Doctor insights on:
Thermal Balloon Ablation
If you bleed, yes.: Sometimes the gland grow deeply into the muscle and are not completely destroyed. In that situation bleeding can resume later. Remember, ablation was developed to be a quick alternative to hysterectomy, and no guarantees can be made as to cessation of bleeding. If it works be happy. If not, there is probably something like adenomyosis which causes failure and can't be treated with ablation. ...Read more
40 yoa female. 10-14 mm thickened uterus. Balloon abalation in 2002. Uterus filled with scar tissue, unable to get biopsy. Pt wants to avoid hyster.?
Not enough info: I'm assuming there is concern regarding the thickened uterus but we don't know enough about things like risk factors. This is too complicated for a 400 character answer. She needs a tissue diagnosis one way or another. See a good gynecologist and don't waste time on a site like this. ...Read moreSee 1 more doctor answer
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. ...Read more
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! ...Read more
I had a thermal ablation in 2011, but want a child now. I know the risks and still want to proceed. Are there any procedures that can help?
Risky: Pregnancy after endometrial ablation is unlikely and when it occurs is at high risk for serious complications such as abnormal placental attachment, hemorrhage, preterm delivery, and bleeding leading to need for hysterectomy. Pregnancies after ablation have a 49 percent termination rate in addition to the above complications. If you are willing to take these risks, discuss your plans with a good OB GYN willing to closely follow you and manage complications to the degree possible. ...Read moreSee 2 more doctor answers
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
Should not be: I assume you are referring to an endometrial ablation -- a treatment for heavy menstrual periods. There should not be any sexual side effects. Ablations do not affect the ovaries or your hormone levels. It simply destroys the internal lining of the uterus called the endometrium. ...Read more
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.
Is there any form of thermal ablation that is a permanent pain stop for chronic back pain or will the nerves still grow back?
Nothing Permanent: Usually RFA lasts at least 12-18 months on average. Some people can get less relief if nerves re-grow sooner. In my patient base most people will come back for repeat treatments at around 12-15 months. Some of my patients have had multiple years of relief. Sometimes after the 2nd or 3rd treatment the nerves grow back slower. ...Read moreSee 1 more doctor answer
If you would have thermal choice uterine ablation and it does not do what it is meant to do, can I have a another uterine ablation?
Sometimes: Ablations are reasonably good at normalizing menstrual bleeding and sometimes at even stopping periods. If one ablation style is unsuccessful at doing this, sometimes another style may be more effective. It also may make more sense to consider other options. Ablation after another ablation can sometimes be more difficult and result in more complications. ...Read moreSee 1 more doctor answer
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