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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Partial Hysterectomy The Right Treatment For Precancerous Cells?

I am 26 years old and I had my pap smear and I was told that I need partial hysterectomy because I have precancerous cells. I am married but I have not kids yet. Can I still have kids. Should I look for another Dr opinion. I think I am too young to have hysterectomy.
Tue, 1 Mar 2016
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OBGYN 's  Response
Hello, and I hope I can help you today.

Precancerous cells on the cervix, especially in the case of a reproductive age woman, is rarely an indication for hysterectomy. The typical procedure performed to assess abnormal cells is called a colposcopy, and the treatment is usually a freezing/burning or excision of the area of abnormal cells. All of these treatments are performed in a doctors' office under local anesthesia.

A hysterectomy is removal of the whole uterus. A "partial" hysterectomy usually refers to leaving the ovaries in. But if you have this operation you will never be able to have children or be pregnant, because you won't have a uterus. Hysterectomy is performed normally for invasive cervical cancer, or in people who have had multiple procedures that failed to remove precancerous cells from the cervix, usually in an older population.

So I encourage you to seek another opinion regarding your Pap smear. I recommend getting copies of your biopsy and pap results to provide the other doctor with the specifics of your diagnosis.

I hope it all works out, and that my answer was helpful to you today.

Best wishes,

Dr. Brown
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Is Partial Hysterectomy The Right Treatment For Precancerous Cells?

Hello, and I hope I can help you today. Precancerous cells on the cervix, especially in the case of a reproductive age woman, is rarely an indication for hysterectomy. The typical procedure performed to assess abnormal cells is called a colposcopy, and the treatment is usually a freezing/burning or excision of the area of abnormal cells. All of these treatments are performed in a doctors office under local anesthesia. A hysterectomy is removal of the whole uterus. A partial hysterectomy usually refers to leaving the ovaries in. But if you have this operation you will never be able to have children or be pregnant, because you won t have a uterus. Hysterectomy is performed normally for invasive cervical cancer, or in people who have had multiple procedures that failed to remove precancerous cells from the cervix, usually in an older population. So I encourage you to seek another opinion regarding your Pap smear. I recommend getting copies of your biopsy and pap results to provide the other doctor with the specifics of your diagnosis. I hope it all works out, and that my answer was helpful to you today. Best wishes, Dr. Brown