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Doctor insights on: Ablasion

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PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

Maybe not: Endometrial cancer can be obscured by endometrial ablations if it is not ruled out prior to the procedure by biopsy. Many women continue to have bleeding post endometrial ablation procedures, and the most likely conclusive treatment is hysterectomy if you no longer desire children. ...Read more

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Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

No, not really: Adenomyosis is when the lining cells of the uterus are located just deep to the lining (but still within the uterus). It can be thought of as endometriosis of the uterus. Hysterectomy would remove this. Almost all fibroids are in the uterus also and would be removed with hysterectomy, although there are fibroids on rare occasions outside the uterus which could be missed/reoccur but very rare. ...Read more

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Endometrial sqamous metaplastic cells endo biopsy has been done?

Endometrial sqamous metaplastic cells endo biopsy  has been done?

Please clarify: Pap smears and biopsies often show both squamous metaplastic endocervical cels and endometrial cells. Beyond a heads-up that hpv may be present, squamous metaplasia isn't a great concern. If you can rephrase what you are asking, someone here will be glad to help. ...Read more

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Endometrial polyp and endometriosis related?

Endometrial polyp and endometriosis related?

Not really: They are two separate pathologies...Not uncommon for them to coexist but. As one nears menopause, endometriosis and its symptoms will recede, but endometrial polyps can still occur and warrant evaluation especially if you are having post menopausal bleeding. ...Read more

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

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

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. ...Read more

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Period after endometrial ablation and tubal ligation what is the cause?

Period after endometrial ablation and tubal ligation what is the cause?

Not 100%: Endometrial ablations do not always stop the periods. It depends on whether the whole endometrium sloughed off or not. The tubal ligation has no effect at all on the period. Be well. ...Read more

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Could a trans-vaginal ultrasound detect endometrial hyperplasia?

Could a trans-vaginal ultrasound detect endometrial hyperplasia?

Hard to be certain: Ultrasound is never 100%, but several findings are suspicious for endometrial hyperplasia or even cancer. For instance, if your lining is excessively thick for your age or if there is a suspicious mass seen within the uterine cavity on the sonogram, hyperplasia or cancer may be present. However, other findings can cause similar images on sonogram. Also, diagnosis can only be made with a biopsy. ...Read more

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Endometrial lining was 1mm 7 days post ovulation- periods are very light, 2 miscarriages, HSG shows abnormal uterine shape- could this be asherman's?

Endometrial lining was 1mm 7 days post ovulation- periods are very light, 2 miscarriages, HSG shows abnormal uterine shape- could this be asherman's?

Yes, Asherman's: Asherman's syndrome is adhesions of the uterus. The adhesions form usually after a procedure like a D&C for miscarriage. Adhesions are areas where there is no normal endometrial tissue cover that will grow to allow for pregnancy implantation or periods. Treating this can be difficult and take time to heal. I recommend you seek care with a reproductive endocrinologist. ...Read more

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A lap myomectomy (removd 3*3cm size-submucos, intramuralfibroids) affect my future pregnancy? I miscaried due to fibroid at 6th month.

A lap myomectomy (removd 3*3cm size-submucos, intramuralfibroids) affect my future pregnancy? I miscaried due to fibroid at 6th month.

Hopefully not: Removal of the fibroid will hopefully allow you to have a normal pregnancy, although you may need a caesarean section depending on the extent of the surgery. Your next pregnancy(s) will need to be monitored closely. Hopefully all the fibroids were removed as they tend to grow in pregnancy and may cause problems. Talk to your dr about these concerns. ...Read more

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How is endometrial ablation used to treat dysfunctional uterine bleeding?

How is endometrial ablation used to treat dysfunctional uterine bleeding?

Dub and endometrial: Causes of dysfunctional bleeding should be determined by a biopsy before proceeding to ablative therapy. If there is no evidence of cancer then the ablation can be performed to destroy the endometrial lining and prevent further bleeding in the future. ...Read more

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Gyno planned novasure proc. (bleeding)- removed polyp & mirena (levonorgestrel) (d&c). Never had novasure - gyno says machine failed x2 punctured uterus?Confused!?

Gyno planned novasure proc. (bleeding)- removed polyp & mirena (levonorgestrel) (d&c). Never had novasure - gyno says machine failed x2 punctured uterus?Confused!?

Good: The novasure can perforate the uterus and cause a burn to the bowels. You dr was right to stop the procedure. You may want to consider a different method if you try again. ...Read more

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Had tubal lig. 2 yrs ago, novasure ablation 9/2012, last period/spotting 2/2013. Yesterday, 1st thought implantation b/c of little blood. Pregnant?

Highly unlikely: With a tubal ligation (blocking egg from traveling down tube to meet sperm for fertilization) and novasure ablation (making the uterine lining inhospitable to implantation of a fertilized egg), doubt you are pregnant. You can always check a home pregnancy test to be sure. ...Read more

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Miscarriage d&c irregular bleeding after?

Miscarriage d&c irregular bleeding after?

Need followup: Irregl bleed more than 2 weeks from a d and c for miscarriage warrants some followup. Some bleed up to 2 weeks may be ok.. But not heavy bleed. Need a repeat preg hormone test (HCG) and if still positive, need a ultrasound! good luck! ...Read more