major surgery for a young woman

I'm now 31 years old. I have one child, a boy, and had him when I was 21 years old. 4 years later, I had a total/radical hysterectomy, a surgical procedure where the uterus and ovaries are removed.

There are partial hysterectomies where just part of the uterus is taken out, or a total hysterectomy, where the entire uterus and one ovary, leaving one ovary intact. Then there's total/radical hysterectomy, where the uterus, the cervix, and both ovaries are removed (oopherectomy). Not being able to bear children is a common reality for all types of hysterectomies, but a total/radical hysterectomy carries with it, other serious consequences and effects that leaving at least one ovary intact, does not.

So, I had endometriosis since I was teen . Endometriosis is the growth of uterine lining in other parts of the body, usually on the reproductive organs, and can grow on the bladder, liver, kidneys, anywhere within the pelvic region. It can cause pain and infertility. It often grows back after removal. I didn't start menstruating until I was 17, and I never ever had regular periods, usually only getting 2-4 periods a year. I had my first surgery to remove the endometriosis when I was almost 20. I conceived my son though the fertility drug Clomid, which is usually the first drug of choice when women have trouble conceiving, as it has less side effects than other drugs, and a very low risk of producing multiples. I had my son, and didn't find out until after he was born, that I also had Polycystic Ovarian Disease, or PCOS. PCOS causes hormonal imbalance in women, and little cysts that grow on the ovaries. It causes irregular periods and often infertility. It explained a lot of issues I had experienced over the years. We tried birth control pills to help with the PCOS, but it didn't help. I had 2 more surgeries to remove the endometriosis between the ages of 22-24. It just kept growing back. I had a lot of pain, and hormonal imbalance that effected my moods and overall personality.

My gynecologist and I were discussing a hysterectomy, and then during an ultrasound, he found a leiomyoma, which is a benign fibroid tumor in the uterus. They can grow uncontrollably if not treated. They can be removed, but can also grow back. Mine was small. But having the endometriosis, PCOS and now the leiomyoma, my OB/GYN suggested a total hysterectomy. I agreed to it. So at 25 years old, I underwent the surgery, still not quite knowing all the consequences of having it

The surgery

I went into the hospital, it was expected to only be a two-day stay. However, during the surgery the bladder was nicked, and I had internal bleeding. So I was in the hospital after the surgery for a week. I had had several surgeries prior to this (including an appendectomy and breast augmentation), and so I wasn't overly concerned about the pain. It was a bit more painful than I thought it would be, but not altogether unbearable as I had a morphine pump for a couple days following the surgery. I was put in the maternity ward, presumably as a mean joke.

The morning after my surgery, I started experiencing the effects of menopause, which is what happens when someone has had both ovaries removed. I started getting hot flashes, and we aren't talking one or two a day that were relatively short and doesn't interrupt your life. They were severe, and I was having them about every ten minutes. I could also feel a real mood change and felt worn down, and not in the way you do after surgery. Overnight I went into menopause, and being thrust into menopause so quickly, it's much more severe than when you ease into it overtime, like happens for most women.

The crazy man-eating monster

When I came home, about week after my surgery, I was having almost debilitating symptoms of menopause. The hot flashes were really bad, but my mood was worse. I was constantly yelling and screaming, quite angry 90% of the time. Everyone but my son felt my wrath.

The doctor had decided that I should not go onto hormone therapy, as the potential long-term side effects are thought to be worse than the potential benefits it might bring, especially being so young. So no hormones for the first 4 months or so. But then I couldn't handle it anymore, and pushed for the hormone replacement therapy (HRT). He prescribed them, which were synthetic hormones. At the time, I didn't really know much about natural hormones, which comes from horse urine (not gross like it sounds). So I was taking the synthetic hormones (estrogen) about four months after the surgery. (There is a huge difference between natural and synthetic hormones).

I did not notice any real changes at first. Then after being on them about a month and a half, I started experiencing migraines, which prior to this, had only had a couple times in my life. They were so bad I couldn't get out of bed on those days which I had them. They were rotten. My hot flashes got every-so slightly better, but were still wretched. Mood-wise there wasn't much of a change either. I connected the migraines to the estrogen, which isn't too uncommon when taking synthetic hormones. I eventually stopped taking the hormones because of the migraines. I had always had acne problems due to the PCOS. However, it only got worse after the surgery. Much worse.

