I am 41 and have advanced endometriosis
and my ovaries are now adhered to my
uterus - ouch in addition I have a
large fibroid growing on the outside of
the uterus to the inside and is pushing on
my intestines because the uterus is
retroverted - more ouch. My doctor has
recommended a hysterectomy if I don't want
children; haven't had any yet and my
chances of getting pregnant now and
maintaining a pregnancy are low. But my
biggest concern is that if I choose to
have the hysterectomy I might not be able
to tolerate estrogen replacement therapy.
I say this because I have had terrible
problems with birth control pills - and I
have tried almost all of them.
I will not be considering hrt because that
has progesterone and will just cause the
endometriosis to come back. But I am
worried that if I can't take the estrogen
(ert) that the other side effects may
outweigh the benefits. As it is now,
every time I ovulate, I have really bad
pms with mood swings and my allergies are
worse but I don't know if that is minimal
compared with what I could go through with
no hormones at all. In that case I will
be having a laparoscopic surgery to remove
the fibroids and as much of the
endometrial tissue as possible to make me
comfortable until the hysterectomy is
mandatory.
Any advice is greatly appreciated.
