21 doctors weighed in:
I have heavy menstrual bleeding, am finished with ny family, but do nit want surgery, are there othe
21 doctors weighed in

Dr. Jeff Livingston
Obstetrics & Gynecology
5 doctors agree
In brief: Endometrial ablation
Find out if you are a candidate for an endometrial ablation.
These are simple office procedures which can be done safely and comfortably in the office under local anesthesia. There are several techniques but having done all of them i prefer genesys hta ablation.

In brief: Endometrial ablation
Find out if you are a candidate for an endometrial ablation.
These are simple office procedures which can be done safely and comfortably in the office under local anesthesia. There are several techniques but having done all of them i prefer genesys hta ablation.
Dr. Jeff Livingston
Dr. Jeff Livingston
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Dr. Scott Kramer
Gynecology
5 doctors agree
In brief: Options Available
Depends on cause of heavy bleeding.
Need evaluation and sonogram. Non-surgical options include: birth control pills. Lysteda (non-hormonal rx taken during period), Mirena (levonorgestrel) iud. Minimally invasive options: endometrial ablation (in-office), hysteroscopy polyp removal or fibroid resection; and only if these treatments fail then consider hysterectomy - vaginal or laparoscopic if possible.

In brief: Options Available
Depends on cause of heavy bleeding.
Need evaluation and sonogram. Non-surgical options include: birth control pills. Lysteda (non-hormonal rx taken during period), Mirena (levonorgestrel) iud. Minimally invasive options: endometrial ablation (in-office), hysteroscopy polyp removal or fibroid resection; and only if these treatments fail then consider hysterectomy - vaginal or laparoscopic if possible.
Dr. Scott Kramer
Dr. Scott Kramer
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1 comment
Dr. Caryl Mussenden
Complete answer.
Dr. Denise Elser
Gynecology
4 doctors agree
In brief: A # of options
Progesterone IUD (mirena) is a very good option.
Uterine artery embolization (radiologic procedure) or endometrial ablation (freeaing or heating to inactivate the uterine lining) are good options. Hysteroscopy can find a polyp or intrauterine fibroid & their removal can alleviate bleeding. Finally, a laparscopic supracervical hysterectomy can be performed as an outpatient surgery.

In brief: A # of options
Progesterone IUD (mirena) is a very good option.
Uterine artery embolization (radiologic procedure) or endometrial ablation (freeaing or heating to inactivate the uterine lining) are good options. Hysteroscopy can find a polyp or intrauterine fibroid & their removal can alleviate bleeding. Finally, a laparscopic supracervical hysterectomy can be performed as an outpatient surgery.
Dr. Denise Elser
Dr. Denise Elser
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1 comment
Dr. Lee Ann Roberts
Embolization only helps if you have fibroids. Also, vaginal hysterectomy can be done as an outpatient.
Dr. John Lipman
Radiology
3 doctors agree
In brief: Yes, UFE
Medical management with Lysteda or hormonal therapy can be tried but often will need more definitive treatment.
Uterine fibroid embolization (ufe) for symptomatic fibroids should be strongly considered. It is a non-surgical procedure performed by interventional radiologist (ir) that is safer, less invasive, and shorter recovery than surgery. You would need to get ir consult.

In brief: Yes, UFE
Medical management with Lysteda or hormonal therapy can be tried but often will need more definitive treatment.
Uterine fibroid embolization (ufe) for symptomatic fibroids should be strongly considered. It is a non-surgical procedure performed by interventional radiologist (ir) that is safer, less invasive, and shorter recovery than surgery. You would need to get ir consult.
Dr. John Lipman
Dr. John Lipman
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Dr. Robert Phillips
Obstetrics & Gynecology
2 doctors agree
In brief: Mirena (levonorgestrel)
Very effective long term birthday control with this IUD with the added benefit of decreased menstrual flow in most instances.

In brief: Mirena (levonorgestrel)
Very effective long term birthday control with this IUD with the added benefit of decreased menstrual flow in most instances.
Dr. Robert Phillips
Dr. Robert Phillips
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Dr. Jeff Livingston
Obstetrics & Gynecology
2 doctors agree
In brief: Office ablation
Consider having essure to prevent pregnancy followed by an endometrial ablation.
Both procedures can be done easily in the office under local anesthesia in minutes. You could also consider a Mirena (levonorgestrel) iud.

In brief: Office ablation
Consider having essure to prevent pregnancy followed by an endometrial ablation.
Both procedures can be done easily in the office under local anesthesia in minutes. You could also consider a Mirena (levonorgestrel) iud.
Dr. Jeff Livingston
Dr. Jeff Livingston
Thank
Dr. Howard Schreiber
Obstetrics & Gynecology
In brief: Yes
Yes; there are a few outpatient procedures that can be done in the hospital or in the dr's office.

In brief: Yes
Yes; there are a few outpatient procedures that can be done in the hospital or in the dr's office.
Dr. Howard Schreiber
Dr. Howard Schreiber
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