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Old 10-16-2010, 05:05 PM   #1
shonda
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Removing Ovaries

I would like to hear from ladies that had their ovaries removed. What were some side effects from this? My GYN ONC told me it is like going 100mph in a car and hitting a brick wall when you surgically induce menopause, but necessary in these circumstances. I have been in treatment for 4.5 years and have always wanted to remove them, but being this young 32 at the original DX the ONC took other measures until now (37) and my liver biposy suggest that I could respond well to AI's even though originally I didn't respond to tomixifen for very long. Maybe 4 months? Surgery is scheduled for Tuesday and I am not scared at all, but I would like to know what I am in store for afterwards.

Thank you
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Old 10-16-2010, 05:47 PM   #2
Becky
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Re: Removing Ovaries

I had my ovaries removed but I was 46. I did so for a variety of reasons. One is that I was only moderately ER+ but PR neg (as well as highly Her2+) and Tamoxifen usually does not work well in that situation. I was in chemopause but 7 months after my last chemo my period came back and I wanted to get the ovaries removed to take an AI. Secondly, my paternal grandmother died from ovarian cancer - a cancer that I believe is not as treatable as breast.

Since I was premenopausal when removing the ovaries, but the side effects weren't apparent at first. My onc didn't want me to start the Arimidex until about 3 weeks after surgery so we could bring the estrogen down gradually. Since your ovaries aren't there to produce, it takes about a month for your body to rid of the excess that is not produced by the adrenal gland and fat cells (it is this estrogen the AIs stop). So, my onc did not want me to go into a severe slide. After that, and then adding Arimidex, I did have vaginal dryness issues and I did go through a period of bladder infections too (there are estrogen receptors on the bladder so the bladder does thin out too and some women can get alot of bladder infections when going thru menopause. I was certainly one of those women but have no problems now).

I did not have severe hot flashes either although some women do. I still will have a flash now and again (and I am over 5 yrs out from the ooph).

It is a simple surgery with an easy recovery. If I think of anything else, I will post again.
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Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 10-16-2010, 06:44 PM   #3
sassy
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Re: Removing Ovaries

Shonda,

I had my ovaries removed after having been in chemically induced menopause for 4 1/2 years. Chemo put me in menopause at 45; I had Lupron shots for 4 years, then ovaries out last November. My onc described chemo induced menopause exactly the same way--like slamming into a brick wall--but at the time, I had a lot more on my plate with treatment, so hot flashes and side effects of menopause were not my top concern. For me, having my ovaries removed allowed me to stop taking the Lupron shots, and I have actually had less hot flashes since.

Sorry my experience probably isn't much help as applied to your situation. The surgery itself is easy. Just a couple of days of nothing strenuous--which was kind of nice!

Best of luck to you.
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Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
3/17 Stop Evista--unwelcome side effects!
NED and no meds.......
14YEARS NED!
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Old 10-16-2010, 11:56 PM   #4
Jackie07
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Re: Removing Ovaries

I had experienced chemopause after just three infusion of FEC in 2003 when I was 43. I did not experience too much problems because I was very fatigued from the chemo to begin with. I've been experiencing lots of bladder infection - glad to read the explanation by Becky. I had hysterectomy/oophorectomy this January and so far everything's fine. I've been feeling much better because I am no longer experiencing the severe peeling of my lips (a sign of low-grade fever - possible infection/problems somewhere in my system?)

You do want to watch out for your bones. The <hystersister> site has quite a lot of information about menopause.
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
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IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
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DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
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Old 10-17-2010, 12:07 PM   #5
jellybean
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Re: Removing Ovaries

Sassy,

I am in a similar situation to yours. I have had Zoladex injections for over 3 years, and I have been taking Femara. I am trying to decide whether to have my ovaries removed when I do my exchange surgery. Am I correct in understanding that your menopausal symptoms actually were better after the surgery than with the injections?

Sorry to hijack this thread, but I don't know anyone else in the same situation.

Thanks in advance for your help.


JB
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Old 10-17-2010, 03:29 PM   #6
tricia keegan
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Re: Removing Ovaries

Like Becky I was forty six and just finished chemo whn I had my ooph, but I had no side effects like your Gyno said.

It was the easiest surgery ever and apart from some bruising for a few days I felt fine the next day, and have had no problems since!!!

I should add I've been taking arimidex for four years and do have the usual achey bones but nothing too bad or that I can't handle and still exercise and do all the things I used to.
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Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 10-17-2010, 06:42 PM   #7
sassy
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Re: Removing Ovaries

Jellybean,

I think the improvements that I have experienced are more attributal to suspension of Lupron, than removal of ovaries. The Lupron itself has side effects. I feel that it increased both the severity and frequency of my hot flashes. I still have some, but not nearly as severe as before. I also feel than my mental accuity has improved as well as slight increase in energy level. I've also lost about 10 pounds, whereas before, my weight kept creeping up. I'm hoping to continue to loose with a little more effort on my part!

