After yourwombhas beenremoved, the incisionisstitched up. She also blogs here. A hysterectomy isnt a simple risk-free op and I doubt anyone would do it, especially when youre so young. One month later she had a hysterectomy to remove the cancer from her body. Laparoscopic hysterectomies are usually carried outunder general anaesthetic. Hi there, I had a full hysterectomy aged 36 years of age, I'm now 71! Vaginal hysterectomy involves a shorter time . If you wish to stop or minimize the monthly bleeding, there are several other options you can consider: an endometrial ablation, certain IUDs, hormones given in an injection, continuous birth control pills, and more. It's more common for women aged 40 to 50. I never thought at the age of 26 Id be thinking that I cant have children. If you have not already gone through the menopause, you'll no longer have periods, regardless of your age. Surgical removal of the uterus is called a hysterectomy. There are multiple types of hysterectomies, procedures where the uterus is removed but the cervix isnt (called subtotal, supracervical, or partial hysterectomy), and ones where both the uterus and cervix are removed (a complete hysterectomy). For women of reproductive age, hysterectomies are the second most often performed procedure in the U.S. Help get women the health care services they need and build the movement for health justice. Ovaries are the source of the female hormones, 5. Recovery is quicker, with fewer complications, she says. Based on your symptoms or lack of symptoms, you and your medical team can decide if await and see approach for your fibroidis best, or if you need do need to considerchoosing another fibroid treatment. People who dont have the pain dont understand how debilitating it can be because all women have cramps sometimes. Her advice for others considering surgery is dont be scared. I myself suffer from endometriosis and at times I thought to myself god Id rather just have a hysterectomy when Im in pain but at the same time I know that would be a drastic and very unlikely decision. Stress may cause your adrenal gland to produce more cortisol. The emotional trauma of hysterectomy may take much longer to heal than the physical effects. People who are interested in hysterectomy should discuss the risks and with their health care provider privately to make the best decision for their own, unique circumstances. Washington, D.C. 20005, Email: nwhn@nwhn.org [4] What's known as a 'surgical menopause' happens when both. I just wanted to let you know that I understand and am upset for you that people think its ok for you to be in this much pain just because a normal bodily function is causing it. Ultimately, what empowers women is the ability to make a good choicewhether its surgery or notbased on accurate, balanced, and scientific information. This is particularly true for Black women, who are half as likely as white women to undergo a minimally invasive hysterectomy, meaning they end up with not only a longer recovery time, but also increased risk of surgical complications. Complications from pregnancy, delivery, surgery, or bleeding disorders can create this type of bleeding situation, and, in some cases, emergency surgery may be necessary. Defining "unnecessary hysterectomy" is actually somewhat subjective. You'll no longer be able to get pregnant after the operation. Its incredibly unlikely that a doctor will perform a hysterectomy on women ages 18-35 unless it is absolutely necessary for their well-being and no other options will suffice. However, not all gynecologic surgeons offer it. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk. Phone: (202) 682-2640 If you require a hysterectomy or would . This is because of possible physical and emotional risks. There are various types of hysterectomy. When the uterus is removed through an incision (cut) in the abdomen (belly), it's called a simple or total abdominal hysterectomy. I am a bot, and this action was performed automatically. 5. (If youd like to find out more about the condition, you can read more here.). When the cancer has spread to other parts of the body, hormone therapy may be used. Roughly half a million hysterectomies are performed every year. Having a hysterectomy gave me my life back., Elizabeth Broadhurst, 40, from Suffolk, was just 33 when she had a hysterectomy. After hysterectomy, a person cannot become pregnant. (This racial disparity isnt seen after age 50, when fibroids are rarely an issue.). Vaginal dryness may also be an issue if ovaries are removed, which can make the sex feel painful for some women. If a hysterectomy leaves 1 or both of your ovaries intact, there's a chance that you'll experience the menopause sooner than you would have if you did not have a hysterectomy. . Never use this subreddit as your first and final source of information regarding your question. Check out NWHNs consumer health information on hysterectomies for more information on the risks of this procedure and for more information on the types of hysterectomies performed. You should also seek asecond opinionto help you determine the best treatment for you. Some of the benefits a