Real meat causes cancer though.

That sounds divine. I love the contrast of a sweet with a more earthy or floral unsweetened tea.

Yes, in a genetic cancer like Lynch you would take out ovaries.

In a patient with an abnormal biopsy that doesn't want to take progesterone to see if it regresses a hysterectomy is a form of prophylaxis

Endometrial hyperplasia with or without atypia is fairly common especially in obese women.

As far as general prevention? No, we don't just cut out uteruses, and now we're in the weeds, but you didn't talk about hysterectomy with or without oophorectomy because I think it's clear you didn't know the actual difference or you would've specified in your original comment. It's okay to admit you were wrong rather than trying to Google answers that make you technically correct. What's your background in this?

If a patient asked one of the gynecologists at my hospital for a prophylactic hysterectomy 1) they wouldn't likely do it but also wouldn't take out the ovaries unless that had some other risk factors.

Most hysterectomies under the age of 50 are performed without an oophorectomy.

We don't use terms like "partial" or "complete" anymore, those are outdated and not uniform.

To prevent cancer? In a patient with abnormal endometrial tissue - a hysterectomy without oophorectomy is reasonable, oophorectomy is only recommended if you have actual cancer or atypical hyperplasia on biopsy (since the risk of an occult malignancy is high).

No need to take out the ovaries on a 40 year old with abnormal bleeding and risk factors but no actual cancer. Endometrial cancer is slow growing and acts locally until its advanced stages.

A hysterectomy can (and often is) performed without an oophorectomy (removing the ovaries) and therefore cardiac affects and menopause aren'ta factor.

Yes I'm aware Slynd doesn't have estrogen. But everyone's body will respond to different forms of contraception. You shouldn't make your birth control choices based on other's anecdotes. You should talk to your doctor about potential side effects and what the quantitative risks actually are and see what's right for you.

Edit: I should add- Drospirenone is also likely the most thrombotic of the progesterones, probably a lower risk than estrogen containing pills but I wouldn't recommend using it if VTE is a huge concern- It's likely safer to take a different form. However, if it it's the one you tolerate the best it may be reasonable to assume the small but higher risk of a VTE, the data is still murky.

Why do you still have your IUD? Remove it and see if your symptoms improve.

depending on the form and how you take, its a contraceptive

Sounds like aommething else is going on that may not be the IUD, I'd ask your doctor about pelvic floor physical therapy or evaluations for other causes of low libido and pelvic pain. You can also have it removed and try a different form of contraception to see if you have better results.

Very little hormone becomes systemic with the IUD hence why it has better side effects profiles that pills, rings, shots or the arm implant.

It can affect acne for some, but it did not cause weight gain. Every medication has potential side effects unfortunately. IUDs seem to have the lowest.

There's no such thing as a "better form" of progesterone, that's just marketing. Slynd contains the same progesterone as Yaz. Mileage will very, that's why it's important to experiment with what form works with you best.

Yep, no drop on libido either from it.

1:1000 risk of uterine perforation, which isn't as exciting as it sounds.

If you get pregnant with an IUD you do have a higher rate of an ectopic pregnancy than other forms of contraception but your rate of ectopic is still lower than the general population.

You don't have the "first pass effect" you get with combined oral contraceptives. It has less side effects that other systemic exposure birth control.

Every obgyn I know has an IUD as their form of contraception.

EDIT: Unfortunately every single medication and treatment has side effects, you should discuss them with your doctor. If I didn't prescribe things because someone somewhere had a bad time with it... I would never prescribe anything or ever operate on anyone.

This has been known for awhile. Also, if you don't want to have kids and want to decrease your chances of endometrial cancer and progesterone secreting IUD is a great option.