PM me if you have more questions. Seems not many have taken this route.
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Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
3/17 Stop Evista--unwelcome side effects!
NED and no meds.......
14YEARS NED!
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Old 10-17-2010, 09:19 PM   #8
Trish
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Re: Removing Ovaries

I had ooph because my onc wanted to switch me from Tamoxifen to Arimedex. There was some ovarian activity evident on ultrsound although I was otherwise in menopause. It didn't exacerbate the symptoms any but I did suffer hot flashes for some time both before and after ooph. It was a very uncomplicated procedure for me. Al the best.
Trish
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5/2004 (R) 30mm bre gr3 infiltrating ductal ca 16/18nodes er (2+) pr (3+) HER2 (3+)
6/2004
6 cycles(FEC), Oct 40 rads, Tamoxifen
5/2006
oopherectomy, Arimedex
12/2006
liver mets largest 9cm
1/2007
Herceptin,
3/2007
Taxol + Herc
1/2008
Herc alone
4/2008
Multiple bone mets,Zometa
7/2008
Herc + Gemcitabine
8/2008
Herc+Navelbine/vinoralbine
10/2008
Herc+Carboplatin+Taxol
12/2008
Tykerb+Xeloda
2/2010
Herceptin + trial drug
5/2010
Herceptin+Tykerb
8/2010
Tykerb+Abraxane
9/2010
Abraxane
12/2010
Abraxane+Tyk+Herc
4/2011
Tyk+Herc+Femara
6/2011
Liver and bone mets prog.Abraxane continue Herceptin,Tykerb,Femara and Zometa
8/2011
Probable liver progression and increased neuropathy. Xeloda with Tyk+Herc. Zometa 6 weekly.
9/2011
Liver progression,TM +++. Cyclophosphamide and Methotrexate metro Herc Zometa
10/2011 liver mets prog.Herc, 3 Tykerb +2mg decodron daily,Zometa
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Old 10-19-2010, 06:32 AM   #9
kk1
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Re: Removing Ovaries

Jelly;

I also did zoladex shots to suppress ovarian function for 4 years and had miserable drippy embarrassing hot flashes and menopause symptoms the entire time. A year and half ago I had an ooph and what a difference! I feel so much better. Hot flashes are now only occasional and mild and the bladder infections are less frequent.
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April 2004 de novo metastatic left breast 1.5cm her2++,er+/pr+ with 2 small liver mets
weekly taxotere,herceptin, xeloda
Sept 2004 NED-3 herceptin, zoladex,aromasin
Dec 2006 recurrence in liver
Feb. 2007 liver resection left lobe removed-herceptin, zoladex, switch to Arimidex
NED 16 months added zometa
May 2008 new lesion in liver 15mm Tykerb/Xeloda/Herceptin
July 2008 stable...yeah!
Sept 2008 NED again !!!
Jan 2009 fell off the wagon again spot back in the liver and fell out of menopause.
Feb 2009 RFA and 2nd liver resection to remove spot ---back on the NED wagon again continue Tykerb, Herceptin.
March 2009- oophrectomy added Femara and bi-annual Zometa
May 2009- scans clear but suspect lung nodule
June 2009- Lung VAT wedge resection to remove nodule---fungus ball not cancer!! phew
Aug 2009- NED
Nov 2009-scans again clear YAHOO!
March 2010- scans clear continue Tykerb, Herceptin, Femara, Zometa Q6mo
Nov 2009-Nov 2019 scans clear done every 6 months


Feb 2020 - Fell out of the NED wagon hard! single liver lesions and large infect cyst. 3 weeks in ICU.
March 2021- 5 cycles perjeta, herceptin, navelbine. lesion stable.
June 2021 - 3rd liver resection to remove single liver lesion. Continued perjeta, herceptin.
Nov. 2021- PET scan show 5 hot nodes near liver. 9 cycles Kadcyla
June 2021- PET scan shows progression. nodes size unchanged but even more SUV uptake.

July 2021- start ENHERTU
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Old 10-20-2010, 03:10 PM   #10
suzan w
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Re: Removing Ovaries

I had ooph because of a BRCA 2 positive test. It was much easier than the appendectomy I had the year before! Both done through belly button!!! I was up and about the same day with very little pain.
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Suzan W.
age 54 at diagnosis
5/05 suspicious mammogram-left breast
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++
6/14/05 bilateral mastectomy, node neg. all scans neg.
Oncotype DX-high risk
8/05-10/05 4 rounds A/C
10/05 -10/06 1 yr. herceptin
arimidex-5 years
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis
7/28/09 BRCA 1 negative BRCA2 POSITIVE
8/17/09 prophylactic salpingo-oophorectomy
10/15/10 last FORTEOinjection
RECLAST infusion(ostoeporosis)
6/14/10 5 year cancerversary!
8/2010-18%increase in bone density!
no further treatments
Oncologist says, "Go do the Happy Dance"
I say,"What a long strange trip its been"
'One day at a time'
6-14-2015. 10 YEAR CANCERVERSARY!
7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use
6-14-16. 11 YEAR CANCERVERSARY!!
7-20-16 Prolia injection for severe osteoporosis
2 days later, massive hive outbreak. This led to an eventual dx of Chronic Ideopathic Urticaria, an auto-immune disease from HELL.
6-14-17 12 YEAR CANCERVERSARY!!
still suffering from CIU. 4 hospitilizations in the past year

as of today, 10-31-17 in remission from CIU and still, CANCER FREE!!!
6-14-18 13 YEAR CANCERVERSARY!! NED!!
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