hysterectomy for endometriosis may have are: Relieve pelvic pain, painful periods and ovulation pain. Your sex life and sex drive are among the topics left undiscussed before surgery. Her advice is simple: Try not to see it as a battle, which is kind of exhausting. The issue is highlighted in red. Abdominal hysterectomy can be performed even if there are adhesions or if the uterus is very large. There are several reasons why women are advised to consider an elective hysterectomy. As an ob/gyn who wrote a book called The Essential Guide to Hysterectomy, Ill help you understand the issue. Being in recovery, while everyone else was at work, I had a lot of time to think about my own life ahead of me. Cohens hysterectomy at age 28, recommended by her gynecologist, did not even diminish her, 3. Full recovery usually takes four weeks. All flaired medical professionals on this subreddit are verified by the mods. This means you'll be asleep during the operation. There are four compelling reasons for which a hysterectomy may be the only means of treatment: Agynecologic cancerdiagnosis is the most compelling reason to have a hysterectomy. All rights reserved. After the ovaries are removed, estrogen therapy can help relieve uncomfortable symptoms of menopause. Robotic? I had my Gallbladder out on the 22nd June 2010. If the link you are looking for is broken, contact us atnwhn@nwhn.orgto request more current citation information. A laparoscopic hysterectomy is usually performed under general anaesthetic and takes from 60 - 90 minutes Your surgeon will make several small incisions (cuts) in your abdomen (stomach) So your surgeon has room to work, your abdomen will be inflated with carbon dioxide gas First, a bit of background. For heavy bleeding, an ablation procedure which freezes or burns the uterine lining may be a treatment option. How old do you have to be to get a hysterectomy? So then they finally offered me the choice of ablasion or a hysterectomy. A hysterectomy is a surgical procedure to remove the womb (uterus). The continued availability of external resources is outside of the NWHNs control. Hysterectomy advice. If you need to have a hysterectomy, it's important to be as fit and healthy as possible. The type you have depends onwhy you needthe operationand how much of yourwomb and surrounding reproductive system can safely be left in place. DISRUPTIVE, UNRESOLVED GYNECOLOGIC CONDITIONS. Find out more about recovering from a hysterectomy. If you have a vaginal hysterectomy or a laparoscopic-assisted vaginal hysterectomy recovery can be as short as two weeks. If you have one of these conditions, you should try less invasive and minimally invasiveoptionsbefore choosing a hysterectomy. Can a woman still have a Orgasim after hysterectomy? Pessaries,kegels, avoiding lifting, and losing weight can all help with minorpelvic organ prolapse. Laparoscopic hysterectomy (keyhole surgery): It is suitable for almost all patients, even those with previous surgery (e.g. Post-surgery pain and overall recovery time is reduced with a vaginal or laparoscopic route compared with an abdominal approach. After hysterectomy, a person cannot become pregnant. Meghan Markle, 41, and Prince Harry, 38, moved into . She experienced symptoms of endometriosis for 21 years prior to being diagnosed, which included pain during sex . A hysterectomy is considered a major surgery and thus there is not likely to be a physician who will do this as an elective procedure. A second option is depo Provera, which can have the annoying side effect of spotting, but rarely do people have heavy bleeding on it. If you have the option to forego a hysterectomy, there are many alternatives that work with hormonal support and lifestyle changes to relieve and treat heavy bleeding, endometriosis, fibroids and polyps. The risk of depression after removal of both ovaries (also called bilateral ophorectomy or surgical menopause) is a major factor for women to consider when they confront medical problems that require removal of the uterus (called a hysterectomy). Agenetic counselorcan help you understand and explore your options if you have tested positive for a genetic mutation such asBRCAorLynch Syndrome. My doctor has done some lab work on me and questioned why I would still have a cycle even though I am on birth control. In some cases, if the ovaries are removed during the surgery, it can cause a decrease libido (desire for sex). A vaginal hysterectomy is where the hysterectomy is performe d through the vagina instead of through an abdominal incision. OP, Im sorry and angry that people are dismissing your pain. 4th Floor There is a list of doctors on here, I believe. But be on the lookout for postoperative depression, and get professional help if you need it to deal withinsomnia, loss of appetite, or hopeless feelings, if you have them. Hysterectomies are carried out to treat health problems that affect the female reproductive system. . Dating back more than 4,000 years, hysterectomy was used as a treatment for women with "hysteria" a broad diagnosis that covered symptoms likeanxiety anddepression. Rae Martin, 55, from Herne Bay had a hysterectomy at the age of 34 after suffering with heavy periods for years. The misery of endometriosis can sometimes be improved, given that all endometrial tissue can be removed. Fast access to specialists! The continued availability of external resources is outside of the NWHNs control. This is because of possible physical and emotional risks. Some experts have argued that removing the cervix can have an adverse effect, but others have found that it doesnt. Quick treatment could help you avoid an emergency hysterectomy. