I have heavy menstrual bleeding, am finished with ny family, but do nit want surgery, are there othe

Yes: Yes; there are a few outpatient procedures that can be done in the hospital or in the dr's office.

Office ablation: Consider having essure to prevent pregnancy followed by an endometrial ablation. Both procedures can be done easily in the office under local anesthesia in minutes. You could also consider a Mirena (levonorgestrel) iud.

Mirena (levonorgestrel): Very effective long term birthday control with this IUD with the added benefit of decreased menstrual flow in most instances.

A # of options: Progesterone IUD (mirena) is a very good option. Uterine artery embolization (radiologic procedure) or endometrial ablation (freeaing or heating to inactivate the uterine lining) are good options. Hysteroscopy can find a polyp or intrauterine fibroid & their removal can alleviate bleeding. Finally, a laparscopic supracervical hysterectomy can be performed as an outpatient surgery.

Options Available: Depends on cause of heavy bleeding. Need evaluation and sonogram. Non-surgical options include: birth control pills. Lysteda (non-hormonal rx taken during period), Mirena (levonorgestrel) iud. Minimally invasive options: endometrial ablation (in-office), hysteroscopy polyp removal or fibroid resection; and only if these treatments fail then consider hysterectomy - vaginal or laparoscopic if possible.

Yes, UFE: Medical management with Lysteda or hormonal therapy can be tried but often will need more definitive treatment. Uterine fibroid embolization (ufe) for symptomatic fibroids should be strongly considered. It is a non-surgical procedure performed by interventional radiologist (ir) that is safer, less invasive, and shorter recovery than surgery. You would need to get ir consult.

Endometrial ablation: Find out if you are a candidate for an endometrial ablation. These are simple office procedures which can be done safely and comfortably in the office under local anesthesia. There are several techniques but having done all of them i prefer genesys hta ablation.