Question 1

is it reasonable to want a hysterectomy, endometrial ablation, or anything to stop my periods permanently?

Accepted Answer

Maybe, consider risk: A hysterectomy is much too risky to do just to stop normal periods. However, the Mirena (levonorgestrel) iud or depoprovera are low risk birth control methods that are likely to stop periods. An ablation is relatively low risk but does not provide birth control.

Question 2

had endometrial ablation several years ago.periods became much lighter, but a few times a year it's heavy.how could this be if lining was frozen off.

Accepted Answer

Tissue left: There are several ways of a ablating  the endometrial lining but there is no way of 100% eliminating all endometrial tissue. Most people are heavy with the reduction in bleeding. However they can experience  recurrent bleeding. If it's still heavy see your Gyn for alternative options. I usually offer multiple options that are suitable to my patients preferences to control the bleeding. Best wishes

Question 3

i still have periods lasting 5-6 days even though i had an endometrial ablation 5 months ago. the blood is brown with clots. should i be concerned?

Accepted Answer

Not concerned: Not likely to be a serious concern.  Likely this represents a relative failure of the ablation.  Perfect outcomes (no bleeding or amenorrhea) happen generally less than half the time depending on the specific type of problem and type of ablation you had.  Bleeding as before or heavier is a true failure and happens less than 10% of the time.  What you describe is  a common outcome, still a success.

Question 4

could an endometrial ablation cause irregular periods?

Accepted Answer

Yes ItMay: Endometrial ablation def can cause irregular menses.

Question 5

i had an endometrial ablation 8 years ago when i was 27. my heavy periods returned about a year ago. did my lining grow back? i didn't know it could

Accepted Answer

Common, but: Bleeding after an ablation is quite common, there are different reasons: 1) remaining areas of active endometrium, new growth of uterine or cervical polyps, fibroids. You will need (and should get soon) an exam with possible imaging studies to determine the cause of your bleeding.

Question 6

am i suppose to still have heavy periods after endometrial ablation after two years?

Accepted Answer

No: If you still have heavy menses 2 years after an endometrial ablation, this is considered a failure. It is important to understand that 15% of ablations fail, higher if you have fibroids. There is no indication to repeat an ablation, not even another type. You may want to consider a laparoscopic supra cervical hysterectomy. Our physicians do this as an outpt procedure, back to work in a week!

Question 7

is conception after endometrial ablation & tubal ligation possible & safe if still having normal periods?

Accepted Answer

Possible....: But not likely.  The tubal ligation blocks your tubes so hopefully the egg and sperm don't meet.  The ablation attempts to destroy the lining of the uterus so your periods are lighter.  We don't recommend pregnancy after an ablation because the risk of miscarriage is so high.

Question 8

been having frequents heavy periods. due to have endometrial ablation  in 5 weeks. had zoladex (goserelin). will this help calm my periods  before op?

Accepted Answer

Zoladex (goserelin) will take: about one month to work. It sometimes will make your bleeding worse for about 2 weeks, then it will get better. But, everyone's body responds just a little differently, so there is no way to guess whether how your bleeding will proceed before the ablation.

Question 9

healthy 40 year old with missed periods for 6 months. i have also had tubes tied with csection, endometrial ablation 4 years ago. concerns?

Accepted Answer

Few if any: If your pregnancy test, pelvic ultrasound and hormone levels (FSH, LH, TSH..) are normal and you are not troubled by any symptoms of premature menopause, there is no real cause for alarm . If you are menopausal, ask a knowledgeable gyn endocrinologist about  the risks/benefits of estrogens+ progestins,about bone health , the prevention of osteopenia-osteoporosis ...in order to remain healthy

Question 10

can you have a period 11 day early after an endometrial ablation?

Accepted Answer

: The first cycle after an endometrial ablation is often abnormal as women slough off the destroyed tissue. Cycles tend to improve over the first 6 months. Menstrual cycle expectations will vary depending on the type of endometrial ablation performed.

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Doctor answers about:

Endometrial ablation period

A member asked:

Is it reasonable to want a hysterectomy, endometrial ablation, or anything to stop my periods permanently?

A member asked:

Had endometrial ablation several years ago.periods became much lighter, but a few times a year it's heavy.how could this be if lining was frozen off.

A member asked:

I still have periods lasting 5-6 days even though i had an endometrial ablation 5 months ago. the blood is brown with clots. should i be concerned?

A member asked:

Could an endometrial ablation cause irregular periods?

A member asked:

I had an endometrial ablation 8 years ago when i was 27. my heavy periods returned about a year ago. did my lining grow back? i didn't know it could

A member asked:

Am i suppose to still have heavy periods after endometrial ablation after two years?

A member asked:

Is conception after endometrial ablation & tubal ligation possible & safe if still having normal periods?

A member asked:

Been having frequents heavy periods. due to have endometrial ablation in 5 weeks. had zoladex (goserelin). will this help calm my periods before op?

A member asked:

Healthy 40 year old with missed periods for 6 months. i have also had tubes tied with csection, endometrial ablation 4 years ago. concerns?

A member asked:

Can you have a period 11 day early after an endometrial ablation?

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