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How young is too young for a hysterectomy and oophorectomy?


I'm 27 with 2 kids I was told I'd never have. I have endometriosis and recurring ovarian cysts and adhesions. I've had 7 surgeries (6 laparoscopies and 1 laparotomy) in the last 10 years and I'm going to have another one in less than 2 weeks. DH and I were hoping to try for a 3rd baby later this year but with the pain I'm in I'm almost ready to throw in the towel. Is it too soon to give up? BTW - my mom was only 23 when she HAD to have a hysterectomy.

There's never a 'right age' for a hysterectomy. There are extensive potential long-term risks involved in early surgical menopause. However, often, the reason or basis for the hysterectomy outweighs the potential risks. However, Endometriosis is not one of those reasons.

Endometriosis is absolutely not cured by hysterectomy and it needs no HRT to continue thriving following removal of the uterus/ovaries. Endo implants themselves produce their own estrogen-synthesizing enzyme, known as aromatase, and therefore, any disease left behind during the hysterectomy will continue to cause symptoms.

The key to living well with Endo is to remove disease, not healthy organs. Before going into this next surgery, take time to learn about excision surgery. See the following websites:

http://www.centerforendo.com
http://www.endometriosistreatment.org
http://www.endoexcision.com

Hysterectomy has a role in Endometriosis treatment, particularly in advanced stages in those who also have adenomyosis. However, it is not a valid treatment to simply remove the uterus and ovaries without removing all the disease left behind.

Good luck to you.

The question is not if your too young it's can you stand the pain until you have your 3rd child. If your wanting a 3rd child tell your doctor. The decision is totally up to you. If you can hold off until you get pregnant and deliver, I would say go for it. However, you need to ask if there is any danger to you or your unborn child. Can you stand the pain until your 3rd child is born? If not then it's time to have the surgery. Not only talk with your dr but your partner. Good luck to you!

I'm really sorry that you are having so much discomfort. My own daughter recently had a hysterectomy at the age of 30. So far, other than some break through bleeding, she has had no problems.
Your gynecologist is the one to help you make t his decision. If you aren't comfortable with his decision, get a second opinion. A hysterectomy at your age is a serious matter, because it ends permanently any chance that you can conceive and bear another child. So be sure that your decision is well thought out and final. Will your doctor prescribe any medication to help you bear the pain from your endometriosis? A hysterectomy should be the final step, after exhausting all other avenues of intervention. I myself had a hysterectomy, but I was 45 years old and a grandmother by that time.
I had had my four children and did not want any more. The pain and fear (hemorrhaged frequently) was creating havoc with my work and personal life. We tried hormone replacement, creams, and several options first. I never regretted my surgery.

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