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I'm trying to decide what type of surgery to have after my chemo is over. I definitely want to get a double mastectomy and at least my ovaries and Fallopian tubes removed, but I'm not sure about getting a complete hysterectomy. I love the idea of prevention and not getting anymore estrogen-fed cancers. I'm wondering if anyone knows more about the pros and cons of either decision. Thanks!

August 5, 2014 (edited)
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A MyBCTeam Member

Keep in mind that Estrogen is also produced in other parts of your body. Have you had the BRCA testing to determine your risk?
Since I am BRCA- , both my gyn and oncologist felt that having my ovaries removed would be overkill. They prefer entering menopause naturally since it is a far more complex biological process than just shutting down estrogen production.
Even with thickening of my uterine lining due to Tamoxifen, there are other risks associated with a hysterectomy as well so they also nixed that surgery.
I did choose a BMX, not only to reduce my risk, which it only does in a statistically insignificant amount, but because I was fed up with my large, perky Ds, had contemplated a reduction, and in the end, would have lost the lower half of my left breast anyway due to a second, more aggressive tumor. A BMX kept me symmetrical (flatter than a preteen).

August 5, 2014
A MyBCTeam Member

I agree with Sanne about being tested for the cancer gene (BRCA). I tested positive so was advised by my Oncologist to have a BMX and complete hysterectomy. Knowing your risks should help you make an educated decision. And don't be afraid to ask your docs for pros and cons. Good luck.

August 5, 2014

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