Endometrial Ablation Is The Management Of Ovarian Cysts
Conventional surgical treatment of ovarian cysts (endometriomas) involving access to the ovaries through an abdominal incision or by laparoscopy for drainage of the cyst contents and removal of the cyst membrane or wall. The procedure has some disadvantages, but generally gives good results. Normal ovarian tissue is removed by accident with the membrane or wall of cysts that can reduce the amount of achievable oocytes fertilization treatment later. Other complications may be experienced as a large percentage of these patients have advanced disease, or perhaps had several previous surgeries with scars that result. In the presence of pelvic adhesions (scar tissue), visualization of anatomical structures may be inadequate and removal of all implants can be achieved.
Patients who have undergone tubal ligation reversal can be found incidentally during the implant surgery for endometriosis Tubal reversal. Dr. Morice remove all endometriomas were found during surgery Tubal reversal. Since the process is connected to a small chance of creating life, some patients may be in parentheses after the inversion of the tubes, which can lead to scarring of the tubes down in the blocks and pipes, although the reverse tubal ligation . Hysterosalpingography (HSG) is recommended at 3 months after surgery, tubal ligation reversal in these patients was found to endometriosis or ovarian cysts.
The use of ultrasound
Ultrasound has transformed our approach to the evaluation of infertile patients. Ultrasound is the latest addition to measures of the gynecologist. Ultrasound can give an image of internal structures in the reproductive pool of women. Ultrasound works by sending high frequency sound waves similar to sonar equipment used in ships for detecting submarines underwater. The high-frequency sound wave applied to the pelvic organs and is then returned to the computer inside the ultrasound machine. The sound waves are reflected at different speeds to the computer, which reconstructs the images of waves in black and white on the screen. These machines are revolutionary ultrasound machines in real time that have a real dynamic image. Ultrasound can construct clear images of the uterus, ovaries, fallopian tubes, and bladder. Gynecologists are able to compare the fibroids, ectopic pregnancies, ovarian cysts or pelvis.
Ultrasound is also an outstanding feature for the early diagnosis of pregnancy. However, for certain procedures such as tubal reversal and blocked tubes (hydrosalpinx), the doctor may be necessary to perform additional procedures to assess the tubes. For tubal reversal surgery, before the procedure, is a normal task of the infertility specialist to have an ultrasound scan of the pelvic organs.
Who can perform an ultrasound?
Ultrasound examinations performed radiologist, a gynecologist or infertility specialist. immediate decisions on treatment based on the images obtained can then be made.
Gynecologists can obtain information that will help the delicate procedures such as surgery and tubal reversal tubal ligation reversal.
Frequently Asked Questions
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QUESTION:
Has anyone ever had an endometrial ablation?
My doctor is recommending that I have an endometrial ablation. I have 10 fibroids. One of them is deteriorating and they think that is causing the bleeding (I have been bleeding for nine weeks now.) Has anyone ever had one, or had that many fibroids? Any advice would be appreciated.
If you read, you moron, you would see that I did ask my doctor. I am merely asking for advice from women who have had similar experiences-
ANSWER:
I had an endometrial ablation done back in 12/04 to help very problematic/heavy periods since the birth of my now 5 year old. I also had fibroids and polyps removed from my uterus during a couple of procedures beforehand and during the ablation as well, via hysteroscopy/D&C.I don’t know if you have children or are planning to have children — after an ablation is done, you must not become pregnant ever, due to risks of ectopic pregnancy. Having an ablation requires either you or your partner to implement some sort of permanent birth control. I’m sure that your gyn has discussed this with you. I chose to have the Essure method done at the same time as the ablation. It consists of the gyn placing tiny coils into the fallopian tubes, causing scar tissue to build, therefore blocking the tubes, preventing pgcy. For the first 3 months you must use a back-up form of bc, and then an HSG (hysterosalpingogram — the dye test) is done to ensure that your tubes are indeed blocked.
Essure is less invasive than a tubal ligation, there is no cutting involved, it’s done via hysteroscope just as the ablation is.
The recovery period was short, a couple of days. It’s an outpatient procedure. There is cramping for the first day, but it eases up the next day. There is bleeding/spotting as well, of course, but again, it lightens up rather quickly.
