hysterectomy

I lost a patient tonight. Not unusual in a busy ER. This was a fairly young woman with stage 4 uterine CA . A family history of breast, colon and thyroid cancer. And a large head. All the hallmark signs of cowdens. She was conscious, coherent and talking. Thanking everyone for helping her. She was in agony. Now she is gone. I truly believe to a better, happier place. But I don’t like to face my own mortality #cowdens #Cancer #pe #Cancer #Cardiac arrest

I woke up yesterday feeling good after having slept well, something that doesn’t happen often. Then I received a message and subsequent phone call from my doctor regarding the ultrasound I had had done Thursday… and I was floored.

I am 37 years old and I likely will have to have a radical hysterectomy. Uterus and ovaries removed surgically. Menopause at 37… possible hormone replacement therapy but probably not. Mood swings ontop of my already unstable bipolar moods. Not to mention 6-8 weeks of unpaid time off my work.

At first it didn’t bother me at all. Well, you do what you need to do of course and it beats being in severe pain. But to know I can never have any more children (my husband and I were holding out hope for one in vitro), to feel like less of a woman… I don’t know if I’m ready for that or if I’ve even begun to process that idea.

The more I say it doesn’t bother me the more it comes to the forefront of my mind. I’ve been journaling and talking to my husband (who assured me that he will not see me any differently) and yet I still found myself crying yesterday over this. Not long, just a few tears but it’s like either I don’t think about it at all or it’s all I can think about.

I have a follow up with my OBGYN on Monday to go over what my options are. Hoping for some support from here and maybe someone young like me who has had a hysterectomy. How did you process it? What did you feel? How did you respond to the loss?

I honestly don’t know what I feel or how to feel.

