Late last year I had a small amount of bleeding. I was seen by a consultant from gynaecology and booked in for an hystoscopy under general anaesthetic. I cannot tolerate any vaginal investigation due to abuse I had only recently been able to remember through therapy. The lining of my uterus is very thick, I can’t remember the name for it! But it put me at higher risk of developing cancer, along with my weight. At that time there was no cancer found, but there was something which to be honest I didn’t totally understand. I was on my own at the follow up appointment, my friend had come with me but after 40 minutes driving round the car park we couldn’t find anywhere so I had to go on my own.
I was offered hysterectomy or having a coil fitted. I have two adopted children who both have additional needs. In spite of being in their 20s both are more very reliant on me, both physically and emotionally. At that time both were about to move accommodation. Both are in supported living. So it was decided to try the coil. I had that fitted under general anaesthetic and another biopsy was taken.
The biopsy came back clear and I had a follow up 4 months later. That appointment was awful. I had to have another scan and the nurse was really unpleasant. Initially she wanted to do an internal scan, which I refused as I cannot tolerate that. She looked at me in amazement and asked if I was a virgin. That was bad enough but then when doing the scan she was sighing and saying this is too difficult and even said to me I had to hold that-indicating my stomach-out of the way. She was unable to see anything and sent me off to drink. Thankfully it was a different nurse who called me back. I then had to see a member of the gynaecology team and was told I needed another hystoscopy, they needed at least 2 clear biopsy’s I think. She then started to book me in to the clinic and could not understand that I needed the procedure done under general anaesthetic. She was saying it was such a risk at my weight and would only take a few minutes etc. Thankfully I had someone with me this time.
So I had another procedure with biopsy, and had a new coil fitted as the original was not sitting in the right place. One month later and I was called back to the clinic. I knew that meant they had found something, although friends tried to say it was probably just routine and the consultant was going to discharge me.
The biopsy showed pre cancer merging into stage 1 cancer. The coil did not seem to be doing anything after 6 months. I could continue with the coil for longer or opt for hysterectomy. However as I have poor functionality in my kidneys and liver, as well as being overweight, there is a question mark over whether or not I can have a general anaesthetic. I won’t know till my pre op in October. I go from being fine to being a mess in seconds. I don’t know how to tell my girls. The younger one is very difficult.
how do people cope?
Hi Nina60, welcome, and you know what well done you for coping and keeping going and getting everything checked out and coming back again and again with what your saying about abuse you have suffered it shown a lot of strength and how dare that nurse talk to you like that! Obviously those there is always a risk with general anesthetic and risk factors are always discussed, like being overweight, drinking and smoking,there are a few bigger ladies here who have been successfully treated who have had hysterectomy with abdominal cut so it can be done.
Telling family members can be hard and like so many things what works for one may not another, but usually its being able to start the conversion that's hard. I didn't exactly tell my parents as I wanted too, we had had the horse put down earlier in the week, Mum was with me and my Dad picked me up from the hospital we were going to a local disability place for a drink so planned to tell him there, but he asked as soon as I got in the car and I just blurted it out "well its not good news its cancer" not at all as I wanted but once I said it I felt the weight lift from my shoulders sometimes that's the hardest part. I realise its slightly different with your children even though older may find it harder to cope with because they are still your children no matter their ages or that they are adopted.
Hopefully your pre op in October can give you a better understanding of what's going to happen with you as treatment seems so individual but lots of ladies here, lots of knowledge from experience but willing to share. I am 40 now but was diagnosed in June 2017 low stage 1a grade 2 but only a hysterectomy as treatment.
Sending you a big hug
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Thank you. I've had trouble with my youngest today. She was feeling low so wanted me to go for a walk with her. I'd walked earlier in the afternoon but she'd chosen not to come. So off I go trying to boost her mood when all I wanted to do was sit quietly and do word puzzles.