Meanwhile, I was as rotten as a person could be. Mean, angry, hateful, so very vile and guttural. It felt as though I couldn't control the anger I felt. And, I've always been a very outspoken person, who doesn't care what others think about me at all. I tell it like it is, no sugar-coating. So adding all of this anger and hatred to the mix, made me a pretty mean person. It didn't matter who you were, a family member, a stranger, person of authority, no matter....I told you where to stick it...hard. I basically became unbearable to be around. I was no longer working, and there's no way I could have, because I probably would have eaten peoples face like Hannibal Lecter. It was just a very odd time. My OB/GYN was unconcerned.

The major side effect

It was only a few weeks after the hysterectomy, I was at an amusement park with my family. Out of nowhere, I had a grand mal seizure, something I had never experienced in all my life. At the hospital, they couldn't find a reason. It was thought to be a one-time thing.

A couple weeks later, I was making dinner, taking chicken out of the oven, and the next thing I know, I'm waking up on the kitchen floor, oven open, blood all around me. I had had another grand mal seizure. Again, the doctors at the hospital couldn't find a reason for the seizure. Soon after that, I was having grand mals regularly. I was diagnosed with adult onset epilepsy. There is no history of epilepsy or seizures in my family. I was also having petit mal or partial seizures, as well as absence seizures (looks like I'm just staring into space, but my eyes are locked and I can hear what's going on, but cannot respond). Those generally only last about 30 seconds. I was put on a seizure med called Keppera. Side effects of that drug are small, nearly non-existent for me, unlike other seizure meds like Phenobarbital or Depakote. They controlled the grand mals pretty well. I was only having them about once every 6 weeks or so, breakthrough seizures.

After seeing several doctors, including a neurologist, it was concluded that the total hysterectomy, had caused me to develop the epilepsy. This isn't all that common for younger women who have total hysterectomies, but has occurred. The extreme and abrupt hormonal changes, a shock to my body, is thought to be what triggered the epilepsy, something I would otherwise not have developed.

The epilepsy became quite the handicap for me for a while. I could sometimes tell before I was about to have one, but didn't always have that luxury. I was afraid to leave the house for fear I'd have a grand mal, and fall and injure myself. I have a service dog now, her name is Josephine, and she's a seizure alert dog. She lets me know before I have a grand mal, so I can lye down no matter where I am. And have done just that several times. It may look silly, seeing a woman lying down in the grocery store, but hell, it beats falling and severely injuring myself, or even dying from an injury. If you'd like to hear more about the story of my service dog Josephine, and my epilepsy, feel free to check the hub I wrote entitled; "Epilepsy and the Service Dog", that I had written back a couple years ago.

The epilepsy is now under control to where I only have grand mals about once every 2-3 months (knock on wood). Usually when I'm very tired or very stressed. I have petit mal seizures more often, but they aren't terribly bothersome, and I have the absence seizures daily, but again, those aren't very bothersome either.

The epilepsy was in many ways, the worst "side effect" of the hysterectomy. It was completely unexpected and extreme. I deal with it, and have adapted very well to it (mostly because of my service dog Josephine). I cannot drive, I have more frequent migraines as a result of the epilepsy, and worst of all is my memory loss. It's both short-term and long-term memory loss. Much of that is the epilepsy, though some of it could be caused by the hysterectomy, according to my neurologist. I have zero memory of the first 2 years of my sons life. I tell someone something, then the next day tell the story all over again, not remembering I've already told them the story. It's obnoxious to everyone else, but I chuckle find the humor in it.

Settling in

It's now been over 6 years since I had the total hysterectomy. My body has started to get used to the lack of hormones, and though I'm still sharp-tongued (I always will be), I'm more of a Dr.Gregory House (House) than a Chucky (Child's Play) these days. My anger has become manageable, and though I have a smart-ass mouth, and am the first to speak up and tell it like it is....it takes quite a bit to really get me angry. My family will be the first to tell you how very nasty I became right after the hysterectomy, and how that's changed now, 6 years later.

