Doctor Wants To Remove Both Ovaries And Tube And A D&C My Uterine Wall Is Really Thick I Use To Have Endometriosis If My Ovaries Are Not Producing Eggs, Basically Says I'm In Menopause. Should I Have Them Removed Should I Am Be Worried?

Posted on Fri, 17 Aug 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 17 Aug 2018 Answered on

Tue, 28 Feb 2023 Last reviewed on

Question : Doctor wants to remove both ovaries and tube and a D&C. I am suppose to go in for surgery tomorrow for a D&C to get a better sample as I had a biopsy done and they didn't get enough , my uterine wall is really thick i use to have endometriosis, Also have a cyst about 1.5" on left ovary . I have already had BC which was not hormonal , had chemo then a double mastectomy 5 years clear and all my blood test now have came back low risk. I have done genetic testing and says I am not a candidate. If my ovaries are not producing eggs, basically says i'm in menopause. Should I have them removed I am very wary as I don't want to do it just cause "were in there". I am 45. I'm concern with heart disease and weight gain.

Answered by Dr. Olgeta Xhufka (3 hours later)

Brief Answer:
a total hysterectomy is reasonable

Detailed Answer:
Hello,
I think you should do another biopsy to help your doctor decide if you need a hysterectomy or not.

From your description, it seems like you are in menopause. Based on the result of the biopsy, a decision regarding total hysterectomy can be taken because you are just in menopause and they tend to get damaged by chemotherapy.

Hope I have answered the question.
Let me know if I can assist you further.

Thanks.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Olgeta Xhufka (12 minutes later)

They are just taking ovaries and tubes, and doing a biopsy on the uterus . I’m just concerned that I don’t really need thebovaries out.. don’t thenovaries do something with hormones even if they are not producing? And just remove the cyst ?

Answered by Dr. Olgeta Xhufka (50 minutes later)

Brief Answer:
Risk of malignancy is high for the uterus and ovaries.

Detailed Answer:
Hello again,
I think they want to remove ovaries because they contain the risk of malignancy.

After menopause ovaries still produce androgens which are converted in estrogen.

You can find many ways to substitute estrogen, eg. with food. Also you can use drugs that can ease estrogen absence symptoms.

Best regards.

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Above answer was peer-reviewed by : Dr. Yogesh D