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Re: MENORRHAGIA: Question regarding ablation with history of CIS
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Tue, 30 Oct 2007 23:08:22 -0500 (CDT)
Jazzy
Yes, it is ok, and the less risky surgery for you at this point in time,
and a reasonable cure for your problem. Hope this helps...Dr. von
Almen
At Tue, 30 Oct 2007, Jazzylady wrote:
>
>Hi there,
>
>I am scheduled for a Novasure ablation since I have very heavy periods
>with bleeding in between. I have had endo biopsies, etc which point to
>a hormonal problem. BCP stopped the bleeding, but I suffered horrible
>classic migraines with the pill, so that is not an option.
>
>I had originally wanted a hysterectomy with my past history: In 2000, I
>had a scalpel conization (pretty large) for CIS. CIS was found, and the
>margins were clear. Follow-up paps were normal, but then one came back
>grade 3 in 2001. I had a second cold knife conization (gyno-oncologist
>was treating me). The second cone removed all but 0.5mm of my cervix.
>It turned out to be normal, no dysplasia found. The grade 3 pap was not
>able to be explained. I have been followed every 6mos since, with all
>normal Paps. In 2004, I had an abdominal cerclage placed to carry a
>baby to term, followed by a c-section. With this history of
>cervical/uterine surgeries, my OBGYN does NOT want to do a hysterectomy
>unless I have abnormal paps or some other life threatening problem. She
>said a hysterectomy with my history (and lots of scar tissue) would be
>difficult. So she wants to do the ablation for my heavy bleeding.
>
>Is it ok to have an ablation with my past history of CIS??
--
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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