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Doctor insights on: Hysterectomy After Ablation

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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 ! ...Read more

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Dr. Lawrence Kessler
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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I have just been diagnosed with post ablation syndrome, I understand what it is but want to make sure hysterectomy is the best option. ?

I have just been diagnosed with post ablation syndrome,  I understand what it is but want to make sure hysterectomy is the best option. ?

Bleeding: Hysterectomy is usually to control bleeding : some women (6%-25%) have reported heavy bleeding that was unchanged at one year following the procedure. These women may require further surgery (re-ablation or hysterectomy) to control the bleeding. About half of the women who had endometrial ablation will not have periods at all following the procedure. Get a 2nd opinion if you have questions ...Read more

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I can't decide between ablation & hysterectomy. Is ablation permanent? I've heard that the lining will grow back over time.

I can't decide between ablation & hysterectomy.  Is ablation permanent?  I've heard that the lining will grow back over time.

Yes, it's permanent: However the results are variable. About 10% of the time it will have no effect while maybe half the time it will eliminate your periods entirely. Ablation is a much easier. safer. and quicker procedure. If the results are unsatisfactory then the hysterectomy can be done later. ...Read more

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Can thermal ablation be repeated? I don't think it was done well 10 years ago, symptoms have returned. Hysterectomy recommended, but i'd rather not.

Probably it was: Done medium well and not well done. (bad joke!). Seriously speaking, there are no guarantees that menses won't recur with thermal abaltion. U may want to get a 2nd opinion if ur not pleased. Best wishes! http://www.M.Webmd.Com/women/endometrial-ablation-16200. ...Read more

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Have adenomyosis, had ablation 4 weeks ago, ineffective, a lot of pain since, considering hysterectomy. What type of procedure is recommended and why?

Depends: Hysterectomy can be performed laparoscopically (with or without the davinci robot) , vaginally and abdominally. Your gyn will discuss the best option for you based on the size and position of your uterus and his/her experience. ...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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I am 27. My GYN is wants to do an Ablation (pending a biopsy) but told me I WILL have to have a hysterectomy within 5-10. Shouldn't I just do it now?

Important choice: Maybe. That's an important decision. Consideration should be given to potential desire for children as well as risk vs benefit of having he surgery against risk vs benefit of waiting. This decision should be made after a conversation with you GYN about these topics and with full understanding of all your options. Don't be afraid to ask your GYN because this is truly an important quetion. ...Read more

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I have been diagnosed with subserosal fibroids and adenomyosis. I am 49 yrs old. Should I do an ablation or hysterectomy?

I have been diagnosed with subserosal fibroids and adenomyosis. I am 49 yrs old. Should I do an ablation or hysterectomy?

Ablation vs. hyst: When looking at the difference between a hysterectomy or ablation, it is important to keep in mind which symptoms are needing treatment, and length of recovery. An ablation can be successful in treating abnormal or heavy bleeding, but less successful in addressing issues of pain. A hysterectomy is invasive and requires a recovery time of weeks instead of days. ...Read more

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Is it reasonable to want a hysterectomy, endometrial ablation, or anything to stop my periods permanently?

Is it reasonable to want a hysterectomy, endometrial ablation, or anything to stop my periods permanently?

Maybe, consider risk: A hysterectomy is much too risky to do just to stop normal periods. However, the Mirena (levonorgestrel) iud or depoprovera are low risk birth control methods that are likely to stop periods. An ablation is relatively low risk but does not provide birth control. ...Read more

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Dr. Jeff Livingston
1,837 doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more