#Hysterectomy

I am feeling somewhat down and depressed plus anxious. I joined The Mighty a few days ago and I'm just now feeling more comfortable telling my story. In 2006 i was diagnosed with Leukocytoclastic vasculitis. I had purpura all over both legs and it was very painful. It took a few months but I recovered and was relatively healthy for several years. Then as soon as I hit 40 it was like my health fell off a cliff. I was extremely tired all the time, depressed, and had night sweats. My doctor repeatedly checked my hormone and thyroid levels but they kept coming back "normal". Then I went to an ENT to get my ears cleaned. During the exam he felt my throat and said my thyroid was enlarged. I had an ultrasound and my thyroid levels checked, again. Finally I was out of range and I started synthroid. I noticed over the next few months my symptoms got worse and my neck was getting bigger. I had another ultrasound and talked my doctor into increasing my dose. The ultrasound showed I had nodules on my thyroid so he sent me to a pathologist who I well known around me for only testing the thyroid. I had a fine needle biopsy which came back benign. However, he said he could tell by looking at my thyroid I had hashimotos and sent a note to my doctor to test my TPO. It came back way, way out of range at over 800. My doctor said I had hashimotos in the past. By this point though I had been doing my own research and new that wasn't correct. Plus I went to an endocrinologist who was concerned I not only had hashimotos but graves disease too given how large my thyroid was. The graves test came back inconclusive. Meanwhile, I was on a hormone rollercoaster plus I developed shingles. I wound up in the hospital a few times and was taken seriously once till shift change where the new doctor brushed me off and sent me home. My primary care doctor was not happy the hospital brushed me off because I had chest pain. I saw a cardiologist a few times, was taken off synthroid then back on because my thyroid levels were all over the place, then after about 6 months everything calmed down and I was stable. I ended up changing primary care doctors since I couldn't get the old doctor to believe I had hashimotos plus he wouldn't check my iron levels. The new doctor checked my iron at my first appointment and found my ferritin level was very low but never tried to figure out why. Fast forward a couple of years and I start having severe pelvic pain. After seeing 6 doctors in the span of 2 months I finally get diagnosed with adenomyosis and fibroids. Nothing was helping with the pain and I had a total hysterectomy only keeping my ovaries. I woke up from surgery and the pain I had been in daily for several months was gone. Then about 7 months later the thyroid pathologist told me my thyroid was getting so enlarged I should see a surgeon about getting it removed. The same week I severely sprained my ankle and lost my insurance. Two months later with new insurance and still dealing with the sprained ankle I went to a pain management specialist and he sent me the physical therapy. By this point it was December so the holidays interfered with starting therapy and my Achilles tendon quit working and I was on crutches. Meanwhile, I couldn't work because I worked in catering and had a heck of a time getting on disability. I ended up having to quit my 2nd job because I just couldn't walk and be on my feet as long as that job required. Over the next 6 months I faithfully went to therapy and doctor appointments. I wound up in a walking cast at one point, sprained my ankle again, and had the big toe on the same foot sprained after someone walked right into me and stepped very hard on my foot. This caused me to go on workers compensation because it happened at work. Meanwhile at the same time my landlord decided he didn't want to renew my lease so I had to fight him in court and look for a new apartment. Oh and my insurance decided I had enough physical therapy so they cut me off. This brings us to January 2020. My whole family got sick in January with what we now know was covid, we didn't then. While I was still recovering we moved. I was able to return the physical therapy for a brief period till lockdown in March. I had a few virtual appointments then I was discharged about a month later. In September I went to a new endocrinologist and she looked at my records, ordered a new ultrasound. She confirmed my thyroid was way to large to even figure out what was thyroid tissue and what was nodules. She sent me to a surgeon who immediately scheduled me for surgery for a total thyroidectomy. I recovered from that, my anxiety spiraled way out of control and my husband took me to the emergency room one day. That got me into the counseling and with a psychiatrist right away and I'm on medication. With my anxiety getting under control of course something else had to start. In October I started having what I think are vasculitis flares. I tell my doctor who prescribed gabapentin and also started me on a statin due to high cholesterol because genetics. I am allergic to dairy, have gluten intolerance and overall already eat fairly healthy. So I started both new medications and immediately break out in hives over Thanksgiving. I stop both new medications and the hives don't go away. So after 2 rounds of prednisone they finally go away. The doctor wanted to wait a few months before trying anything new again. Meanwhile, the pain my legs gets worse but mostly tolerable. Then one day in February I'm doing normal housework and halfway through the day I am in so much pain I can't walk. I'm laid up in bed for a week. I make an appointment with a rheumatologist who I saw last week. He was really thorough, nice, and clearly explained his thoughts. He doesn't think it's the vasculitis flaring up and runs A LOT of tests, 12 vials of blood and a cup of urine. He briefly mentioned fibromyalgia. When I Google fibromyalgia I do check a lot of boxes for it. He said expected all the test results to come back negative but they didn't. I did what I know you're not suppose to do but I Googled the test results that came back out of range and the only things I can speculate is maybe I do have fibromyalgia, the vasculitis is flaring, and I may have a mild case of a hereditary blood disorder that is in my family, my dad had it and several cousins have it. It's spherocytosis. The only reason I speculate on the fibromyalgia is the soles on my feet really hurt and that does not go with vasculitis. I'm currently learning that I can't push myself or I over do it and wind up in a lot of pain. My feet constantly throb. I am starting to pace myself. I see the rheumatologist the first week of May to go over the test results. So that's my story, sorry it's long.

#Anxiety #hashimotos #Hypothyroid #Adenomyosis #Hysterectomy #HighCholesterol #Undiagnosed #Fibromyalgia #LeukocytoclasticVasculitis #ChronicPain #MultipleDisabilities #Spherocytosis #ChronicPain

Thank you for this thoughtful piece! We all need to check ourselves before asking or stating assumptions about other people because of the way they look/the gender they present as. As a fellow EDS’er who also has a ton of comorbidities (CRPS, IC, fibromyalgia, etc.) I have stage iv endometriosis and it’s on my abdominal wall. They need to remove my belly button and some of my abdominal wall. They want to do a hysterectomy as well, but I’m terrified. How does it affect your body, sex, and pain levels? I hope your “rational brain” has taken over by now…I’m still looking for mine!
#MightyTogether

Has anyone who has had a radical hysterectomy been prescribed Kliovance?
I've read online this is usually given to women who still have a womb??? Is it still safe to take?

Does anyone have experience using Effexor for hormonal craziness? Or any positive experience with Effexor? Looking for encouragement

My mother in law called to ask how I’m doing post operatively. I thought hubby had told her what the surgery was. He hadn’t. I did. And she low key freaked out. Then I had to comfort her. Strange turn of events