I'm tired a lot more than I ever used to be. I physically feel like I'm 85 years old. My bone density has greatly decreased, and I need to take calcium pills daily. Your bone density decreases with time, as your estrogen levels drop, through menopause. I will likely have osteoporosis by the time I'm 45 years old. I definitely do not feel like I'm 31. I haven't felt my age since the hysterectomy, it seems as though my body has aged decades since. I have very little interest in socializing, where I used to enjoy going out, spending time with friends. Obviously I can no longer have children, and only got to have one, and so very much wish I could have at least one more. The lack of estrogen brings with it lots of side effects and consequences. My acne is still really bad, and I now have some scarring from it. Luckily, I can at least cover it to where you can't see when I wear enough makeup. But without makeup....eeek. The hot flashes have greatly diminished, to where I'm only have about 4 a day, which is much more manageable.

Also, I was going to donate a kidney to a man who has been waiting for one for 20 years now, and had been on dialysis for quite a few years. He was HIV positive, and not high on the donor list. I met him through an organ donation website, and chose him because of his HIV status, and length of time he had needed a kidney transplant for. A purely altruistic donation of someone I had never met. After initial testing, and finding out I was a good tissue match as well as blood-type match, I traveled to where he lived, to get some final testing done, and meet the doctors who would be doing the surgery. Things were progressing well and most of the doctors on the donation panel had felt I was of good enough health to donate. An altruistic donation (as opposed to donating an organ to a family member), must be approved by a panel of doctors. You must be not only a good match of tissue type, but also must be found to be of good emotional and psychiatric health, as well as of course, physical health. The very last doctor I had to meet with to approve this kidney donation, had decided that because of the hysterectomy (and not the epilepsy), he was not comfortable with leaving me with only one kidney. A hysterectomy does not mean you cannot donate an organ, but some doctors feel the effects of an absence of estrogen over time, could possibly have long-term effects on the kidneys. I felt awful. The gentleman had high hopes of this donation working out, after so many had not. I wanted to give him my kidney, and just felt it was the right thing to do. But ultimately, after all the testing, paperwork, doctors visits....it was decided that it wasn't in my best interest. Unlike the donation of an organ to a family member, the donation of an organ in an altruistic situation is very different, and the health and well being of the donor is extremely important, and looked at first and foremost, over that of the person receiving the organ. So my hysterectomy, has even farther-reaching consequences than that of just myself, and my family. It even affected a total stranger, in an unconventional way.

The positives

There are of course, positive effects of my hysterectomy. First and foremost, the reasons for the surgery, being the endometriosis, the Polycystic ovarian disease, and the leiomyoma (uterine tumor), were of course wiped out. I have no abdominal pain from endometriosis, no pain from PCOS. No need to worry about a uterine fibroid tumor growing uncontrollably in my abdomen. Since the cervix was also removed (which is common to have removed during a hysterectomy), I have no concerns of ever having cervical cancer, a cancer that is taking the lives of more and more women over the past decade. For that matter I will never have the concern of uterine or ovarian cancer, two other cancers that combined, take the lives of over 25,000 women in the US each year, and that number is rising. That's a huge load off a persons back. And I suppose, if you don't want anymore children, or don't want any at all, no concerns over pregnancy, (though keep in mind the risk of STD's, though a little bit lowered, are all still completely possible to contract).

Then there's the more seemingly trivial, but not altogether unnoticed advantages of having had a total hysterectomy. I do not need a yearly pap-smear. No uterus, no ovaries, and no cervix....so no need for pap-smears regularly like with most women. It's recommended that I need one only every 5-7 years, and even then, the ordeal is much less annoying and uncomfortable as when you have all you're female reproductive organs intact. Then of course there's the fact that I don't have a monthly period. That encompasses a whole host of perks. No granny panties. No blood-stained undies, or blood-stained pants. Absolutely no need to ever buy another tampon or pad (just put that money toward your shoe collection). No cramping every month, no PMS and monthly hormonal mood-swings. No worry about "that smell" when you're on your period. No monthly boating or constipation. No discharge EVER, no yeast infections. You know, all those things that have ever made you say "guys are so lucky to never menstruate". I will say it's really great to never ever have to think about those things....ever again.

