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Re: HYSTERECTOMY: Hysterectomy vs Ablation
From: Jenn (anonymous@obgyn.net)
Fri, 28 Dec 2007 12:31:35 -0600 (CST)
My doc doesn't feel like I am a good candidate for laproscopic because
he is concerned about the scar tissue from my two c-sections.
He also said that he normally doesn't leave the cervix ~ isn't it better
to leave it in?
At Mon, 24 Dec 2007, William F. von Almen, II, MD, FACOG wrote:
>
>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
> 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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