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Questions about Endometrial Ablation
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<blockquote data-quote="susiestar" data-source="post: 260203" data-attributes="member: 1233"><p>I am not sure if I posted on your other thread. I had a total hysterectomy several years ago. I had quite a number of problems including PMDD, excruciatingly painful periods for years, cysts on my ovaries, endometriosis and my uterus was falling out. I had also had a bad pap smear and laser cauterization years and eyars before. The uterus was badly tipped before it started detaching from my body, but still.</p><p></p><p>Now with medications and an ablation and surgery to reanchor the uterus I could have kept all the parts in me. medications would be for the PMDD. The surgery to re attach the uterus was supposed to be "minor" and done through the belly button. </p><p></p><p>My doctor (who I trust 1000&#37; and has NEVER steered me wrong - the best doctor of ALL the docs I have ever seen) told me he would not do an ablation. He said he was strongly recommending against them to his patients. He had performed them for several years and after 5 years he found that a high percentage of the ablations had to be redone. He had reviewed the notes from all of the patients that he and his partners had done this procedure to, as well as from patients in a former practice in my town (he had moved to a town about 2 hours away and about 75% of his patients FOLLOWED him from our town to this new office when he moved - he is THAT awesome a doctor) AND patients from free clinics in our town and his new town. He started teh free clinics and was reviewing charts to write this up.</p><p></p><p>Total it was at least 8 different doctors' patients he reviewed. And after anywhere from 12 months to 4 years the procedure had to be either redone or a hysterectomy had to be done in many of the cases. </p><p></p><p>He also said they were having an incredibly tough time having the second, or even third ablation for the same patient approved by insurance. </p><p></p><p>Granted, it has been over 7 years, so it is entirely possible the procedure has changed in substantial ways and is a longer lasting form of relief for most patients. But you should ask the doctor how often the ablation just doesn't work, and how long it will last for. Hopefully things are much better in the way the ablation is done and it will give you many years of relief.</p><p></p><p>I will say that I have NEVER regretted my hysterectomy. I take a small dose of estrogen daily and have had no problems due to that either. I actually take LESS estrogen now than I did before the surgery. (But that is problem due to my system's oddity, not a common thing!) </p><p></p><p>Whatever you have done, I hope it has the best possible result and those results last for as long as you need them! I also hope you have a fast recovery and no complications. You will feel SOOOOO much better after you get this taken care of.</p><p></p><p>With ablations and hysterectomies, remember that they will pump you full of air. Be SURE to have some gas-x or other medication with simethicone to help with the gas. It makes a huge difference. If you will be in the hospital overnight make sure the doctor has orders for the medicine written down - AND that you have some in your purse or bag in case the hospital pharmacy doesn't have any. They like to give you a stool softener while you are in the hospital, but it won't help wtih the gas cramps. </p><p></p><p>And if the cramps get bad and you need a hot pack have the nurses microwave a wet towel and tehn put it in a plastic bag and wrapped in another towel. It makes a BIG difference with the gas cramps too. I found they did not want to microwave my rice bag in the hospital but they would do that.</p><p></p><p>I am glad your doctor is now willing to help you with this problem. I know it has been rough for quite a while for you.</p></blockquote><p></p>
[QUOTE="susiestar, post: 260203, member: 1233"] I am not sure if I posted on your other thread. I had a total hysterectomy several years ago. I had quite a number of problems including PMDD, excruciatingly painful periods for years, cysts on my ovaries, endometriosis and my uterus was falling out. I had also had a bad pap smear and laser cauterization years and eyars before. The uterus was badly tipped before it started detaching from my body, but still. Now with medications and an ablation and surgery to reanchor the uterus I could have kept all the parts in me. medications would be for the PMDD. The surgery to re attach the uterus was supposed to be "minor" and done through the belly button. My doctor (who I trust 1000% and has NEVER steered me wrong - the best doctor of ALL the docs I have ever seen) told me he would not do an ablation. He said he was strongly recommending against them to his patients. He had performed them for several years and after 5 years he found that a high percentage of the ablations had to be redone. He had reviewed the notes from all of the patients that he and his partners had done this procedure to, as well as from patients in a former practice in my town (he had moved to a town about 2 hours away and about 75% of his patients FOLLOWED him from our town to this new office when he moved - he is THAT awesome a doctor) AND patients from free clinics in our town and his new town. He started teh free clinics and was reviewing charts to write this up. Total it was at least 8 different doctors' patients he reviewed. And after anywhere from 12 months to 4 years the procedure had to be either redone or a hysterectomy had to be done in many of the cases. He also said they were having an incredibly tough time having the second, or even third ablation for the same patient approved by insurance. Granted, it has been over 7 years, so it is entirely possible the procedure has changed in substantial ways and is a longer lasting form of relief for most patients. But you should ask the doctor how often the ablation just doesn't work, and how long it will last for. Hopefully things are much better in the way the ablation is done and it will give you many years of relief. I will say that I have NEVER regretted my hysterectomy. I take a small dose of estrogen daily and have had no problems due to that either. I actually take LESS estrogen now than I did before the surgery. (But that is problem due to my system's oddity, not a common thing!) Whatever you have done, I hope it has the best possible result and those results last for as long as you need them! I also hope you have a fast recovery and no complications. You will feel SOOOOO much better after you get this taken care of. With ablations and hysterectomies, remember that they will pump you full of air. Be SURE to have some gas-x or other medication with simethicone to help with the gas. It makes a huge difference. If you will be in the hospital overnight make sure the doctor has orders for the medicine written down - AND that you have some in your purse or bag in case the hospital pharmacy doesn't have any. They like to give you a stool softener while you are in the hospital, but it won't help wtih the gas cramps. And if the cramps get bad and you need a hot pack have the nurses microwave a wet towel and tehn put it in a plastic bag and wrapped in another towel. It makes a BIG difference with the gas cramps too. I found they did not want to microwave my rice bag in the hospital but they would do that. I am glad your doctor is now willing to help you with this problem. I know it has been rough for quite a while for you. [/QUOTE]
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