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Doctor insights on: Uterine Ablation For Fibroids

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How do I tell if I have uterine fibroids?

How do I tell if I have uterine fibroids?

Assess your symptoms: More common symptoms of uterine fibroids are: bleeding between periods; heavy menstrual bleeding (menorrhagia); menstrual periods that may last longer than normal; need to urinate more often; pelvic cramping or pain with periods; sensation of fullness or pressure in lower abdomen; pain during intercourse. Pelvic exam may be revealing. Pelvic imaging may be done. ...Read more

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Dr. Jon Ahlstrom
148 doctors shared insights

Uterine Ablation (Definition)

Uterrine ablation is a procedure used to destroy the thin lining of the uterus that bleeds each month. It is often destroyed with heat but can be done with freezing (cryoablation). Must be family complete. When performed for fibroid bleeding doesnt address the problem (fibroid) directly, may not work at all, and doesn't address the bulk symptoms often seen with ...Read more


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I've been diagnosed with a 3.5 cm anterior subserosal fibroid. Sx's severe pain, heavy bleeding with cycles q 14 days. Uterine ablation good option?

I've been diagnosed with a 3.5 cm anterior subserosal fibroid.  Sx's severe pain, heavy bleeding with cycles q 14 days. Uterine ablation good option?

Probably not: A combined laparoscopic myomectomy/ fibroid electrocoagulation and diagnostic hysteroscopy / possible endometrial ablation might be better choices , if you have already explored some non-surgical options like GnRH analogs and unless you do not want to consider a more definitive operation like a laparoscopic hysterectomy. Consult a specialist in fibroid treatments and Minimally-Invasive-Gynecology ...Read more

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What is a uterine ablation for?

Heavy periods: An ablation is a treatment for heavy, painful periods. It is an excellent minimally invasive, non-hormonal option for someone who is done with childbearing. About 95% of patients have either no period or light/normal periods after an ablation and it can often be done in your doctor's office. ...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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Had d &c and uterine ablation and still I am spotting all the time. Is this normal? Had recent pap and check two months ago and they were all Normal

Had d &c and uterine ablation and still I am spotting all the time.  Is this normal?  Had recent pap and check two months ago and they were all Normal

Not normal: A Uterine ablation is usually done for heavy menstrual bleeding. Not all women are without periods after the ablation. Over half still have periods. Usually, they are lighter and more manageable. Spotting "all the time," however, isn't normal. Best wishes! ...Read more

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How can I address a uterine ablation?

How can I address a uterine ablation?

Discuss w/ your gyne: This is a procedure done through the services of a gynecologist. If you need information or want to discuss it to gain a good understanding, please discuss with your gynecologist. ...Read more

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Is the uterine ablation a risky thing to do?

Nope: In good hands, no. Endometrial ablations are done in the or or office, with different types of systems, and your doc will review how the procedure works and what you can expect during and after. Like any procedure, make sure you understand your options, make sure your doc is qualified, and most important - you have to be comfortable with all of it. Good luck. ...Read more

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Could it hurt to have the uterine ablation done?

Could it hurt to have the uterine ablation done?

Yes: Usually the night of the procedure is pretty crampy, but withing 48 hours or so things calm down. Longterm pain from ablation is rare, but can happen. Some people have pain for other reasons and it doen't respond to ablation. Endometriosis and adenomyosis are at the top of the list. ...Read more

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What is the definition or description of: uterine ablation?

Destroying lining: Uterrine ablation is a procedure used to destroy the thin lining of the uterus that bleeds each month. It is often destroyed with heat but can be done with freezing (cryoablation). Must be family complete. When performed for fibroid bleeding doesnt address the problem (fibroid) directly, may not work at all, and doesn't address the bulk symptoms often seen with fibroids (pain, urinary frequency). ...Read more

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Which is better a partial hystorectomy or uterine ablation?

Which is better a partial hystorectomy or uterine ablation?

Individual issue: It is different for for each woman, very generally if you are a candidate for ablation, it is quicker, easier and less risky and wear and tear on the body. It improves your periods about 90% of the time. ...Read more

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I had a uterine ablation over 2 yrs ago and stopped menstruating / bleeding; is this common?

Yes: A uterine ablation is indicated for women suffering from heavy vaginal bleeding. Results can range from "normal" flow to no flow at all. It is possible and - for some women preferable - to stop having menstrual bleeding all together after an ablation. Results depend on the patient and her beginning level of bleeding and on the particular procedure performed. ...Read more

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I had an uterine ablation done almost a year ago n I have been experiencing a cycle tht lasted about 3wks now experiencing spotting....is that normal?

First time?: Is this the first time you have had bleeding problems since the ablation or have you been doing this sort of thing for awhile? Clearly this is not normal and you need to get back to your gynecologist for followup and to discuss your next option. Hope this helps. ...Read more

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Can you get ovarian cysts after you have a uterine ablation?

Yes: Ablation can help with abnormal bleeding but doesn't help with ovarian issues like cysts. ...Read more

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Does uterine ablation stop working after many years or should I seek help for drastic change in menstrual flow?

Does uterine ablation stop working after many years or should I seek help for drastic change in menstrual flow?

It can: Research shows that an endometrial ablation can "wear off". The chance of this is increased if a woman was younger at the time it was done (below 40), has had many pregnancies, had a lot of cramping pain with her bleeding or has had a tubal ligation. Women with those factors have a higher chance of needing hysterectomy after an ablation. See a gynecologist to discuss what's going on. ...Read more

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I had a uterine ablation 10 years ago, I have recently started spotting dark brown blood and what looks like coffee grounds?

I had a uterine ablation 10 years ago, I have recently started spotting dark brown blood and what looks like coffee grounds?

This is not uncommon: It is not uncommon to have some bleeding after an endometrial ablation. In some cases regular periods may return after several years. It is more common to have light bleeding. You should discuss this with your doctor at a future visit. It is not urgent. ...Read more

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In 2009 my dr. Recommended a uterine ablation, due to heavy bleeding we had our daughter. I was 24 at the time. We want another baby is it possible?

Yes: Uterine ablation is a huge decision for somebody at your age, i would assume at 27 or 28 now. Once the uterine lining is ablated, implantation of an embryo is very difficult. Since you were able to conceive without an ablation i would have a reproductive endocrinologist help you conceive quickly. ...Read more

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Anyone know what is a uterine ablation?

Anyone know what is a uterine ablation?

Where a device: Is placed in the endometrial cavity and the endometrium is destroyed there are 4-5 different ways, I do the thermachoice ablation in office and it works well, please discuss with your gyn to see if you are a candidate or not, u need a proper workup fist and it is usually easier and cheaper for you to do in office if your doc has the equipment and expertise to do in office or it is done as an outpt. ...Read more

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Has anyone ever had a uterine ablation surgery?

Yes: Uterine or endometrial ablation is a commonly performed procedure. It has helped thousands of women with abnormal bleeding, especially heavy menstrual flow. ...Read more

Dr. Jeff Livingston
217 doctors shared insights

Endometrial Ablation (Definition)

Endometrial ablation refers to procedures that use energy to damage or destroy the lining of the uterus that normally build up in preparation of pregnancy. If no pregnancy happens, the lining is shed as a period. There are several different types of ablation-thermal heat, radio frequency, and freezing. All of them are good options but some might be better in certain situations. ...Read more


Dr. Barbara Lavi
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