should i remove both ovaries?

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I am going to have surgery on May 04, still so hesitent if i should remove both ovaries. i have a 10x14 ovarian complex cyst with thick septations, CA125 is 17. The oncologist​ said the chance of malinancy is 15-20%. She suggests to remove both ovaries because i am not going to bear any more children and just in case anything in future. A frozen section (quick biocy) is going to be performed during the surgery. If the result comes back malignant, the surgeon will also remove the lymph nodes. If the result comes back benign, then the surgery will be done, no further action required.  I don’t understand why the oncologist still suggests the total abdominal hysterectomy even the result comes back benign? Because it’s not 100% accurate? Or I just don’t need these female organs?

I am 43, I really want to save one ovary if it’s benign, as I am so scared of the surgical menopause and the side effects of HRT, my family doctor told me that I probably will be on HRT for 10 years (43 -55). The oncologist said she will not put me on HRT first, if I have hotflash, then she give me medicine to deal with it. But aren’t these medication also hormone related? She also said everybody is different in responding to forced menopause, some are severe some are mild. I knew some people no symptoms at all when they removed the ovaries, but they were at the age of 48.  I don’t know if anyone is that lucky at age of 43 without symptoms.

 On the other hand I am also scared of the accuracy of frozen section and the chance of second surgery, the recurrence of the cyst.

These thoughts really drive me crazy, can anyone share your experiences and thoughts?

Thanks in advance!

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  • Posted

    Hello!i have an 11cm simply cyst on my left ovary, I was in severe pain last September when it was found, have been having it monitored for the passed 7 Mths, went to hospital Friday doctor suggested I have it removed and both ovaries so I don't get anymore. Iv never been into hospital either to have an operation and I'm petrified but can't wait to get it out as I'm always feeling so Bloated! I'm 53 in my menopause so losing both ovaries no big deal for me.

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  • Posted

    Hi Grace, I was on hrt for over 15 years after hysterctomy, which didn't remove ovaries, put me into menopause at 42.

    I am now back on oestradial gel hrt due to atrophy. The hrt completely cured any menopause symptoms, and nowadays is a lot safer.

    I wouldn't hesitate if I were you, you don't need the ovaries anymore, and with a history of cysts you may get more.

    The womb on it's own is no use anymore.

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    • Posted

      Hi Laura, thanks for your response. Did you have severe menopause symtoms at the beginning? Any noticeable changes after taking HRT, e.g. weight gains, bone desity issue?
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    • Posted

      Yes mainly hot flushes and night sweats, but hurt dealt with that very easily. I kept trying without it, but the flushes and sweats came back, and my dr said, since I had no family history of cancer, I had no higher risk than anyone else.

      So for me , it was the right choice.

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