And a completely unexpected positive side effect, was the weight loss. I've never been heavy, I've been very lucky in that regard, a high metabolism. I was 5'6, and my weight did slightly fluctuate, especially after I had my son, at my heaviest I was about 140 lbs (not including my weight during pregnancy). The way I'm proportioned, I looked thinner than I was. But after the surgery, the weight literally melted off. I never tried to lose weight, no diets, nothing. It just kept coming off from about 2 weeks post-op, until I was about 118 at my lightest, which technically for my height was slightly underweight, but I think I looked great. But, 6 years later, my weight has evened out and for the past 4 years or so, I've remained at around 125 lbs consistently. (Though I could definitely use some toning). Usually, menopause has the exact opposite effect on the metabolism. Many women gain weight after they go through menopause. That's true for those who go through it naturally, or through surgical hysterectomy. However, the PCOS does tend to contribute to women being overweight. I was lucky enough to not have a real weight problem despite the PCOS, but obviously when the ovaries were removed and the PCOS gone, I lost that "extra weight". I'd be lying if I said I didn't enjoy that unexpected side effect. Especially considering I didn't have to do a thing to lose the weight.

Becoming more commonplace

Women in their 20's having hysterectomies is uncommon. Women in their 20's having total hysterectomies is even more rare. It's not common to see in women in their 30's either, even 40's. But it's happening more and more. Between a more proactive medical community, and a higher incidence of cervical and ovarian cancer (much of that due to STD's...cervical cancer is most often caused by an STD called HPV-Human Papillomavirus), we are seeing more and more young women having hysterectomies done, both partial and total.

It should be a last resort for a woman under 40. Having diseases and conditions that require a total hysterectomy isn't common. But it does happen. Drug therapy and other surgical intervention should be tried first, and often have good results. Should your OB/GYN recommend a hysterectomy for you, whatever your medical problem is, DO YOUR RESEARCH. Most especially when it's a total hysterectomy. Having a partial hysterectomy (taking just the uterus but leaving one or both ovaries), and having a total hysterectomy, are two very different things. Having both ovaries taken out puts you into complete menopause overnight. Keeping even one ovary will retain it's hormone-making ability, and keep you out of menopause. Don't underestimate the impact hormones have on your entire body...it's extreme. Do as much research as you can first, and talk to others who have had a hysterectomy at any age. Never go into a hysterectomy without taking time to think it through and do your research first. Also, a second opinion is something I highly recommend.

If you do need a hysterectomy, and decide it's the choice you must make, I don't want you to feel as though your life as a female is over, it's not. My feminine identity is not, and never has been dependent upon my internal reproductive system, nor my ability to have children. I've always been a very confident person though. But the consequences are profound. Never go into it lightly. And remember that everyone is different. My experience is not going to be the same it will be for anyone else. Each persons body reacts in it own way, and no two experiences are exactly alike. I wanted to share my experience on a subject I've become very experienced and knowledgeable in. An experience from an unusual situation, a woman in her 20's having a total hysterectomy. Please feel free to ask any questions you might have. I'm definitely not shy.


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      tiffany 2 years ago

      Hi my name is tiffany I have the endometriosis I have had 3 lyposcotic surgery to take the cyst off my ovaries I have 3 girls my first pregnancy was fine my second one I had a few problems like after I had her my blood pressure was low so they made me lay down in a dark room

      Now my 3rd pregnancy it was hell they were watching me for preeclampsia I had to go in 2 times a week for a non stress test was hospitalized couple times overnight I was on high blood pressure meds I mean I have had high blood pressure since I had my first daughter it runs in family lol was on bed rest for one weekend I couldn't stand up for more then a few seconds then I had to sit down or lay down I had to put a chair in the shower in order to take one was in so much pain wasn't funny I had to monitor my bp every day and if it was above what the doc said I had to go to the hospital mind u I live in Sullivan Missouri and my doc was in washington missouri I had to drive down there when it was high my husband wants me to get one I'm 25 yrs old it's a big decision I think but I don't want to take chances and get pregnant aging and either loose the baby have the baby early or one or both of us dying and my doc said in order to get rid of the endometriosis I will have to get a hysterectomy. I'm sry bout this being long just doin a little research just need some more opinions lol

