Well, we already talked a lot about the psycho-emotional part. I would also like to know why, how does information save us many times, right? I would like to know how I can prevent a hysterectomy? What do I have to be aware of to be able to detect, well maybe I can do something before reaching that final point, right? That on the one hand and on the other, what symptoms can I begin to detect in myself that possibly they are already telling me that you are probably going to need a hysterectomy?
Dr. Arturo Valdés: Well, this is very interesting to see, it is very similar to what we were talking about before, that is, for me to be able to prevent a hysterectomy it is very difficult to know, but obviously what we have always said in our talks, in our myomectomies mainly is: One knowledge and two education. What does this mean? Well, I have to know if I am well and the only way to have knowledge is not to “suspect” if I am good or bad or if I feel good or bad, because that is really very subjective. I always tell them to look at the annual pap smear, that’s not that it can’t fail, it’s just like breast cancer. How can I prevent breast cancer? Doing scans and the other depending on the age, doing a mammogram with breast ultrasound.
Here it is very easy, I have to go to my gynecologist every year, year after year, whether I am a young woman of 25 years old or an adult woman of 48 or 50 years old. Why? Because since I begin reproductive life I have the possibility of having infections or contracting papilloma viruses or having some alteration, whether called gynecological or called endocrine, then annual check-ups, pap smears without a doubt, colposcopy would be ideal and if not, then accompany a colposcopy depending on one pathology or not cervical and the other is obviously an ultrasound, why? Because hysterectomy, as I mentioned, can also be endometrial cancer, it can also be ovarian cancer, which is fortunately less common. Weight, weight also means that if I have a high weight I have a greater risk of bleeding.
You tell me signs or symptoms, they also go hand in hand, that is, if I am having bleeding that is not regular or that is not normal or that is abundant, then I have to go to the doctor. Why? Well, because one way to prevent a hysterectomy is to have good gynecological health control and the only way you are going to have good gynecological control is by attending your routine periodic consultations year after year with a doctor, because it can be an example: Hey, well yes I’m going to realize when I already have a protrusion, I feel a lump in my vagina, I cough or sneeze and I pee a little bit, I’m already 60 years old and suddenly I noticed… And that’s very common, it’s good that you asked. , because then sometimes the mothers don’t tell their daughters or the grandmothers don’t tell the daughter, or the mother is afraid of “They’re going to take me to the doctor and I don’t want them to do anything to me, it’s more I’m sorry to tell people.” Communicate because it is already something uncomfortable, I am at a party and suddenly there is something there that is in the way, that is very important, you have to do your check-up, if you already felt that you have something that you are not liking, then go to the doctor because if If you let more time pass, it will be even worse and your complications will also be more important. That’s why I tell fibroid patients, hey, I’m bleeding, I go to the doctor and he said I had a 5 or 6 centimeter tumor, I’m afraid to have surgery or attend and then I stopped going for 4 or 5 years and when they come, they There are the videos, they arrive with tumors of 15, 16 centimeters and obviously the surgery is going to be more difficult, more complicated and with many more risks for the patient.
So, the only way to prevent or avoid a hysterectomy is to have routine consultations with your gynecologist and obviously the knowledge of hey this is not normal, the bleeding is not normal, hey I’m already feeling or I’m peeing with very little effort, well from ago to a check-up, then the only way to do that is your gynecological consultation. They tell us like “If you have bleeding that is not regular”, but I am very sure that there are thousands of women out there wondering: And how do I know? How do I know when bleeding is not normal? So, as a matter of practice, how could a woman detect that bleeding is not normal? I say in a menstrual issue, because I understand that if you are not menstruating and you have bleeding, then from there we are seeing that either there is an infection or something is happening. But within menstruation, how do I know if my bleeding is normal, it is not normal. How do I count it? How can I realize it? That is a very good question, look, normally on average a woman should last her menstrual cycles between 3 to 6 or 7 days, but that is not the same as the one that lasts seven days and uses only one or two towels.
Regular during the day, to a woman who says I last seven days, but I use three or four of the towels that are the nighttime ones, which are the ones that in theory absorb a little more…
To give you an idea, between 100ml to 120ml of bleeding during menstruation is considered normal, above that it is no longer normal. An average towel can absorb between 30 to 50 or 30 to 40 milliliters at night. The normal ones are 10 or 15 milliliters of blood. What does that mean? It is also important how many towels you are using, so when would I tell them to “be careful” or pay attention? When my bleeding is very abundant, that is, it is very abundant, I am using more than two nighttime sizes or three a day and I soak them, but they also last seven days, because if it lasts two or three days, there are patients who sometimes have bleeding very profuse but they are short. The other patient “hey, I have spots and it can last ten days” that is not normal, even if they are spots and spots, spots on many occasions are one of the main signs of myomatosis, for example, I mean I am having spots, spots and then it comes my rule is two or three days and that’s it, then they get used to it. They think it’s normal because it’s just a stain. No! If I am having spots, spots and spots and then the bleeding comes, those spots are called metrorrhagia and they also have pathologies. So, the most important thing to your question is 3 to 5 days, 7 at most but the one that lasts seven days you have to see how many towels. If they are regular or the nighttime ones that we are staining and then if that is why I told you, I go to the doctor and he asked doctor is that I use three pads a day at night and for seven days I bleed and bleed and also sometimes when I have bleeding well if I I feel a little tired, I feel fatigued, I can’t do this or anything, she is having a hemorrhage that is causing a temporary anemia and is affecting her daily life. So, if it is important to go to the doctor and consult because you cannot say, ah, if it is five days and they are normal, no, five days is the best, they can be very abundant and cause anemia, then we already have a problem of hemorrhage.
Psych. González: Ok, so in summary I think this is important for all women, sometimes we change them for hygiene because we need to take them out, but when the towel is full that’s when then yes, there are more than three full towels that’s when we have to take action. Especially depending on the towel, I don’t know much about the performance but the night one is very big and if that one soaked it and I’m soaking them for two or three days, then go do a check as well, because maybe it’s normal for those two or You have that bleeding for three days and it’s over, but normally what you mention, if I’m soaking them, they are patients who either have spotting before their period, or they end those three days and the spotting lasts for another three or four days, so you have to do a good gynecological examination an ultrasound, to see if I don’t have polyps, to see if I don’t have submucous fibroids, or another type of fibroid or even to see if it is not a hormonal imbalance because many of the hemorrhages or bleeding are not all fibroids and polyps , the vast majority of them are endocrine alterations, so it is very important to do a gynecological evaluation.
Well, with this we finish and I want to tell you that knowledge is power and that is why we are very interested in listening to each of you. How has your experience been? What elements can you add that have benefited you? How have you also been improving your daily life? And what has this process of going through a hysterectomy also been like?
Dr. Valdés: Tell us on our blog. How did they do it? What was your experience? What did you implement or how did you help each other to move forward? And not just focus on what affected me or how I feel bad, but rather tell us about their experience, what they did to be well and feel better.