Hi hrtofluv again
I did have the option of either one but I chose the TAH as I mentioned in the earlier thread. I didnt want to run the risk of mini-periods and as I had flooding issues I figured if anyone was going to get a mini-P, it would be me !!!!
. Also, I had a spell (going back several years) of dysplasia which went from moderate to mild to nothing. But still a worry i think.
If you keep your cervix I am told that it helps to support your other organs and reduces but does not eliminate the risk of prolapse.
As for abdominal v vaginal, this is probably a decision to be made by your surgeon who will take a good look at your anatomy and history. If your uterus is too large for example then it may not be possibe for vaginal. For me, I had not been through childbirth so my cervix was not even stretched from that and along with enlarged uterus it was impossible to even contemplate a vaginal. IMO, vaginal has to be better as recovery is easier but still takes a long time (6 weeks or so) .
Ovaries ....... well you know I kept mine. I did not have fibroids but I did have to consider the fact that hormones can make the endo/adeno grow, sometimes even after TAH. But balance this with the effects of removing your ovaries early (as I was contemplating still being age 40) and being starved of your natural hormones. hrt is possible but can also feed the endo/adeno depending on what type you are taking. I know plenty of women who have had theirs removed and have been perfectly ok and loving life. Some have a bumpy ride getting over the surgically induced menopause but they might have had the same ride with a natural menopause.
Here in the UK I think we use different terminology. From research, I understand FAS to be "female alternative surgery". In other words removing just the parts of the organs that are affected and not the whole organ. Tell me if im wrong please. I have a friend who had her very large fibroids lasered off laparoscically (spelling bad!!!). This had cured her heavy bleeding but not the painful cramps. She is now considering a hysterectomy but I think she should wait longer as it is only 6 months.
Hope the above helps
ktee
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