Conversation: The conversation between human and AI assistant.
[|Human|] Im 47 years old and had a long history of gyn problems endometrosis, painful periods , retroverted uterus, 2 healthy pregnancys. I have had 3-4 lap surgerys for the endo. I had my last pap about 2 months ago, that was normal, they did do a transvaginal u/s because of heaviness and history. Her words were you are a fibroid factory. However its been almost a yr since my last period and she said i was postmenopausal and they would regress now. I recently noticed and felt my cervix protruding out ,  I saw her today and i have stage 3 prolapse and after exam has suggested hysterectomy with bladder and bowel repair, which she said was also down. i have a family history of ovarian, breast and a sister now with stage 4 colon cancer, so i said ok to total hysterectomy but now i am getting nervous about that decision, what should i do, should i get another opinion.
[|AI|]  Hello, thanks for using Chat Doctor. True at menopause, fibroid regress and symptoms get improved. The real problem now is the uterine prolapse which not withstanding could have been caused by the weight of the fibroid. Advanced uterine fibroid is managed surgically. In your case, doing surgery will be a waste of resources unlike doing a hysterectomy that would prevent cervical cancer. In my humble opinion, I will advise for a total hysterectomy with suspension of the vagina and reperitonisation. Best regards Chat Doctor.