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      CeeCee 2 years ago

      I have had a total hysterectomy done at age 25 as well & now 27. I had the same symptoms but the seizures. Went straight into menopause. If I could go back and deny the surgery I would have. I used to love going out, hanging with friends and family. Now I just feel so weakened, tired, miserable and zero energy. I still today cry about how I am. I too became very angry and mean and it's very hard to control. The reason for it was because I've had past surgeries on my uterus. It had fallen in my vaginal canal and that was when I was 20 after my 2nd son. So they did an uphold vaginal support system which would give me an extra 5 years before i would have to get my uterus taken out. Then within the 5 years I developed severe endometriosis that I also had surgeries to have that removed but it kept growing back. So at age 25 they said it would be best to do a total hysterectomy, which is whole female reproductive system. My uterus, fallopian tubes, cervix, & ovaries. I wish I could go back to that surgery day and at least said keep one ovary. At least even with just one ovary you don't have to go in a menopausal stage. Advice to anyone just keep one ovary. I'd so rather a bad cramp over this not so awesome life I have to deal with now. Everyday is a struggle... good luck to all.

    • StaceyCranmer profile image

      StaceyCranmer 2 years ago from Elmira, New York

      I had my hystorectomy at 25, I am now 49. As I read thru this post, with the exception of the seizures, I feel like I could have written this myself. I was in the military and ordered to take the Hormone Replacement Therapy, I didn't have the choice and within 5 years I was Medically Retired with 100 percent disability because of the HRT induced Migraines, if I was not forced to take the HRT I would still be enjoying the career and life I loved. In my case though, the Doctors medically induced Menopause before my hystorectomy as a possible treatment for the endometriosis, it didn't help but given what you went thru post op, it may have prevented me from having some of the more serious issues you have suffered. I was recently diagnosed with Osteopena which is the pre-stages of Osteoporosis so im taking more vitamin d and calcium suppliments. I too lost my filter when I lost my uterus, when the thought enters my brain it simultaneously rolls off my tongue, there is no question in what I want, mean or feel.

      My biggest issue is Major Depression and Anxiety. Over the years of being given this drug or that drug to try, the side effects of those drugs and the frustration of being alienated by my family and some friends who insist on believing Im just a mean and repulsive person, I had to learn how to live with myself in order to avoid succumbing to the demons of depression and anxiety and believe it or not, marijuana played a major role in my survival. Now, after finding the right doctor, I take Prozac and Adderall and the difference it makes is amazing; the very first day I took these meds I felt a calm in my bones I had never felt in my entire adult life. I still use marijuana for anxiety, but only when someone hits that last nerve that flicks my bitch switch to the on position and releases what I refer to as the ten bitches that live in my head, I smoke a little bit and I am able to contain them before anyone gets hurt.

      If I had to do this all over again, I would. I would neither wish the physical, emotional and mental pain of endometriosis on my worst enemy nor would I want to experience it for one second longer than I had to. After reading several of the preceding comments from the young ladies who are dealing with endometriosis and an impending hystorectomy, seems like a big difference in post op health is the immediate onset of menopause opposed to drug induced menopause for 6-9 months prior to the surgery like I had. I wouldn't leave an ovary because you can still suffer a relapse of the endometriosis, I did, and its worse when it affects your unrelated abdominal organs; not to mention the increased risk of ovarian and hormone related breast cancer.

      To the young lady CeeCee, talk to your doc about prozac and adderall for your weakness, fatigue, concentration, comprehension and mood issues, sounds like you are having the same depression issues I had to fight for over 20 years before I was prescribed that wonderful, life saving cocktail; I promise it will make a world of difference.

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      rnhp12 2 years ago

      Hi, I want to thank you for telling your story. I was 29 when I had the total hysterectomy. My conditions were ovarian cyst, endometrosis, and prolapse. I have three kids. I had trouble with the left ovary and large cyst. At first they surgically removed the problematic cysts. Then it was decided the problematic ovary should be removed. Then the other ovary decided to be a problem, so we tried treating it with progesterone, but then the endometrosis was causing problems and I was told by doctor you can't do lupron and progesterone treatments at the same time. That's when the total hysterectomy was decided on. And I was warned about the hot flashes, feeling old, weight gain, instantly becoming menopausal overnight. Those I could handle compared to the labor cramping heavy periods and painful cysts. I missed so much work due to both. But I was not warned about the seizures. Three months after my hysterectomy I had my first seizure and seven years later I am still having them. It takes finding the right nuerologist and medicine combination and that takes years. I wish I had extensively researched before going through with the surgery. It changes your life drastically. I could have just had a partial and went on the progesterone to control the ovarian cyst. Yes, it fixed the issues I had, but gave me bigger problems. I also suddenly had hypothyroism and fibromyalgia. It literally sent my body into a shock state. If I had to face this decision again I would go about it another way. Thank you again for your story, its the first that I've come across that I can relate to.

