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Re: Endometrial Ablation - reply to LindaFrom: anonymous@obgyn.netThu Dec 31 11:01:09 1998
Linda - I had an endometrial ablation in January 1998. I have endo and also had a large fibroid tumor. I had very heavy periods with huge clots, and lots of pain. My doctor was not sure whether she would be able to successfully remove the fibroid, since none of the tests really show exactly where it is. She recommended doing an ablation at the same time to improve the periods. Essentially, an endometrial ablation removes the interior of the uterus - the endometrial lining. It's not the same as a D&C, which just scrapes. This procedure actually removes the endometrium - which is what swells up and bleeds every month. No endometrium, no bleeding. In theory, at least. And until it grows back. The procedure did nothing for my endometriosis, nor did my doctor say that it would. She did say that some of the cramping was coming from the amount of blood that I was passing, so to the extent that I would no longer be bleeding in the uterus, the cramping and pain would be reduced. It turns out that I had both the endometrial ablation and she successfully removed the entire fibroid. AND IT WORKED! Yes I still have endo pain and I still have periods, but the actual bleeding is more like spotting - I guess it's impossible to get it all, and it's probably growing back anyway. The doctor mentioned something like two years to grow back the endometrial lining, and it's been nearly one year so far. I was just about hemorraging every month so now at least I am just dealing with the endo pain. I think that this procedure is somewhat experimental - it's rarely mentioned in books. As for the surgery itself - you will go under general anesthesia which makes you very sick for a couple of days, but it's an outpatient procedure. I had a diagnostic lap, the fibroid removal and the endometrial ablation in one session. I was under for about four hours - a record, they said! - and the endo was too far gone to remove any of it. I felt like I had been kicked in the stomach for about 3-4 days but then I was back to work. I was at the gym on day seven - not moving very fast - but I was real proud of myself. Good luck if you decide to do this. I do think it helped, and every little bit means a lot. Maureen
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