Doctor insights on:
Ablation For 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 moreSee 1 more doctor answer
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
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
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
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
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 moreSee 3 more doctor answers
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
For uterus over 10cm with heavier bleeding and cramping would you recommend endometrial ablation or hysterectomy?
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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