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Re: HYSTERECTOMY: Hysterectomy vs Ablation

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Mon, 24 Dec 2007 17:49:20 -0600 (CST)

Jenn

I agree with doc. Ablation will solve bleeding, but not as good for pain. Hyst is perfect. LSH would be good, outpatient, less pain and less risk of operative bleeding as the cervix is left in...Dr. von Almen

At Mon, 24 Dec 2007, Jenn wrote: >
>I am having trouble deciding between the two....
>
>Here is some history:
>I am 30 years old. My first pregnancy resulted in an emergency
>c-section at 27 wks, 4 days because of preeclampsia. I had been
>hospitalized on bedrest at 24 weeks. When I got pregnant the second
>time, blood work was done and I found out that I have Type II
>Thrombophilia ~ gave myself Lovenox injections every day for the entire
>pregnancy ~ delivered via c-section at 37 weeks.
>
>Mirena inserted 2/2004. Removed in Nov 2006 ~ endomitritis. Cannot
>take any BC that has a chance of blood clots so I opted for the Depo
>shot until my obgyn could get certified for the Implanon. Called dr
>after three months and he was still not certified. Switched drs.
>Decided on a tubal ligation (4/2007). Since then I have had irregular
>periods with heavy bleeding, blood clots, and severe pain (I have been
>taking the pain meds left over from my TL). Went back to dr a week ago
>and had a biopsy done (OUCH) ~ biopsy came back showing nothing wrong.
>
>My options are very limited because of my thromophilia. My dr suggested
>an ablation which probably won't take care of my pain or a hysterectomy
>which would take care of the pain and bleeding.
>
>I am leaning towards the hysterectomy.....any thoughts?

--
 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
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William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.



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