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      PicturePerfectPet 2 years ago

      Hi there! Thanks for your comment, I didn't see it until just now. Wow, your story is so similar to mine. I have yet to meet anyone who developed epilepsy/seizures after their total hyster! It is of course, a really shitty side effect and I hate it, although had I not developed it, I'd never have gone out with the man that is now my fiancé, as he too has epilepsy, and we connected because of that. Also, the feeling old and tired and just worn out is just unreal. My gyno made it sound like it would be a very minor inconvenience. He downplayed everything, and eventually I had to find a new gynecologist. The hardest part of it all though is, that no one else around you can possibly understand the profound effect the surgery has had on me mentally, physically, socially. Only those who have experienced it, like yourself, truly understand. And there're aren't that many of us. If you ever want to talk about anything, please don't hesitate to contact me. I'd love to talk to someone else who understands, and I'm a very good listener :) I hope you are doing well, and I really appreciate you reading and commenting on this!

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      kparkerg 16 months ago

      Thanks for posting this. I just had a hysterectomy last week, and am 33. It is nearly impossible to find resources or even personal stories from younger patients who have had the surgery. I was so grateful to find a doctor, as you said, who was "more progressive," as I know many women are not even granted the option, or their doctor won't perform it. I'm in a different situation, as my ovaries were found to be in good condition (no endometrial tissue had embedded on them), but your account of your experience with early menopause is a valuable resource to share. Thanks for keeping it real, and still staying positive.

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      Deborah 16 months ago

      I have a question. I had a hyserectomy at 25, im now 57. Ive suffered from depression for about

      10 or more years. It has caused me to stay in my room and in bed for the last five years. I also have osteoperosis which in turn has caused muscle atrophy. Could this be a consequence of the hysterectomy? Ive also had a host of other problems due to the hysterectomy, so for the young women, try anything else first. Thanks for listening.

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      Candyce 10 months ago

      Hi,

      I'm 27 now and I'm contemplating having a total hysterectomy. But the thing is, I was wondering about your sex drive. Do you still have it, or is it completely non-existent?

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      Tinkerbell 9 months ago

      Im not sure if it's hereditary but the sex drive is fantastic once you heal well. do not push your body be tender listen to it, No menses no pregnancy no pains of any kind and if you take the right steps, exercise and eat healthy you will be better than ever. Make sure you take really good care of yourself and read on all the natural vitamins that supplement for your hormones moods the things your body used to generate and like I said take care of you, life is empowering free and sensual! Enjoy. Stay positive. Everyone is different Do what is best for your health with the assistance of a doctor but. Only you have control of your smiles in life!

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      Sarah 9 months ago

      Hi

      I am 32 years old and had a partial hysterectomy 2 years ago. Ever since then I have ended up in the ER for to ruptured ovarian cysts. A month ago I had a very familiar pain visit me after sex and I knew it was a cyst. I waited a week, didn't have sex, and took it easy because I was hoping if I nursed it then it would eventually go away. It didn't go away, so I went and saw my GYNO which is the same doctor whom I've had for years and performed my surgery and he said just keep taking it easy and it will work itself out. It has been a month now and my condition has worsened, I stopped taking my estrogen to see if that would help and it didn't. So my husband told me to get a second opinion. I did, I went to a female GYNO (my GYNO is a male) and she examined me and explained to me that the type of cysts growing on my ovaries need to be surgically removed.

      I am 32 and I am constantly paralyzed due to cysts. Mentally, physically, emotionally, sexually, and personally these cysts are damaging my life everyday. I went back to my primary GYNO after getting my 2nd opinion and I am scheduled to get these cyst removing in one week. I want him to remove my ovaries completely. I know the pros and the cons. I hit menopause a year after my partial hysterectomy. I am sick of having the recurring visits of the cysts and the pain and the ER and the doctor visits and now it will be the surgeries if I don't figure out how to get my GYNO to take them. Please someone give some advice. Thank you

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      White 3 months ago

      I had my total hysterectomy at 24. I had to go through mood swings, hot flashes, dry vagina and weight gain. I'm now 29 and I'm depressed.

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