Endometrial Ablation Review

Endometrial Ablation is an hospital surgical procedure that will remove or perhaps destroys the lining of the womb. This process has developed into a less invasive alternative to hysterectomy for treating excessive monthly period blood loss. There are several methods offered to perform this procedure, like burning apart the lining together with hot liquid or power current, or perhaps freezing the liner, or even using microwaves to destroy the lining in the uterus.

The strategy used is determined by the preference of your gynecologist undertaking the procedure, as well as the specific body structure of the individual’s uterus. Even so, regardless of the strategy used, the outcomes are very equivalent: 52% of women who will be treated with this process will never hemorrhage again.In addition, 92% of women handled will benefit by an improvement within their menstrual hemorrhaging patterns at three years procedure. Obviously this leaves roughly 8% of women which will not reply to this medical procedures and may end up with a hysterectomy to deal with her too much menstrual bleeding. This process provides several advantages around hysterectomy. The main gain is that it is non-invasive and typically will hardly ever require inpatient stay in hospital; virtually all people who go through this treatment are generally discharged inside about an hour from the process and although there may be several significant uterine cramping, they have nearly completely retrieved by Twenty four hours following the procedure.

Alternatively, hysterectomy may need approximately 4 days of inpatient hospitalization with as many as a 6 week healing. Nearly all women have the ability to return to the majority of standard pursuits in a day or even two. Sexual intercourse and very intense activity is normally restricted for 14 days. It is normal to have increased launch for 2 to 4 weeks afterward, because the lining can be shedding. Both endometrial ablation and hysterectomy do bring the potential risks involving anesthesia difficulties, bleeding, an infection, and or risk of injury to bowel, vesica, and other pelvic regions. Nonetheless, because an ablation is only a 15 minute outpatient procedure, the risks stated above tend to be significantly reduced in comparison to the much more lengthy and unpleasant hysterectomy.

Since a good ablation eliminates the liner of the womb, the surgery is not for anyone who wants to maintain her sperm count. Women who have a very metastasizing cancer as well as per-malignant condition from the uterus are certainly not candidates for ablation. Girls that have serious pelvic pain could be better served by alternative remedies. Although pregnancy is not likely after ablation, serious difficulties could possibly happen. For that reason, it is essential to use reputable contraception following an endometrial ablation. A number of women will elect to undergo a tubal ligation during the time of the process and many of the types of endometrial ablations enables these procedures to be performed simultaneously.

Virtually any woman that is having heavy menstrual hemorrhaging that has affected her total well being must evaluate endometrial ablation for therapy. It is very important find a doctor who has experience in checking out reasons behind heavy, abnormal menstrual blood loss, and experience in performing endometrial ablations and can determine whether the sufferer is definitely an appropriate candidate for this procedure. For lots of women, this noninvasive procedure will permit them to prevent a hysterectomy although providing a tremendous improvement of their quality lifestyle.

What The Medical Community Has To Say

Numerous reports in medical journals document the effectiveness of Endometrial Ablation. The American Journal of Obstetrics and Gynecology reported that Dr. Milton Goldrath, a pioneer of the technique, obtained an overall success rate of 96% in a 10-year study of his patients.

Another study, published in the British Journal of Obstetrics and Gynaecology, evaluated 696 patients treated with the laser technique. In 83% of these cases, menstrual bleeding was completely eliminated or reduced to one or two days of slight vaginal staining each month. Another 9% experienced a very light, regular menstrual flow.

A recent report in the Journal of Reproductive Medicine also concluded that Endometrial Ablation may substantially reduce PMS symptoms.

“An effective alternative to hysterectomy for the control of excessive uterine bleeding in patients where other treatment have failed, are contraindicated, or are otherwise undesirable. ”

Milton Goldrath, MD – Detroit, Michigan

“The potential benefits . . . as an alternative to hysterectomy are enormous.”

Ray Garry, MD – Middlesborough, England

“The patients who underwent this procedure were highly satisfied with having their bleeding controlled without the risk of a major operative procedure – Hysterectomy.”

Michael S. Baggish MD

and Pavlos Baltoyannis, MD

Syracuse, New York

What You Should Know About Endometrial Ablation

I bleed so heavily every month I can’t leave home. Is this normal?

Heavy bleeding is not normal, but it is common. One out of every 5 women have unusually heavy bleeding, also called menorrhagia. Women just like you have described symptoms of unmanageable bleeding, flooding, clotting and a constant need to change pads or tampons, which quickly become soaked. You feel tired, worry about embarrassing accidents and are frustrated when your periods rule your life.

What causes menorrhagia?

The most common cause is hormonal imbalance, especially in women 35 – 45 years of age, prior to menopause. Benign (non-cancerous) uterine growths, such as fibroids or polyps, infection or chronic illness can cause excessive bleeding.

How is excessive bleeding evaluated?

In order to find the cause of bleeding and determine the right treatment for you, Dr. Robinson will perform tests to provide information about the lining of your uterus and determine a complete history. These tests may include:

  • Sonograms
  • Biopsy
  • Hysteroscopy
  • Pap Smear

Frequently Asked Questions

Am I a candidate for Endometrial Ablation?

First, you will come in for an evaluation and a thorough history, an office sonogram, hysteroscopy and an endometrial biopsy. Then, Dr. Robinson will consult with you regarding your options.

Can I get pregnant after the treatment?

No. The FDA recently reported that it is a permanent and irreversible form of sterilization. This procedure is not for those who desire future fertility.

What about Endometrial Ablation Recovery

The procedure is typically performed in 1 – 3 hours. After 2 hours of recovery, the patient will go home and may return to work in a few days. This method causes a complete absence or marked decrease in bleeding. Endometrial ablation using the Thermachoice Uterine Balloon Therapy System is another method available.

What will I feel during the procedure?

General anesthesia (“being put to sleep”) will be used during the procedure. If you are not a candidate for general anesthesia, a regional anesthesia, like an epidural or IV sedation, may be used. You may experience nausea or vomiting after general anesthesia or IV sedation.

What will I feel after the procedure?

You may feel mild or moderate cramping, like a menstrual period. If needed, you may receive a mild medication to make you more comfortable. You will be in the recovery room for approximately 1 – 4 hours. Be sure to make arrangements for someone to drive you home and where you can rest for the remainder of the day.

What can I expect after I go home?

Most women can return to work and family commitments by the next day. Sexual activity may be resumed after your first check-up, usually 7 – 10 days. Most patients have a pinkish discharge for about 2 – 4 weeks. In some cases, the first few periods after the procedure continue to be heavy, but will improve thereafter.

Are there any post-procedure complications for which I should call my physician after I get home?

You should call the doctor’s office if you experience a fever of 100.4 degrees Fahrenheit or over, worsening pelvic pain that is not relieved by ibuprofen (Motrin or Advil) or other medications prescribed by Dr. Robinson. You should also report nausea, vomiting, bowel or bladder problems, and/or a greenish vaginal discharge.