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Doctor insights on: Hydrothermal Ablation

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What do you suggest if my wife had an endometrial hydrothermal ablation 5 years ago.?

What do you suggest if my wife had an endometrial hydrothermal ablation 5 years ago.?

Depends: Endometrial ablation is a procedure designed to decrease menstrual flow or even eliminate it in some instances. A woman's menstrual flow after ablation may be lighter, stay the same or not be present. Increase in menstrual flow or irregular menses warrant evaluation after ablations.

Dr. Steven Griggs
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


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Would hydrothermal ablation be effective for adenomyosis of 17mm in the junctional zone by MRI?

Would hydrothermal ablation be effective for adenomyosis of 17mm in the junctional zone by MRI?

Highly doubtful: But not known. I'm guessing (?) you are referring to what's called "endometrial ablation, " the reason is it "burns" the endometrium. It is definitely NOT intended or tested for "burning" adenomyosis, which is in the uterine muscle. Might work, might not, but I doubt it. Question: one 17 mm focus is unlikely to cause significant problems in a 50 y.o. - why do you need to treat it? Good wishes.

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I had an hydrothermal endometrial ablation last week and I was curious how long the discharge will last?

Couple of weeks: You may have red to brown spotting for a couple of weeks, but it should lighten during these two weeks. Some women report a clear discharge for up to a month after the procedure.

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What are the pros and cons of medialstinal ablation?

What are the pros and cons of medialstinal ablation?

Need more info: The mediastinum is the area around your heart. Ablation means "destruction". The pros and cons depend on what is being destroyed (lymph nodes? Cancer?) and how (radiofrequency? Heat? Cold?) ask your doctor what the evidence is for the procedure, and what alternatives are possible. The mediastinum contains critical structures, so you don't want to risk any non-proven procedures.

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What is nerve ablation?

What is nerve ablation?

Destruction of nerve: It is usually used for medial branch nerve, which supplies facet or articular joints in the back or neck. This nerve only brings back pain information from that joint and does nothing else. When it's destroyed, the pain goes away despite the abnormality remaining there - i.E arthritis.

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What contraindications of AF Ablation??

See below: The main contraindication is lack of anticoagulation for 4 weeks prior, but I see you're on Pradaxa. The likelihood of success in permanent AF is low, thus that is a relative contraindication.

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I have had ablation. Can I take tadalafil?

I have had ablation. Can I take tadalafil?

See my remarks: Ablation of what? Whatever you had, if you are weeks from the procedure, Tadalafil should pose no issue, BUT ASK THE DOCTOR WHO DID THE ABLATION FIRST.

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Can you exercise after an endemetrial ablation?

Can you exercise after an endemetrial ablation?

Absolutely: You should be able to return to your normal level of activity as soon as you feel up to it.

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How long the recovery time is for thermal ablation?

How long the recovery time is for thermal ablation?

Usually 1-2 days: Most ablations require very little recovery & you should be back to normal after 1-2 days. You need to be at pelvic rest (nothing in the vagina) for 2-4 weeks, but otherwise downtime is minimal. If done under general anesthesia, 1-2 days is usually needed to recover from the anesthetic. Rarely pts may experience severe pain & need up to 2 weeks off to recover. Take the pain meds prescribed!

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Is its normal to bleed five years after an ablation?

Is its normal to bleed five years after an ablation?

Not really: The object of the ablation is to stop the bleeding but 5 years out is a long time and at your age it would not be uncommon for the uterine lining to be reforming and bleeding to be occurring.

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Does radio frequency ablation kills the nerve permanently?

Does radio frequency ablation kills the nerve permanently?

Yes: It kills nerves that are ablated permanently but not the nerves that are not touched.

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What is the definition or description of: thermal ablation?

What is the definition or description of: thermal ablation?

Destruction by heat.: This is used by different specialists to destroy excess tissue growth such as in benign prostate hypertrophy done by urologists as an office procedure or to destroy tumors in internal organs that can be precisely hit by the catetherization of their blood supply in that case by interventional radiologists.

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Can you give me information on topera diagnostic image for ablation?

Can you give me information on topera diagnostic image for ablation?

It's a: Rhythmview system that assist electrophysiologist in the identification of the electrical source of cardiac arrhythmias. Its a different technology. Pulmonary vein isolation actually use. It's a research technology with possibly a bright future. 6 millions americans suffer from atrial fibrillation but only around 120, 000 ablations a year. Electro cardiologist are true artist when doing ablations.

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Should you be concerned if you start bleeding 4 years after ablation?

Should you be concerned if you start bleeding 4 years after ablation?

Not necessarily: It's not uncommon for women to bleed years after an endometrial ablation. The goal is to destroy the lining of the uterus, however, given that many women have ablations done in their 30s or early 40s, hormonal influences sometimes cause gradual regrowth of the endometrium allowing bleeding to recur. No woman undergoing an endometrial ablation should be promised amenorrhea (no more periods).

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Is it wise to have another ablation or should I have a hysterectomy? What other options do I have?

Is it wise to have another ablation or should I have a hysterectomy? What other options do I have?

What about UFE?: Ablation burns the lining of the uterus and often doesn't work if the symptoms are due to fibroids (i.e. Doesn't treat the problem just the symptom). Uterine fibroid embolization allows women to get the symptom relief (exs. Heavy bleeding, pelvic pain, etc) completely without surgery and you get to keep your uterus. Even in women who don't want children, your uterus is still important to you!

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How Long is recovery supposed to be after novasure ablation? I've been with dichargre for two weeks

Normal: Discharge following in the metria liberation is going to be normal even for two weeks. If you're concerned there might be the possibility of infection, and definitely see your doctor. But it would be normal to have dark brown discharge for a couple of weeks

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How do I check to see how many times my electro physiologist has had bad results when doing an ablation?

How do I check to see how many times my electro physiologist has had bad results when doing an ablation?

If you are still: Having the problem they were trying to treat, discuss it with them on your follow-up appointment. You can ask them what they think and what are your options. If you are past that, consider getting your records reviewed and getting a second opinion by someone who is the same specialty.