RE: Let's talk uterine ablation...shall we?

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RE: Let's talk uterine ablation...shall we? - 7/31/2011 12:19:42 PM

NuevaVida

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quote:

ORIGINAL: kiwisub12

Uterine ablation won't take care of fibroids, which are in the muscle layer of the uterus. Polyps on the other hand may well be destroyed by ablation depending on which type of ablation used. There are several using different types of technology. Most docs won't guarantee you to have no periods after an ablation, because any normal tissue not ablated will probably bleed, but will tell you that the period will be less. I'm thinking the percentage of people with no periods after an ablation is 10% but don't quote me on that - that is what i seem to remember from conversations with docs.

Its not an alternative to hysterectomy, but definitely can take care of nasty periods.

Thanks, kiwisub. My OB/GYN is new to me, in that the one I saw for the last 12 years just retired. But I love my PC, so I'm going to talk to him about these options, too, and see what he thinks.

I read that only 30% of patients who have had ablation end up with no periods.

I would really just like some relief, and the extremist in me is screaming "Just yank the whole thing out!!" but I have to take a step back and consider all options realistically.

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RE: Let's talk uterine ablation...shall we? - 8/16/2011 7:38:29 AM

0ldhen

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Just checking in to see what you decided to do and if it has helped you at all.

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RE: Let's talk uterine ablation...shall we? - 8/28/2011 7:47:18 PM

LittleMeganV

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There are more than a couple methods of ablation. Some include electroclautry through a mesh, others use device similar to hot ball bearings. Some use microwave, some use a fluid (can't remember what it is though). Side effects/complications are the same as any procedure (infection, pain, etc) with one extra risk... perforation of the uterus and/or vagina this is most common in women with retroflexed uterus, or with normal flexed uterues where the bladder has sagged down due to child birth (causing uterus to fold over more). In the event of a perf, they might open you up and stitch you up, or based on your guidance they may convert to partial hysterectomy (leave ovaries).

It's important to find out what method your institution uses and what method your provider is most comfortable with and does most frequently. Then research that particular method, they all have different success rates and success spectrums. Some just control bleeding/pain by reducing endometrial tissue.. others are designed to ablate everything and cause uterine walls to scare down to each other completely ending menses.

Most patients are happy and satisfied, there is always the 1 who has a complication or changes their mind on child birth. 1 person still matters though when the 1 person is you...

Make an informed decision and I think you'll be happy. Lots of good advice/comments available around here =)

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RE: Let's talk uterine ablation...shall we? - 8/28/2011 7:51:13 PM

LittleMeganV

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quote:

ORIGINAL: kiwisub12

Uterine ablation won't take care of fibroids, which are in the muscle layer of the uterus. Polyps on the other hand may well be destroyed by ablation depending on which type of ablation used. There are several using different types of technology. Most docs won't guarantee you to have no periods after an ablation, because any normal tissue not ablated will probably bleed, but will tell you that the period will be less. I'm thinking the percentage of people with no periods after an ablation is 10% but don't quote me on that - that is what i seem to remember from conversations with docs.

Its not an alternative to hysterectomy, but definitely can take care of nasty periods.

Just FYI, fibroids can be submucosal (below endometrium above uterine muscle... these will be effected by ablation. Fibroids can also be endometrial and peduculated (on a stalk)... these too will be effected by ablation. Intramuscular and subserosa are in the muscle or outside of the muscle but below the serous that surrounds the outer uterus... these would not be effected. Ultrasound is a quick simple non-invasive method of determining a general idea of fibroid type and location. CT would be best but caries a high radiation burden.

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RE: Let's talk uterine ablation...shall we? - 8/28/2011 7:56:05 PM

MistressDarkArt

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NV, my friend had ablation and was so glad she did. She still has periods but they are light, last only 3 days and don't completely debilitate her. She's still a bitch before and during, though