Hysterectomy :: Increased Risk Of Heart Disease And Osteoporosis?


Apr 17, 2015

When I met with the gynaecological oncologist, and decided that to be safe I should have a hysterectomy to get rid of the rapidly growing, funny looking (on MRI) fibroid, he said "we'll take out the ovaries, too." At the time, I didn't say anything.

However, after I went home, and I did a lot of research and found that it would be a bad idea because having my ovaries removed increase my risk of heart disease and osteoporosis, and my family has a strong history of both, but not of cancer (which I didn't think to mention at the consultation - finding out that there was a slight chance I might have cancer in my uterus put other thoughts out of my mind.) So I sent a very long, detailed email to the gyn/onc, explaining why I thought removing my ovaries would be a bad idea but never got a response. So I called the gynaecological nurse, who was present at my consultation, and she reassured me that I didn't have to have my ovaries out; I have to consent to the surgery.

Well, I was all relieved until I had my pre surgical assessment on Wednesday, when I was given the paperwork to fill out and on the top of the first page it said TAH/BSO (The BSO part means removal of Fallopian tubes and ovaries.) I wrote on the page that I did not consent to BSO and told the assessment nurse, who said she just go that from the doctor and it had nothing to do with her.

So when I returned home, I spoke to the gyn/onc's secretary, who said that she must have mistakenly wrote TAH/BSO on the form and not to worry, the doctor knows about it. I said that I wanted to make sure that he was aware of it prior to my surgery, which is this coming Wednesday, and she said she would speak to him on Friday (today) and would call me back.

Well, I never heard back so called around 4:50 and spoke to a woman (not sure if it was the same person) who, after I gave my name, immediately started reassuring me that my operation would go on as scheduled. I explained that wasn't why I was calling, I wanted to make sure that the doctor wasn't expecting to take out my ovaries when I didn't want him to. She then tried to reassure me that everything was as expected and something about an email being forwarded to him (not sure if she said she forwarded an email or my email). I think she also mentioned something about getting in touch on Monday.

I know that I don't have to consent to anything I don't want to, but I also don't want to have the doctor come in on the morning expecting to do one type of surgery and then being asked to do something else. If the gyn/onc thinks that even with my family history, I'm better off without ovaries, then I'm willing to listen and change my decision, but I don't like the idea of not knowing what is happening with me until the last minute and having to have these kind of conversations on the day of my operation.

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I'm going to be completely honest and as thorough as possible, I'm an addict, and I've had an addiction to stimulants for the last year and a half (consisting of about 95% amphetamine usage, never used methamphetamine). I usually keep my doses anywhere around 10-60mg cause I never wanted to over do it. Unfortunately, last week I dove in deep to my addiction due to a recent break up, about 4 days ago I did around 130 mg spread out through the day, I felt fine until I took my very last dose (30 mg about), at that point it only increased negative side effects.

After a while of feeling odd and stuff, I began to have trouble breathing and chest pains (I can't remember which started first), it kind of felt like they coincided, but I still would get very minor and infrequent pain without breathing, it felt like I couldn't take a full breath of air, and when I did the chest pain would kick in (more), it felt like a tightening pain. My left arm soon became somewhat numb and tingly, not numb like when you accidentally sleep on it, but just a little numbing that felt like it stretched down my arm through a single vein, the numbness was generally more intense under my armpit and bicep area, and would intensify when I rubbed certain areas. I had a very sore/stiff neck, especially around the area between my shoulder blades and neck, it wasn't on one side, it was mostly in the middle (my neck and back are still sore after this experience, as well as the tingling sensation in my arm but its not at all that bad, and it comes and goes). I had anxiety during this event, and I felt like when people would talk to me I wasn't truly comprehending what they would say, but yet I still was able to reply to them, I just didn't say much or think about what I was saying, I only could pay attention to what was happening to me. I felt like things were kind of slowed down and I was very fatigued and zoned out. I felt as if I was slowly meeting my demise. I believe I got cold sweats a couple times, but not much. I had some heart burn later that night, and the next but its gone.

It came across to me that maybe this was a panic attack but the pain lasted 2-3 hours, after that it wasn't horrible, but it was still somewhat there, and the mental aspect of a panic attack wasn't that intense. I also do think that my left arm may just have "mouse arm" (cant remember medical term), cause I use a computer a lot, a part of my muscle/tendon in my hand has been sore for a while, and it is somewhat acting up now as I type. I really am not sure if a lot of this is me overreacting, or just a placebo effect (I hope so). I've had minor chest pains since I was 13 (I just turned 18), and every time I went in to get my heart checked out, they said I was fine, and that I had a slight irregular heart beat but it was nothing to worry about and a lot of people have it but don't know.

I also have this weird problem with my thought process either that started the night of the incident, or I haven't noticed before. The only way I can explain it is as if my brain buffers for a moment when I go back and forth between two thoughts, it's like I over excite the neurons responsible for those thoughts and I end up overriding my brain for a brief second with confusion, then it's fine. I do have some chest pains now, but it isn't very often, and honestly happens mostly when I think about it or worry about it (same with the left arm), which is why I think I could be conning my self about this entire incident, because I've had panic attacks before but they weren't as bad and were more mental than physical.

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My family nor myself have a history of heart disease, diabetes, or just flat out obesity. I'm very fit, just oddly muscular for my age, but I don't work out as often as I should now-a-days. I also smoke cigarettes, and my heart pains/arm numbness do come back a bit when I have a cig, but then again it could just be my head. The last time I had any form of a heart test was probably about a year or two ago, it was an EKG and I believe a blood test, but my memory is a bit foggy in that area. My heart rate is normal, I don't know about my blood pressure, but I believe I got a test for it lying somewhere around my house. My last dose of amphetamines was today, yes I know its stupid, but it's literally my last dose (I weaned myself off).

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So do you think I likely had a heart attack? Or do you think it's something else? Or a combination of things? Or simply nothing but a placebo affect or panic attack? And by the way how long does numbing of the left-arm and chest pains last after having a heart attack?

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Findings:

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