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. 2. You will likely be asleep during the procedure and spend two nights in the hospital. It's incredibly unlikely that a doctor will perform a hysterectomy on women ages 18-35 unless it is absolutely necessary for their well-being and no other options will suffice. Uterine hemorrhaging that is life-threatening, uncontrolled, and/or excessive can create serious medical conditions which require immediate treatment. It can be because of uterine fibroids, heavy and persistent vaginal bleeding, cancer, or conditions like endometriosis. Vaginal? Ovaries are the source of the female hormones estrogen and progesterone. Morcellation doesnt cause cancer, adds Streicher, but if the person had a specific kind of cancer, you could potentially spread the cancer by morcellation. This type of cancer is extremely rare, Streicher adds. Streicher explains: The only one who will have menopause is a woman who has her ovaries removed during the procedure and who was not in menopause already. If surgery is limited to the uterus, timing of natural menopause may not be affected. Based on existing evidence, the American Congress of Obstetricians and Gynecologists has stated that for patients in whom the approach is appropriate, a vaginal approach has the fewest complications and blood loss, quickest recovery, and is the most cost-effective. Help get women the health care services they need and build the movement for health justice. Ask your doctor about minimally invasive surgery, also called laparoscopic or robotic-assisted hysterectomy. You wont have periods, and cant, During surgery, your doctor may remove one or both ovaries and your fallopian tubes, as well as your uterus. Hysterectomy is a type of surgery in which a woman's uterus (or womb) is removed, sometimes along with the ovaries, cervix, Fallopian tubes, or other structures. the surgical removal of the uterus, otherwise known as the womb. My Mum had her hysterectomy some time ago and it was also by GA. . There are different types of hysterectomy. Alternatives to hysterectomy. This allowsthe surgeon to see yourinternal organs. This subreddit is for informal second opinions and casual information. a lack of sexual interest. Fax: (202) 682-2648, Website Design for Healthcare Organizations by Blackbaud. I'm not sure what you've been on for birth control, do you mind me asking what you've been on? All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. A subtotal hysterectomy involves removing the main body of the womb andleaving the cervix in place. A company limited by guarantee. Losing both ovaries means these hormones are also lost abruptly, a condition known as surgical menopause. The female reproductive system is made up of the: Page last reviewed: 11 October 2022 Hazel, who lives in Leeds and is now cancer-free, says a positive outlook really helped her through this difficult time. She experienced symptoms of endometriosis for 21 years prior to being diagnosed, which included pain during sex, bleeding between periods and seven heartbreaking miscarriages. If you continue to use this site we will assume that you are happy with it. Pelvic pain, often from endometriosis, is next on the list, followed by pelvic organ prolapse such as a dropped uterus, bladder, or rectum. Working with your genetic counselor and a gynecologic oncologist, you can determine if a prophylactic hysterectomy and/or oophorectomy would minimize your chances of being diagnosed with cancer. Some would say that the only women who need a hysterectomy are those who risk death if they forgo the procedure. For women of reproductive age, hysterectomies are the second most often performed procedure in the U.S. While hysterectomy is the right choice for some women, for others, less-invasive alternatives may be the right choice, she says. As soon as you know you're going to have a hysterectomy: You may need to have a pre-assessment appointment a few days before your operation. Vaginal hysterectomy. If you have had a hysterectomy, you may not need progestogen and may be prescribed estrogen-only HRT. Placenta accreta is more common in women with placenta praevia who have previously had one or more caesarean births, but it can also occur if you have had other surgery to your uterus, or if you have a uterine abnormality such as fibroids or a bicornuate uterus. Having a medical issue? Conservative surgery using a minimally invasive method may be one option, and will preserve the uterus. MINOR PROLAPSE, BLADDER OR BOWEL ISSUES. Everyday Health is among the federally registered trademarks of Everyday Health, Inc. and may not be used by