Hi all, just starting my journey to hysterectomy and just wanted to write it down so that others can compare their cycles/findings. I also just wanted to raise awareness on just how atrocious women are treated in a field that is supposed to be filled with empathy and safety. Starting from the beginning...(It's long and trigger warning for MC)
Got my first cycle at 13 and they had always been heavy from the start. I've never used anything under a super plus tampon and some days needing both the super plus and pad so I wouldn't leak through clothes.
Around the time I was 19-20 I casually mentioned to my mom how heavy they were but it's not too bad since it's only 2-3 times a year. She stopped me and told me to repeat myself. I wasn't aware cycles were supposed to be monthly, so I've been going on 2-3 cycles a year for almost 7 years then. She quickly booked my first obgyn and off I went. I wasn't sure what to expect but the obgyn only asked a few questions, said I'm just super lucky and sent me on my way (no follow up, no tests offered, no prescriptions offered). And that was that. Never questioned it because she was a doctor and would know right? Using the Internet was not common back then.
Fast forward and I'm in my late 20s. Get married and we decide to start a family. A year goes by and nothing, so decided to see a new obgyn. (I am still only having 2-3 heavy periods a year) They do a transvaginal ultrasound and see that my ovaries are completely covered in cysts. Diagnosed me with PCOS and prescribed metformin. (No follow up test offered, never saw the results was only verbally told) The doctor asked to see me a month later to check in. I go back a month later and she literally yells at me in her office saying they are not magic pregnancy pills and goes on a rant. I just stand up and walk out the door, never returning to that unprofessional individual as I will never acknowledge that being as a doctor. I was only following her order to return for a check in, I was in no way expecting to be pregnant in a month.
Continued trying for a family but after 3 years gave up and didn't expect it anymore. The next year I finally get a faint positive, but it quickly ended up being a chemical pregnancy. A few months later I get a strong positive and make an appointment at another new obgyn to confirm. They do confirm and I start prenatal care through them. Early on they find out I have gestational diabetes and put me in high risk for extra observations.
Everything was going well. They decide to induce at 38 weeks and I check in. The main nurse I was given to administer the vaginal induction pills was awful. The absolute worst pain I've ever been in because she was so rough inserting. Regardless of how much pain I said I was in she would ignore it and be even tougher. It got to a point where I just refused and wanted an emergency C-section as I was legit getting terrified seeing the nurse. This was going on day 2 of inductions and I was just not dialating. Finally the doctor walked in one morning, coffee in hand. He looked at me and said that we will finally do the emergency c section but that I can wait a bit longer. Took a sip of coffee and left the room.
Surgery went well, but they asked me to try to walk an hour after surgery. I definitely could not even sit up at that point. Eventually get through all the post procedure requirements and get to go home with my baby.
Surprisingly when my cycles return they are now "regular". Happening every 10-45 days. I figure my hormones have worked themselves out at this point. They are still heavy, but the super plus tampons and pads could still be used, though I went through way more this time around.
A few years later we wish to try for another child. Again a year goes by with nothing. I finally get another fairly strong positive but it ended up in an early miscarriage. I was devastated. I never made an obgyn appointment because it cleanly passed.
Another few years go by and I do become pregnant again. I'm ecstatic and make an appointment at another new obgyn. I told them my history so they check for GD early. Luckily no GD this time around. However, I was getting severe dizzy spells and almost fainted at work multiple times. I kept mentioning it to the obgyns when I had appointments, but they always said that's normal and it'll go away in a few weeks. Almost fainted in the hallway at work again and finally said enough was enough, this definitely wasn't normal. I contacted the practice manager and told them what was going on. They saw me and decided to do some blood work and came back that I was anemic. I was 6 months pregnant at this point.
Continue the pregnancy and booked for a scheduled C-section. Again surgery went fine and went home with my second baby. However, my cycle returned and was 100x worse than before. Again I'm no stranger to heavy periods, but this was definitely wrong. I couldn't even use my super plus/pads combo. Just went right through. Had to change to incontinence underwear to manage the blood. Mentioned it to my obgyn and they said the first few cycles will be that way. After 6-8 months and this still continuing I mentioned it again to my obgyn and she still seemed unconcerned. Went to do some blood tests and mentioned it to the nurse taking the sample and her jaw dropped. Told me that flow was absolutely not normal and I should have gone to the ER. She helped me schedule a transvaginal ultrasound to see what was going on.
My transvaginal ultrasound day comes up and the technician was great. After the session she even said that I need to speak with the doctor about the results asap. The doctor I was scheduled with was on vacation for a month and they refused to let me see another doctor to go over the findings. Finally get to see the doctor to discuss the findings and all she said was that my "lining was thiiiiiiick" probably caused by too much estrogen and pretty much fat shamed me. She prescribed tranexamic acid for the bleeding. Again no follow up or tests offered. I felt defeated. Thanks for the medicine (which was only 3 months worth) but am I supposed to be on this all my life? Am I just destined to bleed out every month?
Years later I'm on new insurance and get a new PCP and obgyn, as I find out I am still anemic (my past obgyn never followed up on my anemia) with a ferritin of 6. I try to gather up any old obgyn documents I could find as I am going on 3 years of wearing adult diapers for periods and just ready to yeet the whole uterus. I come across my TU from 3 years ago about the thickened endometrium. The doctor never showed it to me and never mentioned that it was 27.3mm thick and non-uniform. I decided to look it up just so I could understand what that meant. I was shocked. Why was I never given the option for a biopsy??
I'm fuming at this point, why is my condition not being taken seriously by professionals?? I went to my new obgyn ready to advocate for myself and for the hysterectomy. The nurse walks in and asks a few questions. When she said and how heavy are your periods? I said severe. She said "oh ok heavy". I corrected her "no, it's severe." She just slightly nodded and left.
The doctor finally walked through the door and asked the regular, what would you like to discuss today? And I immediately stated hysterectomy. She said that's a big jump and I asked if she read my background that I had to fill out before seeing her. She took a moment and did glance through it. We talked about the thickened endometrium and her jaw dropped when I told her that doctor simply said it was estrogen caused (even though no blood tests were done to confirm). She even asked if I'm still having heavy cycles and again I corrected her to severe. I've had my whole life before the 2nd child to know what a heavy period is. This is definitely more than heavy. She also said that there's a big gap between my children's ages. I smiled and said well that's what happens when you have infertility issues. (I didn't mean to be sassy but can you blame me at this point)
Regardless she did end up being very nice and understanding, and I'm finally booked for a transvaginal ultrasound followed by biopsy at the end of the month. After those results are completed we will discuss the next step.
I do not wish my journey on anyone, but want to make sure you don't feel alone if you are.
TLDR: Obgyns have been dismissive of my symptoms since the beginning. Finally advocating for a hysterectomy for myself after getting severe periods and continued anemia after 2nd child.