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Wednesday, April 29, 2009 laura asks

Q: ovarian suppresion

hello,

I would like to know if any one who has been diagnosed with bc has had there ovaries removed to help limit the estrogen in the body. i will be having surgery may 1 to remove a 3 inch cyst on my ovary and the drs are suggesting i remove my ovaries. i am currently receiving a monthly zoledex injection.

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Answers (3)
4/29/09 5:12am

Yes, Laura, having your ovaries removed to suppress estrogen is quite common. This doesn't come without its downside; lack of circulating estrogen not only helps prevent cancer, but it also causes menopause-like side effects, including loss of bone density, vaginal dryness, possible mood swings, and other issues. So it's a balancing act - to what degree do you want to protect yourself from cancer, vs. putting yourself at risk for other health issues? It can be a tough decision... good luck - PJH

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4/29/09 5:49am

Laura, I only had one ovary at the time of my breast cancer because the other had been removed when I had a hysterectomy.  When I developed a cyst on my remaining ovary, my doctor, like yours, suggested just taking it out.  Chemo had already sent me into menopause, so I was glad to have the ovary taken.  Be sure to ask if the doctor if it can be done with a laproscope, an instrument that allows surgery with just a tiny incision.  I was back at work in just a few days after that procedure.  My surgeon did say that sometimes a larger incision is needed.  If you were planning to stay on a hormone suppressant until natural menopause and you need surgery to deal with the cyst, it seems removal has more benefits than risks.

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4/29/09 1:38pm

Hi Laura,

I had my ovaries removed at the same time I had a lumpectomy, though I wasn't even sure I had cancer at the time.  I removed mine, cause like you, I had a problem with cysts.  I had PCOS and at one time I had 200 cysts lasered off my ovaries.  I was unable to have another child, so I told my doctor to take them out otherwise I would just keep trying to get pregnant and I could bear anymore losses.  I was only 31 at the time, and while it did send me into menopause, I am overall glad I did it.  My cancer was hormone +, so not having the estrogen has eased my fears a bit.  I take the side effects all in stride, except the hot flashes.  Living in the deep south with the heat and humidity is bad enough without throwing a hot flash on top of it!

Good luck!

Angi

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