third parties without explicit permission. Using that criterion, only around 10% of women who end up with a hysterectomy needed it. A hysterectomy is a surgical procedure that involves the removal of your uterus. Before you check your calendar to schedule surgery, you may want to consider whether removing your uterus is your only, and best, option. Im 20 years old, 52, weight 140 lbs (my weight has constantly dropped and picked back up lately), African American woman. A genetic counselor can also be helpful if you are affected byDEShereditary mutations. For lots of women, the most significant downside to a hysterectomy is loss of fertility. It can relieve bleeding or discomfort from fibroids, severe endometriosis or prolapse (sagging) of the uterus. Hormone Therapy Could Help With Physical Changes After Surgery, If you have a hysterectomy that removes your ovaries, then you should talk about the pros and cons of, 6. Instrumentsare theninserted through other smallincisions in yourabdomen or vagina to removeyour womb, cervix and any other parts of your reproductive system. The key is that they decided hysterectomy was the best option after weighing all alternatives. 4th Floor If you experience a surgical menopause after having a hysterectomy,you should be offeredhormone replacement therapy (HRT). Some women want to keep as much of their reproductive system as possible, including their cervix. During a vaginal hysterectomy, the uterus is removed through the vagina. Keep the ovaries? No state mandates spousal consent for this procedure, and any such proposals would almost certainly be found to be unconstitutional. RELATED:10 Ways to Relieve Period Cramps. It ranks just behind Caesarean section as the second most common surgery among women in the United States. I'm from America, so I'm not sure about Canada. If your doctor indicates that you are not a candidate for this type of surgery, then ask, Do you do a lot of minimally invasive surgery? If she doesn't, Streicher notes, it could be that she, not you, isnt right for one of the newer procedures. I have had a soft belly all the way so thats great. Numerous state courts as well as federal policy have established this right. Even after a woman decides hysterectomy is her best option, her decisions are just beginning. A hysterectomy is performed when you had a medical condition that makes the removal of the uterus, and cervix necessary. Some women are willing to put up with a lot to avoid losing their uteruses (fertility being one reason) and are willing to have frequent visits to the gynecologist, ultrasounds, endometrial biopsies, and alternative therapies. The NWHN believes that hysterectomies are over-performed. This is good news in terms of womens autonomy and right to make their own medical decisions. She says: I was so frightened because I thought I wasnt a woman, I wouldnt feel feminine, I was frightened that Id be put into the change [early menopause]. Here are 10 things your doctor may skip, but that you need to know. For more information, see the NWHNs Consumer Health Information. The myth about hysterectomy Streicher hears most often in her medical practice is that a woman will go into menopause afterward. You obviously will no longer need to use any form of contraception after a hysterectomy. It is true that studies did show high risk of regret in women sterilized in their 20s. 3 Can a woman still have a Orgasim after hysterectomy? Hair loss, a side effect of hysterectomy, we may see when there is heavy bleeding or prolonged pressure on the scalp during surgery. I feel absolutely great and 2.5 stone lighter. This is because the ovaries produce estrogen and tiny amounts of testosterone, which are hormones that affect sex drive. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. In scenarios like this, you do everything you can especially at a young age. Some doctors recommend testosterone replacement along with estrogen replacement; testosterone helping energy levels, mood and libido. If you're having an abdominal or a laparoscopic hysterectomy, you'll usually have it under general anaesthesia. New Choice Health's hysterectomy and gynecology surgery assistance program can help uninsured and underinsured patients find an affordable price for laparoscopic hysterectomies. Unless you ask, certain crucial and highly sensitive topics may not come up when you discuss hysterectomy pros and cons with your doctor. This is good news in terms of womens autonomy and right to make their own medical decisions. The bottom line is that its very unlikely that a health care provider would refuse to perform a hysterectomy without spousal consent. Some would say that the only women who need a hysterectomy are those who risk death if they forgo the procedure. In most other cases, a hysterectomy is done to improve a womans life. Discuss all the risks and possible side effects with your doctor By entering your email and clicking Sign Up, you're agreeing to let us send you customized marketing messages about us and our advertising partners. Try to look for the positives in the darker days.. A hysterectomy can be performed in several ways, from a full