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Doctor insights on: Uterine Ablation Vs Hysterectomy

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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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Dr. Jon Ahlstrom
151 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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Hysterectomy side effects compared with uterine fibroid embolization?

Hysterectomy side effects compared with uterine fibroid embolization?

Higher risk w surger: The risk of significant complications of any major abdominal surgery is generally considered to be between 5-10%. The risk of major complications of uae/ufe is below 3%. Embolization also has a faster recovery than surgery. ...Read more

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Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

Is abdominal myomectomy an effective treatment for uterine fibroid tumors?

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

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PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

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

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Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

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 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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Is having an endometrial ablation safe?

Is having an endometrial ablation safe?

Yes : It's safe, effective, and very well tolerated. The safety profile is quite good . Typically it is safer than a hysterectomy - depending on the type/equipment used. ...Read more

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What is laparoscopically assisted vaginal hysterectomy (lavh)?

What is laparoscopically assisted vaginal hysterectomy (lavh)?

Common: For an lavh, the laparoscope is used to allow the surgeon to free up the uterus from inside before completing the hysterectomy vaginally. Many surgeons are now using the da vinci robot to complete the surgery completely laparoscopically. ...Read more

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Dr. Eric Chen Dr. Chen
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Which is statistically safer: a hysterectomy or uterine artery embolization?

Dr. Eric Chen Dr. Chen
3 doctors agreed:
Which is statistically safer: a hysterectomy or uterine artery embolization?

UAE: Uterine artery embolization has a lower complication rate than total hysterectomy, due to its less invasive nature. However, because of this, it is a less definitive treatment. ...Read more

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Tell me about myomectomy or uterine artery embolization procedure?

Tell me about myomectomy or uterine artery embolization procedure?

Depends: It depends on the location, number, and size of the fibroids, and whether or not you want to become pregnant. ...Read more

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What are the risks of laser vs resectoscopic endometrial ablation?

What are the risks of laser vs resectoscopic endometrial ablation?

Perforation: Both can cause perforation of the uterus and both require considerable time to perform since it requires piece-meal & tedious treatment of the endometrium. It requires an experienced surgeon with a good track record. Make sure you request information on the more modern methods of ablation which have safer profiles using hot water, thermal balloon, mesh, or freezing. ...Read more

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Endometritis vs. Endometriosis?

Endometritis vs. Endometriosis?

Different: The endometrium is the lining of the uterus. Endometritis is an infection in the endometrium. Endometriosis is when the endometrium is growing outside the uterus. ...Read more

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Is ablation like novasure an option for women with endometriosis?

Is ablation like novasure an option for women with endometriosis?

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

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Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Heavy uterine bleeding 3 weeks pelvic/transvaginal  us  hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...Read more

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Is a lsh( laparoscopic supracervical hysterectomy) still a major surgery?

Is a lsh( laparoscopic supracervical hysterectomy) still a major surgery?

Yes: Any hysterectomy (removal of the uterus) is considered a major surgery. With that said, there are several different modalities by which a uterus is removed. A lash is a type of laparoscopic hysterectomy in which the uterine body is removed but the cervix is left in the body. It is a simpler surgery with less time spent in the or. Recovery time is typically shorter as well. ...Read more

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U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?

Hysterectomy: Your gynecologist must discuss this with you as soon as possible. There are many ways to determine if things are OK or not and the gynecologist will help you. Please let me know what develops. ...Read more

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What are risks of a laparoscopically assisted vaginal hysterectomy?

Same as any surgery: The risks include bleeding, infection, damage to bowel bladder and adjacent organs, pain , postoperative bleeding, failure to cure pain, scar formation, need for additional surgery. In the case of the lavh - there would be the risk of needing open abdominal surgery as well. ...Read more

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Histeroscopic polypectomy or histerectomy, what's the difference?

Look vs take...: Hysteroscopy is a procedure that looks inside the uterus, without incisions. If a polyp is present, it can be removed with instruments placed thru the hysteroscope - short recovery. A hysterectomy is the removal of the uterus (containing the polyp) - with or without the removal of the ovaries thru incisions- longer recovery. ...Read more

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Had endometrial ablation 3 yrs ago, have severe pelvic pain; unhealthy uterus due to hemorrhage, want to avoid laparoscopic supravervical hysterectomy?

Had endometrial ablation 3 yrs ago, have severe pelvic pain; unhealthy uterus due to hemorrhage, want to avoid laparoscopic supravervical hysterectomy?

medical treatments: There are non surgical treatments such mirena, (levonorgestrel) hormones and Lupron that can be used to avoid hysterectomy, even if they are not always successful. If your gyn is not interested in discussing these, consider seeking out a second opinion. ...Read more

Dr. Jeff Livingston
222 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. Thomas Fiala
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