Hi Nina,
Im really sorry about your experience with the last nurse, it must have been so upsetting for you. Lass is having hormone therapy where she has a coil fitted but she also takes oral progesterone on top, then she has regular myosure procedures and biopsies to see how things are getting along, she will hopefully come along when she sees the tag and explain this better than I can! I don't know whether the pills would be suitable in your case as you have kidney and liver problems but it's worth asking your team about it, also, the checks and biopsies are pretty frequent, I think three monthly at first, so that would mean a general anaesthetic every three months if you couldn't tolerate the exam under local anaesthetic, which again might not be feasible in your circumstances, but it's always good knowing what's possible before you make a decision about your next steps.
A lot of women in the group have had other health issues and still managed to have the hysterectomy, but your team will obviously be best placed to discuss your individual case with you, I'm overweight and was fine getting my op.
So coping, take one day and one step at a time, do things at your own pace, ask lots of questions, ask for a second opinion if you think you need one and just do what you think is best from there, there are no right or wrongs, whatever you do will be best for you and your circumstances. You should be allocated a clinical nurse specialist, see if you can get a contact number so that you have someone to keep you up to date and that you can ask questions, mine was able to refer me to counselling which was good.
For practical help and advice the helpline has loads of information on 0808 808 0000 and this group has loads of experience and tips too.
Lots of love
xxx
Heya Nina60
So, this is a tough one.
It sounds like you were first diagnosed with hyperplasia? Or maybe Atypical Hyperplasia? Does that sound like what they told you?
The treatment for both of those is as you say, a hysterectomy or hormone therapy. That is still the case if it then progresses to the early stages of cancer - which is what mine did.
One of the problems you had is that the first coil wasn't positioned correctly. This will have meant that the hormones it was releasing weren't working on you correctly. Did you have any bleeding at all after it was first fitted? If not, I'd personally discount that coil and the time it was fitted, and just count the second one. From reading your post, I think that's only been in for a month? Again, have you had any bleeding since it was fitted? (Sorry, these are quite personal questions. If you're uncomfortable talking about any of this, feel free to send me a friend request and we can chat in private messages if that's more comfortable for you!)
So, the reason I ask about you bleeding, here comes some very basic science and I apologise if you already know this. The Mirena Coil is a slow release system for progesterone. Progesterone occurs naturally in the body, and is the hormone that tells your body that no endometrial lining is needed. So if there's one in situ, it flushes it away, and if there isn't one then you don't grow one. So by raising the levels of progesterone in your body, you should flush out that thick cancerous lining in what is often a painful/uncomfortable and often prolonged period. Then once it's all gone, those progesterone levels are kept elevated, which stops the lining from growing back and starting the problem over again.
In your situation, I'd have expected, or at least hoped, that when they refitted the coil and had you under, they'd have performed a myosure or a d and c. These both do the same thing but in different ways, and basically remove as much of your lining as they can, giving the hormones less work to do.
Now. If you've not been bleeding with this second coil, then I'd expect your doctors to give you some oral progesterone. This does exactly the same as the coil progesterone, it just increases the amount in you. They usually start you on a high dose to get everything out, then slowly reduce your dose once you're clear. Has this even been suggested to you?
Now, the problem with hormone therapy is they do need to keep checking your womb to make sure it's working. This usually means a hysteroscopy every 3 or 4 months, which obviously for you means a general anaesthetic every 3 or 4 months. I don't know if maybe they would stretch that to every 6 months for you as a special case or not, but that would need to be discussed with the doctors or Tracy at the Eve Appeal.
On the other hand, you've got a hysterectomy which is hopefully only one dose of anaesthetic, but a very long recovery period, as well as possible complications from both the surgery and the early menopause. I'm not sure how that would work for your situation with your kids.
So as I said at the start, it's definitely a tough one. But I hope I've given you some more information on the hormone side of things so that you feel able to make an informed decision. And if you've any questions at all, please feel free to ask. If I know the answer I'm happy to share, and I'm an open book when it comes to my own story. No secrets here!
Best of luck!
Lass
Xx
I have no medical training, everything I post is an opinion or educated guess. It is not medical advice.
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