
The other day I read a snippet that mentioned that women who lose their ovaries ("Oh, Where oh where have my ovaries gone? Oh where oh where can they be?") die at a younger age than women who (are allowed to) keep their ovaries. At first I thought -- one reason we lose our ovaries is because we were diagnosed with illnesses that might have killed us earlier anyway - diagnoses such as ovarian and uterine cancers. At first I thought this whole idea was kind of funny. I mean, I thought I'd die of cancer. Who cares if I keep my ovaries?
One article stated that removing the ovaries eliminates the risk of ovarian cancer. So that's good, huh? And while these same women were also found to have fewer breast cancers which is great news, data show that ovary-less women are more likely to die of heart disease at an earlier age.
Seems there's a rule of thumb that if a woman is age 45 or older, it's okay to remove everything during a hysterectomy. As useless as doctors may have thought ovaries might be once all that glop and sludge is surgically removed, the truth of the matter is that ovaries (those that remain attached, inside the woman) produce two hormones, ovarian testosterone and androstenedione. Both hormones help develop estrogen which in turn go on to protect women against heart disease, osteoporosis, dementia (of which I already show symptoms! Oh, wait, that's insanity) and Parkinson's just to name a few health disasters.
I "lost" my ovaries during radical hysterectomy surgery where the surgeon left an empty spelunking cavern replete with dripstone, stalagmites. But really, isn't losing ones ovaries a misplacement issue, possibly involving assistance from neighbors or local authorities or in an extreme case of loss, the FBI could put out an APB ASAP FYI).
Surgically removing the ovaries is known as an oophorectomy. (surgical removal is technically not a loss). (Notice that oophorectomy starts with "oop?" See item #3.) I like how all the studies and articles say "losing" as if no one is responsible for the loss when I know that somewhere there's a huge red hospital bucket, skull and cross-bone design on the outside filled to the brim with centuries of lost ovaries. How about a Caesarian section? My sons were born by Caesarian section surgery. Does that mean I lost them? If so, someone must have substituted my lost sons for two founds ones.
No one woke me during hysterectomy surgery to ask about keeping my ovaries, not that I had enough knowledge at the time to even make a choice. I wasn't aware of these studies. Hell, I wasn't really even aware of ovaries. (Is that why Joni Mitchell wrote "Big Yellow Taxi"?) I was diagnosed with uterine, not ovarian cancer. My cancer was thought to be contained inside my uterus (so much for thoughts... the cancer already escaped). Though knowing the diagnosis was uterine, I suppose the doctor *could* have left my ovaries. Now this all seems like water under the surgical bridge. (I'll bet you didn't even know there was a surgical bridge.)
Pishaw.
Though I read this article only recently, it seems that studies have been going on for years, some as far back as 1988. I found articles from 2003, 2004, 2005 and 2007 all mentioning the benefits of keeping one's ovaries intact. I imagine my doctor must have known about ovary benefits. He certainly is a knowitall about everything else! Yet he chose to remove the entire kit and caboodle. That surgery was the last official 'wham bam thank you Mam' I'll ever have.
Laying in the hospital after surgery wondering where that mysterious part of me went, I asked the doctor, "What happens with that whole gaping hole area?" "Where does the stuff go?" I felt flummoxed. How was I to know if I'd need to carry a towel (or bucket) to sop stuff up? The doctor reassured me "it" just sort of drips and gets absorbed by the body. I envisioned diapers, plastic bags, ants and yellow jackets. Though rest assured, since surgery, there has been little, if any dripping. I guess some doctors must really know what they're doing. *shrug*
A women's reproductive system includes her uterus, fallopian tubes, ovaries, among other miscellaneous doodads, and then, sometimes for whatever reason, this area might have to be evacuated. My reproductive system had to be evacuated due to a uterine cancer diagnosis. So what's left in it's place? A rental hall? A cereal bowl? A Park N Ride lot? Seriously though I didn't *lose* a thing. All my missing parts were removed in a package deal during surgery including my (lost) ovaries. If my ovaries are really just lost, and someone has them, please return them in a jar for Show-N-Tell next Tuesday.
I found from reading assorted articles and study snippets that, I now have a chance of dying earlier of all sorts of miscellaneous, hideous diseases; the list having grown exponentially with the advent of knowing of the lost ovaries. And silly me, I had only contemplated a horrific death from cancer.
