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Re: Ablation questionFrom: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)Fri, 12 May 2000 19:04:45 -0500 (CDT)
At Fri, 12 May 2000, Debbie wrote: > >I read somwhere that 85% of woman benefit from ablations. It also said >15% of the woman will bleed heavily again and require a second ablation >or a hyst. > >In that 15%, does that mean the ablation just never works for them, or >can it work and a year or several years down the road they start to >bleed heavy again? > >Sometimes, even though it has worked wonderfully so far..only been two >cycles..I wish I would have had the hyst and had a guaranteed cure I >would never bleed heavy again. > >This cycle was a little lighter than the last one, and a few days >shorter too, I heard it can take 3-12 months to see what the bleeding >patteren settles into, is this true? > >Thanks:) Debbie If the ablation was done correctly, the vast majority of women begin to bleed again because the endometrium will regrow from areas that were not ablated well. These are in the areas of the uterus where the tubes enter and around the cervix. The endometrium will repopulate the uterus and start the problem all over again. As far as your choice of procedures, remember that a hyst is a much longer recovery than an ablation, much more morbid and much more expensive. Women with a successful ablation will often have another several years down the road if the bleeding becomes heavy again, rather than have a hyst because it is a 'simpler' procedure.
-- William F. von Almen, II, MD, FACOG Editorial Advisor-Pregnancy and Birth Private Practice New Orleans, La.
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