Re: HYSTERECTOMY: Post Endometrial Ablation - Sudden reversal in results,
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Tue, 25 Sep 2007 22:13:48 -0500 (CDT)
Michelle
Could be a sign you have adenomyosis. That could cause both the pain
and the bleeding. There are so many reasons that ablations 'fail'.
Large uteri, irregular shaped cavities, fibroids, element failure, thick
tissue. But remember, the ablation is not designed to help with the
pain, even tho it will occasionally help. Hope the helps...Dr. von
Almen
At Tue, 25 Sep 2007, Michelle wrote:
>
>It is not that I am disappointed to not be amenorrheic (that was never
>my expectation going into the EA anyway), its that I went from nothing
>to having some form of bleeding (even though light or spotting) every 7
>days lasting between 2-4 days. Yes, it is a vast improvement in terms
>of menorrhagia and I am grateful for that. However, I can't help but
>wonder if there is something else going on besides hormones. Given that
>it is only light bleeding and spotting, I am in a ridiculous amount of
>pain. I still have to take 600 mg of ibuprofen at a time just to get
>through the day. That has only gotten worse each month, so I suspect it
>is something else.
>
>At Sun, 23 Sep 2007, William F. von Almen, II, MD, FACOG wrote:
>>
>>MagD
>>
>>All the hormonal symptoms are due to just that, your hormones did not go
>>away, they are still working. It seems to me the bleeding is still
>>better than menorrhagia. I would watch it several more months. You are
>>considered a success if you have improved bleeding profile, not just
>>amenorrhea. Hope this helps...Dr. von Almen
>>
>>At Sat, 22 Sep 2007, MAGD wrote:
>>>
>>>I had a Gynecare Thermal ablation at the beginning of May 2007, so I'm
>>>almost 5 months out. After the procedure and initial healing process, I
>>>was free of periods and spotting for the first 4 months post procedure.
>>>I continued to have increasing pelvic pain each month despite no
>>>periods, but I was thrilled that I at least was one of the lucky ones
>>>with amenorrhea. All that changed at exactly the 4-month mark. I had a
>>>period that lasted 4 days, although it was very light bleeding and
>>>spotting. Exactly a week after the period stopped, I had 2 days of
>>>spotting. Now it is almost a week later, and I have all of the PMS
>>>stuff starting such as breast tenderness, extreme pelvic pain, skin
>>>breakout, etc. What is going on? How can I have such a sudden reversal
>>>after 3 months of such success? I had a pelvic ultrasound at 4 months
>>>post EA (2 days prior to all this starting up), and it seemed to be
>>>normal. Everyone says that you are supposed to see improvement after 3
>>>months post EA, but this is definitely going the other direction!!!
>>>Why???
>>
>>--
>> Note: Opinions expressed here are for educational purposes
>> only and, as such, do not constitute a physician-patient
>> relationship. This information is not intended to supplant
>> the need for you to consult with your physician prior to
>> choosing therapeutic options and/or interventions.
>> ** Private emails cannot be entertained due to time
>> constraints; consequently, they will receive no response.
>>
>>William F. von Almen, II, MD, FACOG
>>Private Practice
>>New Orleans, La.
>>
--
Note: Opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
** Private emails cannot be entertained due to time
constraints; consequently, they will receive no response.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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