Doctor insights on:
What To Expect After Uterine Ablation
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
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 doesn't address the problem (fibroid) directly, may not work at all, and doesn't address the bulk symptoms often seen with ...Read more
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
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
Low risk: Uterine or endometrial ablation is a procedure where an instrument (several types available) is placed through the cervix and the uterine lining is burned off. After the period will be very light or none at all. The biggest risk is putting a hole in the uterus at the time of the procedure. This can injure the bowel or surrounding pelvic organs. This happens rarely. Choose an experienced doc. ...Read more
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 adenomyomatosis are at the top of the list. ...Read more
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 doesn't 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
Yes.: Endometrial ablations even when done in the or with a general anesthesia, can hurt. Best to be prepared and even with a good cervical block (local injection), have Codeine or vicodin or percocets available for when your anesthesia wears off. On the flip side, I've had patients need almost nothing. Good luck. ...Read more
Mirena (levonorgestrel) IUD: I assume the endometrial ablation is due to monthly heavy periods. If you want to avoid this procedure, an easy alternative is to obtain a Mirena (levonorgestrel) iud (intrauterine device). This has been around as an effective form of contraception, but in 2009, the fda approved its use for heavy bleeding control. It is easily placed and removed in the office without any anesthesia. Discuss with your gyne. ...Read more
Do I really need a paracervical block with a uterine ablation? I can't really afford it at this time.
In office?: If you're doing an endometrial ablation in the office setting then it is highly advised to have a paracervical block. This anesthesia should not cost much more. The high cost of the procedure is the ablation itself. If this is going through your insurance the anesthesia cost would be bundled into the overall payment anyway. ...Read more
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
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?
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
I had a partial overiectemy, tubal ligation, and uterine ablation. I am 26? Is pegnancy possible?
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
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
I'm 30 yrs old. I had a tubal & uterine ablation in january of 2013. I've had vaginal dryness since. & I don't understand why.
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
I am 36 and I have had a tubal and a uterine ablation done maybe 7 years ago and my obgyn says I still have a chance to become pregant.
Bleeding from cervix:
Bleeding after sex in Premenopausal women usually comes from cervix. You should get it checked by your gynecologist.Following conditions can cause bleeding after sex
Cervical polyps benign
Friction during sex
Sexually transmitted disease
Consult your Gynecologist and get checked ...Read more
I had a uterine ablation close to 5 years ago. Now I am spotting and cramping. Can I start having periods again?
I'm 48-had uterine ablation 7 yrs ago due to bleeding. Have had spotting & super-painful cramps. Was it just unsuccessful?
Go see your doc: Spotting and pain... Worth looking to see if they can find a cause ...Read more
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
I'm 44 and I had the uterine ablation done a few years ago but I continue to have heavy/painful periods. Now I want another baby, possible?
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