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Doctor insights on: Ablation For Fibroids

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What are treatment options for uterine fibroids?

What are treatment options for uterine fibroids?

Nutritional Rx: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read more

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Dr. Lawrence Kessler
9 doctors shared insights

Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more


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Is ablation like novasure an option for women with endometriosis?

Is ablation like novasure an option for women with endometriosis?

Yes and No: The Novasure ablation procedure is specifically to decrease or stop heavy menstrual bleeding. Women who also have endometriosis can still have the procedure; however, it won't help with their endometriosis. The reason for this is that endometriosis is outside the uterus. The Novasure procedure works by cauterizing the inside of the uterus. Best wishes! ...Read more

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Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

No: I would highly recommend removing them laparoscopically (minimally invasive approach). Although this method is more difficult to perform, for the patients, there will be great benefit (cosmetically small pleasing scars, 2 week recovery, less pain, quicker return to work). Please do your homework and find a skilled laparoscopic surgeon. The differences are night and day! ...Read more

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Which is better endometrial ablation vs hysterectomy?

Which is better endometrial ablation vs hysterectomy?

Depends on problem: If the main problem is heavy bleeding then an endometrial ablation is a safer minimally invasive first start. It is a simple procedure which can be done in the office under local anesthesia with minimal to no time off for recovery. If there are other problems then hysterectomy may be a better options. Discuss both and ask questions at your next visit. ...Read more

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How effective are endometrial ablations?

How effective are endometrial ablations?

Mostly: There are several different companies that have endo ablation devices, each with varied success. Some women's periods completely stop, while others periods are significantly decreased, and some get no help from ablations. I suggest you talk to your ob/gyn for more information. ...Read more

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What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

Definitive Control: We don't generally do this with surgery, but rather with a "catheter" based procedure (wire we thread into the heart that cauterizes the av node). This procedure provides complete control of the heart rate in the lower chamber and excellent symptom control, but makes people dependent on the pacemaker that *must* be implanted with this procedure. ...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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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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What to expect after endometrial ablation and tubal ligation?

What to expect after endometrial ablation and tubal ligation?

Ablation T.L.: You should expect more pain and discomfort with this combined surgery esp. If you had irregular periods beside anemia and follow postoperative instructions closely and particularly about resume activities and relationshion as every gyn may have slight differance in case management and preferance by experience. ...Read more

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Are new treatments avaialble for uterine fibroids?

Are new treatments avaialble for uterine fibroids?

Yes: Certainly hormone therapy, and surgery can be used, but many fibroids can be managed conservatively. The robot assisted removal has improved outcomes on fibroid removal substantially. ...Read more

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Which procedure would be best for a endometrail ablation thermal or novasure?

Which procedure would be best for a endometrail ablation thermal or novasure?

Either one: There really is no good answer to that question. The procedures are equally effective for most women. If your uterus is larger then 8-9 cm, your physician may choose thermal ablation which may be better for larger uterine cavities. If your procedure is done in the office, my experience has been that novasure is somewhat better tolerated and certainly quicker for the patient. ...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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How effective is uterine ablation?

Very effective: Endometrial or uterine ablation is up to 90% effective in treating abnormal bleeding depending on the method used. Hta and novasure are the two most effective and common methods. Novasure is slightly quicker and can be scheduled almost any time in your cycle. Hta or genysis hydrothermablation can be performed on differently shaped uteruses with greater safety and with less discomfort. ...Read more

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Is having an endometrial ablation safe?

Is having an endometrial ablation safe?

Yes : It's safe, effective, and very well tolerated. The safety profile is quite good . Typically it is safer than a hysterectomy - depending on the type/equipment used. ...Read more

Dr. Erik Borncamp
2 doctors shared insights

Ablation (Definition)

Cardiac ablation involves destruction of tissue aimed at elimination of sources of origin or propagation of arrhythmias. It may also be used to destroy part of the heart in hypertrophic cardiomyopathy. Typically it is done with a catheter inserted through a ...Read more


Dr. Ana Adelstein
3 doctors shared insights

Fibroid (Definition)

A leiomyomata(fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain( aka "fireball tumor") as ...Read more