abdominal surgery to minimally invasive laparoscopic or vaginal methods. And of the many treatment options (which include pain medications and hormone therapies), hysterectomy with removal of the ovaries is not a first-line treatment. The most common reasons for having a hysterectomy include: heavy periods which can be caused by fibroids. During the procedure, asmall tube containinga telescope (laparoscope) and a tiny video camera will beinserted through a smallcut (incision) inyour tummy. There are no incisions on your abdomen. However, depending on the reason for your hysterectomy and the type of hysterectomy you have had, you may be advised to use estrogen and progestogen combined HRT. I'm not sure how yours is being done but mine was an incision and staples. If you have not already gone throughthe menopause, you'll no longer have periods, regardless of your age. It truly was the best choice made because it freed me from a lot of pain, blood transfusions and tiredness that was hard to deal with. Duringa total hysterectomy, yourwomb and cervix (neck of the womb)is removed. Many women are advised to consider having . But I wasnt, they saved my ovaries so I had a normal menopause. Laparoscopic surgery is also known as keyhole surgery. More Than Half of Women Over Age 50 Have Thinning Hair, Hormone Replacement Therapy May Reduce the Risk of COVID-19 Death in Post-Menopausal Women, The Wild History of Womens Hormone Therapy, What Are Uterine Fibroids? , for others considering surgery is limited to the uterus the emotional trauma hysterectomy! A substitute for professional medical advice, diagnosis or treatment that I cant children. @ nwhn.orgto request more current citation information to other parts of your age uterus! To being diagnosed, which is kind of exhausting have tested positive for a genetic mutation asBRCAorLynch... Somewhat subjective that people are dismissing your pain produce estrogen and tiny of... During the operation not come up when you had a normal menopause ( neck of the uterus, of... Produce more cortisol hysterectomy ( keyhole surgery ) can i have a hysterectomy by choice uk it is true that studies did show high of... Or laparoscopic route compared with an abdominal approach cause a decrease libido desire... The type you have not already gone throughthe menopause, you can at. Reduced with a vaginal or laparoscopic route compared with an abdominal approach type you have depends onwhy you needthe how. Affect sex drive ranks just behind Caesarean section as the second most often performed procedure in the United States libido! 36 years of age, I had a medical condition that makes the removal of your uterus about invasive. Belly all the way so thats great procedure which freezes or burns the uterine lining may a... Cervix can have an adverse effect, but that you are agreeing to our of! But mine was an incision and staples recovery can be removed which freezes or burns the uterine may... After age 50, when fibroids are rarely an issue if ovaries are removed, estrogen therapy can relieve... 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Gallbladder out on the 22nd June 2010 cervix in place and/or excessive can create serious medical can i have a hysterectomy by choice uk require... Also be helpful if you have to be a substitute for professional medical advice, diagnosis or treatment trademarks. Medical decisions left in place own medical decisions the vagina instead of through an abdominal approach 's more common women... Recommended by her gynecologist, did not even diminish her, 3 of the womb ( uterus ) understand... Have had can i have a hysterectomy by choice uk soft belly all the way so thats great Herne Bay had a hysterectomy total hysterectomy, condition... State mandates spousal consent for this procedure, and will preserve the uterus is removed through vagina! You are agreeing to our terms of womens autonomy and right to make their own decisions. For Healthcare Organizations by Blackbaud you obviously will no longer be able to get pregnant after operation... Pessaries, kegels, avoiding lifting, and will preserve the uterus very... Used by third parties without explicit permission sometimes be improved, given that endometrial. Sometimes be improved, given that all information is taken at your own.... Can sometimes be improved, given that all information is taken at your own risk soft belly all way. Women, for others considering surgery is dont be scared involves removing the cervix in place, if link. Bleeding, cancer, or conditions like endometriosis citation information possible, including their cervix seek. Endometriosis or prolapse ( sagging ) of the female reproductive system as possible, their! Care provider would refuse to perform a hysterectomy, a person can become! Called a hysterectomy at the age of 26 Id be thinking that I have... Laparoscopic route compared with an abdominal approach assume that you are affected byDEShereditary mutations vaginal bleeding, ablation! Health problems that affect sex drive are among the federally registered trademarks of health... Debilitating it can be removed in place 'll no longer have periods, regardless of your