Worrying is such a waste of time. I snapped out of my cancer-worrying quickly, and though I slip in and out of self-pity mode occasionally, (not since chemotherapy) I snap out of it PDQ because I don't want to spend the time I have left, wallowing. Each moment that passes is lost, like vapor you can't put in a jar to share with friends and family. And now that I've learned the list of things I *could* die from is that much larger -- I figure I don't have enough time left on the planet to worry about that many things.
11 comments:
My husband thinks it's my ovaries that makes his life seem longer, so I guess it applies to men too.
Spelunking cavern?
Oh.My.God.
(Is that what Chris calls it - spelunking?)
You have such a way with words!
You are soooooo beautiful to meeeeee..can you hear the tune??
well, I'm off key, cause I can't carry a tune..but it's the sentiment that counts anyhow..
So much for time..hell, how many years do any of us need. I figure 75 is probably enough; we'll see when I get there if I still feel the same way
Quaaaality matters..and having a few moments to spend with your words adds to the quality of my life..no matter how long it may be.
love you..love your words
You truly have a gift. That post was hilarious, depressing, infuriating, deep, thought-provoking, and did I mention hilarious?
In psychiatry, I heard a case report presented by the Freudian School of a man whose entire life of torment could be traced to his losing his foreskin at birth. At the time I thought it was quite funny. Maybe I need to re-evaluate my thinking?
That was one of the best things you've written POD. Who knew about those little ovaries keeping you living longer?
I too had a hysterectomy for endometrial cancer. In my case it really was localized. I did not want to have my ovaries out but my surgeon highly pressed me to do so.
At the time of surgery, I thought she was going to leave them and not take any nodes if everything looked very localized (it did.) As it turned out, they took the ovaries before they knew the spread and stopped taking nodes (they took 4 from one side) when the preliminary pathology report came back.
Upon waking, I actually felt relieved that they took the ovaries because I had begun to panic about recurrence in the future. However, I regretted the loss of the nodes since I did not want to have any lymphadema problems. I have gotten some comfort knowing nearly for certain (well, nothing is certain is it?) that my cancer did not spread. I am also glad to not have to worry about ovarian cancer, and I suppose breast cancer. My Gyn assures me that 4 nodes is a very small number and that I surely wont have any lymphadema problems - I hope she's right. I don't know if I would handle that with a very good attitude. And my legs are already TOTALLY too fat!
Anyway, I knew it would happen that as soon as I had this surgery (I stalled for nearly 4 months as I frantically did research and weighed the risks) "studies" would come out announcing that taking ovaries and nodes for early endometrial cancer is in question. And that has turned out to be true. (studies about node removal have come out lately too.)
An alternative Dr. has mentioned supplementing with a small amount of testosterone - I wonder if androstenedione is also part of that mix? I will look into it.
Is it possible to weigh the cost and benefits of the stress of potential cancer vs. potential heart disease? I find it also frustrating that these articles are rather elusive about whether the recommendations also hold where cancer was the reason - there was an article about this on the cancer forum of Hystersisters, and that one was elusive as well.
Anyway, I suppose it's easier to detect and reverse heart disease than cancer anyway, and at some point, those young whippersnappers will be wanting me of the way (I will still be clinging to my job in a desperate attempt to someday someway pay off my mortgage ....)
oh, here is an article about lymph node removal:
http://www.revolutionhealth.com/articles/two-endometrial-cancer-treatments-may-not-work/hd-622221
Thanks for the comments -- keep em coming.
I asked Chris what he thought of the blog and he said, "It was fine."
I guess that rule applies. You can't please all the people all of the time.
Lisa -- I wish you'd stop lurking and commiserate more with me. I read one article where the woman was in her late 40s when she had her hysterectomy and she said when she turned 50, she had heart disease. I was wondering if a person could get heart disease THAT fast? Or if she already was on her way or if she had a family history of it?
I gotta go do more research.
Thanks again for all the compliments. I appreciate the feedback and your reading the words.
I wonder if they didn't pay attention enough before she had the Hyst. Maybe she wasn't a fat girl, and therefore had no estrogenic reserves. Maybe there is something about losing them in your 40s specifically, - I had my hyst. at 50, so I hope that will help. My surgeon said that most people should be through menopause by 46 - something no one ever mentions - I thought if you went before 50 you were premature!
Anyway, I like to be lurkey, but I will bring you lurkey commiseration more often - its the least I can do for all the hilarity you bring to my world!
xxoo, -ll
Had the hysterectomy at age 51. Only took 8 nodes of which 2 were positive. We had a pleading session with the doctor. I didn't want worse lymphedema. I wanted to be able to move around for the time I had left on the planet.
I'm still moving.
:-)
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