Hello all
Head is in a spin a little. My consultant phoned me after reviewing biopsy results following the myosure procedure to remove a polyp and a biopsy of a thickened womb lining. She told me that I have hyperplasia with atypica and asked me what my build was as she could not remember from seeing me, in June.
She said that wasn't cancer but could develop into cancer if left. That part I follow.
I said I was heavy but had lost 2 stone since spring. I am on track to lose two more by Christmas (on MJ). She said there were some risks from surgery and then described the coil treatment and then reviewing me again after 3-4 months. I will be honest, my head was in a spin on that phone call as she was talking fast and I needed some time to take in what she was saying. I think I ended up saying yes to the coil (is that what is called hormone therapy?)
Now that I have had another day to read patient info websites (trying not to Dr Google) and the Royal College briefing for docs, I see that in hyperplasia with atypia, the Gold Standard treatment is a hysterectomy. I think I would like that but now am scared that I can't have it.
I am fit, exercise 3 times a week, resting HR of 64, and no other health conditions but I am heavy. I looked thin when I was 11 stone.
I don't know what the waiting time is for a hysterectomy in Scotland and am worried that by saying yes to getting a coil fitted in September, I will then be dismissed from waiting list to have a hysterectomy. I am worried that I should just be saying yes to getting a hysterectomy straight off, as reading that 8 out of 100 people with atypia go on to develop cancer makes me feel I have a ticking time bomb inside me.
Do any women on here have any experience of being in the dilemma where, if you were in the normal bodyweight range, you would get a hysterctomy straight away?
Does it sound like I am taking the right course of action, trying to lose another 2 stone for Christmas to get my weight down a bit? Is it a race against time with these pre-cancerous cells? Do they change quickly? Is this even known?
I would appreciate any opinions. Thank you. I feel a bit anxious.
Hi, I think Jane has answered your questions and sometimes women with atypical hyperplasia don't go on to develop cancer. I think the risk is around 30% - but that still means 70% don't develop cancer, so it's your decision about what to do at this stage. Maybe lifestyle changes, weight loss and reducing that oestrogen dominance will help. Good wishes.
Jane, thank you for your clear explanations. It's not super easy to understand and when the Consultant phones you at 5pm on a Friday it is also a head-spinner in itself!!!!! I know better what to ask when I go into an appointment in ten days. I suppose the part no-one can answer is how fast you have to move on all of this. How fast can cells change.
very hard to predict how fast cells can change as there are a lot of factors- however if you do get the mirena they will continue to monitor you and also likely do the repeat biopsies- so IF something does change then they will pick it up very early.
I used to write a list of questions and take it with me and that helped.
so if I understand you right, you had/have cancer cells? So atypia that has developed?
I was diagnosed with stage 1 grade 1 endometrial cancer, that they said was responsive to progesterone, so a Mirena coil was recommended. Apparently they can test the response in the lab, to tell if you would be responsive to hormone treatment sometimes!
I never had atypia, just cells in the lining with a suspicous looking polyp, with 14mm think lining.
After 6 months of treatment with the coil, all bleeding had stopped and the lining dropped to 4mm, with no sign of the 'polyp' and significant response to treatment on the repeat biopsy. They said that the cells were behaving more 'normally' and almost resolved, so clearly the treatment is working.
I am trying to lose weight, whatever happens but have also been offered other forms of treatment should this not work longer term, so am feeling well right now.
IF things change, I will revisit other options in time but meanwhile don't even feel the coil in place and feel pretty normal, apart from the odd hot flush!
thank you so much for sharing your personal journey. Wishing you continued good health!
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