I myself have found the ablation and the Essure to be productive for me. Keep in mind that an ablation will not necessarily make your periods go away completely, though some women have that luck. 🙂 With me, mine lightened up quite a lot.
Good luck to you. If you need anymore info, let me know.
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QUESTION:
Can anyone offer some advice on endometrial ablation?
I had an endometrial ablation about a month ago due to very heavy and long periods. Doc didn’t find any fibroids or abnormalities. He did a thermal ablation. I was really hoping to get lucky and never have a period again, although I got one three days ago. I think perhaps it is a tad lighter but I’m very bummed about this. Is there hope that they could still go away? Or am I one of the unlucky ones that will still get them? Any ladies with a similiar experience or advice–would love to hear from you.-
ANSWER:
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QUESTION:
I have heavy monthly menstrual bleeding, I am 51. Is a D&C better than endometrial ablation?
My doc has run all tests, no fibroids, cancer, etc. He says I am Estrogen dominant and prescribed Prometrium (progesterone), have been on this for 6 months, little change. Doc says no need for hysterecotmy, don’t want one anyway. The bleeding is so long and so bad that I can no longer function 10 days each month. He prefers D&C even though results are temporary because he says there are glands in the uterus that may end up with cancer 20 or 30 years down the road. I’m leaning toward Endo Ablation because I’ve heard women have good results. Any info. regarding the two procedures would be appreciated.-
ANSWER:
I had similar problems, very heavy periods. My gyn did a D&C and the next 2 months it was even heavier. He wanted to do a hysterectomy after that. I got a second opinion, resulting in me having an ablation. It was the best thing I could have ever done! I didn’t even have a period for about a year after that and since I started having one again it is very light (I usually only have to use a pantyliner) and only lasts 1-3 days.
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QUESTION:
If you had fibroids on your uterus and a severe period with heavy painful bleeding would you get a?
hysterectomy or endometrial ablation? just say your period comes every 3 weeks and is unbearable! severe pain, exhaustion! thanks.-
ANSWER:
It really depends on what you want for fertility and if you’re willing to go on hormonal treatmentSome people will try to take NSAID’s (advil) or Cyclokapron to help with the bleeding.
Contraception (like depo provera) or other hormonal contraception (mirena IUD) can help stop/regulate periods if you’re willing to take them.
The surgical option for women who still want fertility is a surgical myomectomy. If you don’t want more kids, then a hysterectomy, endometrial ablation, or uterine artery embolization are options to decrease/remove the fibroid.
The good news is that nearly all women have their fibroids shrink with menopause. The bad news is that’s also when you stop having periods, so it doesn’t really help.
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QUESTION:
What is the best treatment for uterine fibroids?
My doctor suggests I get a endometrial ablation, which basically destroys the lining of my uterus and would make me infertile. This is because one of the fibroids is growing under the lining. This “treatment” would only help with the mentstrual symptoms (lighter, shorter, less painful), but not with the day to day pain. The fibroids would continue to grow and I would still have to have surgery.I would prefer to shrink the fibroids, and go with a natural method if possible. Please advise what is the best course of action. I would like to at least have one child.
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ANSWER:
Take 5-6 digestive enzyme capsules on an empty stomach three times daily. Digestive enzymes such as lipase, pancreatase, trypsin, chymotrypsin, and other proteolytic enzymes produced by the pancreas, if taken on an empty stomach, will be absorbed into the bloodstream intact and assist in the enzymatic removal of superfluous and fibrous tissue, including fibrous masses such as uterine fibroids as well as scar tissue.Also:
Indole-3-Carbinol assists the liver in estrogen detoxification.
Dandelion is a natural blood and liver cleanser.
Vitamin E is important in estrogen metabolism.
Omega – 3 Fatty Acids has anti-inflammatory properties.
Calcium D-Glucarate helps the liver in estrogen breakdown.
Vitamin B complex vitamins are involved in estrogen metabolism.
A complete plant and whole food derived multivitamin product (the best I know is IntraMax) provides a broad base of nutrients for total health which is helpful in the treatment of uterine fibroids.
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