10 Years Later : TLH BSO
(Total Laparoscopic Hysterectomy and Bilateral Salpingo-Oophorectomy)
Last September (2018) I went in for what I hoped would be my last BRCA related surgery. A BSO or bilateral Salpingo-oophorectory - removal of both fallopian tubes and ovaries. I initially asked the Dr to do a total Hysterectomy at the same time. My Dr convinced me it would be an unnecessary procedure as the risk with BRCA2 is only for the ovarian cancer, she discouraged the additional surgery with out cause. She said it was more invasive and there were more risks of complications as the bladder and bowel both have to be moved to access the uterus.
So we went ahead with the BSO, I was just shy of my 39th birthday; as such we decided to go ahead with Hormone Therapy (HT), so at the time of the BSO the Dr placed and IUD in my uterus in order for me to take an estrogen patch without worrying about the uterus. At the time she placed the IUD she took a biopsy of the uterine wall.
Surgery and recovery went very well; I felt very good and didn't stay on the pain meds too long. In fact the week after the surgery I felt well enough to go on road trip.
Fast forward to when the biopsy results come in - it's never good when the Dr calls and asks "is now a good time to talk". Dr advised me the biopsy came back with complex hiperplasia without atipia. Long name but basically it was an abnormal result with a build up of cells along the uterine wall, in some cases this can lead to uterine cancer.
So we decided then to followup with another surgery to remove the uterus; this happened last week, January 15th, 2019. I'm thankful now to have that last organ gone.
I anxiously await the pathology from this surgery.
Menopause has been good to me so far. The day after my BSO I put on my Estrodot hormone patch. Its a low dose right now but it seems to manage most of my symptoms, my menopause Dr would like to raise the dose but was uncomfortable doing that until my uterus was removed; I see her next week so that should happen then.
After I mentioned I had a bit of dryness in my first visit post-BSO, the Dr immediately put me on an estrogen suppository called Vagifem; I put a pill in 3 times a week. That has take care of any issues at all.
I’ve had a few nights were I have a hot flush. Thankfully I don’t get night sweats, just what I describe as a hole body blush. My whole body feels warm, thankfully it passes pretty quickly.
I think that pretty much brings you up to date.