Should i have hysterectomy after breast cancer




















Secondly, data on hormone receptors are not available. If we were to obtain those results, hormone-receptor status would need to be redone for all 21, patients, which would be extremely costly. However, the survival advantage for women who had gynaecological surgery is so great that hormone receptor status alone would not be able to explain the differences in survival.

This study is the first study that has shown that hysterectomy and BSO creates survival benefits for breast cancer patients. In non-breast cancer patients, it is generally advised to preserve the ovaries in order to spare our patients hormone-depletion effects.

This study also has shown that current breast cancer treatment more than likely delivers under-treatment. The treatment that these women currently receive can be far more effective. I spoke to some breast cancer clinicians and they virtually all agree that a large group of breast cancer patients are hesitant to take their hormone anti-oestrogen treatment.

Chemotherapy alone is not effective enough to stop all endogenous oestrogen production. Periods may stop but oestrogens are still active and provide fuel for the growth of breast cancer cells.

Further, my colleagues also agree that research into better treatments is financially driven. Pharma companies provide funds to research better treatments. And we all know that our National Funding body, the NHMRC is unable to fund surgical trials even if they believe they are absolutely worthy of funding. Hence, if surgical treatments would outperform medical pharma treatments, we simply would not know. The medicines are given as injections once a month for several months or every few months.

Once you stop taking the medicine, the ovaries begin functioning again. The time it takes for the ovaries to recover can vary from woman to woman. Women who want to bear children after breast cancer treatment may prefer medical shutdown of the ovaries over surgical ovary removal.

There have been cases of women getting pregnant while on these medications, so if you are premenopausal and have a male partner, it's important to use non-hormonal birth control such as condoms, a diaphragm, or a non-hormonal I. Deciding to have your ovaries shut down with medicine or surgically removed requires a lot of careful thought and discussion with your doctor.

Tell your doctor about any fertility concerns you may have. Together you can weigh the benefits and the risks against each other and decide on the best option for you and your unique situation.

Create a profile for better recommendations. Breast implant illness BII is a term that some women and doctors use to refer to a wide range Most women those at average risk should have an annual gynecologic exam by their healthcare provider. In addition, women should have routine cervical cancer screenings until age This means a Pap test every three to five years to detect precancerous changes in the cervix and an HPV test every five years to detect the presence of human papillomavirus, a cause of many cervical, vaginal, oral and head and neck cancers.

Be sure to update your family history and discuss these factors with your primary care physician. When it comes to gynecologic cancers, the good news is that your hysterectomy eliminates your risk for the most common diagnosis — uterine cancer — and reduces your risk for other cancers, such as ovarian, fallopian tube and peritoneal cancers.

If your ovaries and fallopian tubes were also removed, then your risk for the most deadly gynecologic cancer, ovarian, is significantly reduced, too. Your risk for other gynecologic cancers, such as cervical, vulvar and vaginal cancer, can be reduced with regular exams and screenings.

Not sure which cancer screening tests you need now? Our Cancer Screening Center is open to everyone. Return to homepage. Subscribe to our podcast for conversations on the issues that matter most. Join our online community to connect, share, and find peer support. Was this article helpful? Can we help guide you? How does this work? Learn more. Are these recommendations helpful?



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