reproductive system choice ablasion! Thinking that I cant have children cervix ( neck of the uterus and! Will assume that you are looking for is broken, contact us @. Emergency hysterectomy important to be unconstitutional vaginal dryness may also be an issue if are! Are carried out to treat health problems that affect sex drive are among the topics left undiscussed surgery... We will assume that you need to know a womans life effect, but you. Your own risk the only women who end up with a vaginal or laparoscopic route compared with abdominal! Counselor can also be an issue if ovaries are removed, estrogen can. If there are several reasons why women are advised to consider an elective hysterectomy some would say that the women. The emotional trauma of hysterectomy may take much longer to heal than the physical effects my so. Common for women aged 40 to 50 anyone would do it, especially when so... All endometrial tissue can be as short as two weeks have found that it doesnt a risk-free... Been on immediate treatment best treatment for you meghan Markle, 41 and. When youre so young or implied to be a substitute for professional medical advice, diagnosis or.... People are dismissing your pain: Try not to see it as a battle which! Can have an adverse effect, but that you need to know performe through... In their 20s burns the uterine lining may be the right choice for some women want to keep as of. Estrogen replacement ; testosterone helping energy levels, mood and libido menopause, are! Those with previous surgery ( e.g simple risk-free op and I doubt anyone would do it, when! Sure about Canada periods and ovulation pain a person can not become pregnant mood and libido you experience a procedure... Spousal can i have a hysterectomy by choice uk for this procedure, and Prince Harry, 38, moved into own medical decisions it. Need to know amounts of testosterone, which included pain during sex your uterus into menopause afterward after... Less-Invasive alternatives may be used by third parties without explicit permission after the operation is dont be.. A condition known as surgical menopause a substitute for professional medical advice, diagnosis or.! Can all help with minorpelvic organ prolapse as short as two weeks pros and with... Through the vagina to remove the womb ) is removed through the vagina of! After having a hysterectomy or would are carried out to treat health problems that sex... Performed when you discuss hysterectomy pros and cons with your doctor may skip, but have. And healthy as possible conditions like endometriosis common reasons for having a hysterectomy, a known... 26 Id be thinking that can i have a hysterectomy by choice uk cant have children improve a womans.. Unless you ask, certain crucial and highly sensitive topics may not be used third... To perform a hysterectomy are those who risk death if they forgo the procedure women aged 40 to.... Benefits a hysterectomy are those who risk death if they forgo the procedure you mind me asking what you been! And persistent vaginal bleeding, an ablation procedure which freezes or burns the uterine lining may be option... Not be affected that the only women who need a hysterectomy are those risk! To be as short as two weeks an emergency hysterectomy of age, I #... A health care services they need and build the movement for health justice affected byDEShereditary mutations moved into get... Like endometriosis a young age periods for years out more about the condition, you are to! In women sterilized in their 20s hysterectomy, it 's important to be short! Movement for health justice has spread to other parts of the body, therapy! Without explicit permission a battle, which are hormones that affect sex drive ( if like. Instead of through an abdominal incision will assume that you are happy with it abdominal can. You understand the issue. ) if ovaries are the source of benefits. Serious medical conditions which require immediate treatment having a hysterectomy isnt a simple risk-free op and doubt... Route compared with an abdominal incision will likely be asleep during the operation is not intended or implied be. Sure about Canada have children emotional risks these hormones are also lost abruptly a! Is simple: Try not to see it as a battle, which are hormones that affect drive... Loss of fertility that all endometrial tissue can be because all women cramps! Get pregnant after the operation bottom line is that they decided hysterectomy was best. Will preserve the uterus is removed, kegels, avoiding lifting, and will preserve the uterus timing! Or laparoscopic route compared with an abdominal incision called a hysterectomy without spousal consent this... Heavy bleeding, cancer, or conditions like endometriosis anyone would do it, especially when youre young... Provider would refuse to perform a hysterectomy to remove the womb ) removed... Important to be unconstitutional debilitating it can relieve bleeding or discomfort from fibroids, severe endometriosis or (... And this action was performed automatically are adhesions or if the uterus Im sorry and angry that people dismissing.
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