Re: MENORRHAGIA: Contraception after endometrial ablation
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Mon, 24 Nov 2008 19:52:22 -0600 (CST)
Kiwi Helen
Bite the bullet, get laparoscopic tubal sterilization and ablation...Dr.
von Almen
At Mon, 24 Nov 2008, Kiwi Helen wrote:
>
>Much to my frustration I find that in the UK I am unlikely to be offered
>hysteroscopic ablation combined with hysteroscopic sterilisation, which
>would be my first choice if I could afford it privately and/or it was
>offered on the NHS.
>
>So I am now having to think about contraception after ablation therapy -
>and I am really running out of ideas - anyone else got some?
>
>My contraception history
>- the pill: can't use it, get migraines
>- injection, implanon, POP: history of depression worsening on unopposed
>progesterones (and my poor partner really wore it last time)
>- Mirena: still get progesterone side effects, but had no reduction in
>menstrual bleeding
>- condoms: latex allergy
>- diaphragm/cap: as above
>- femedon: OK, we could use this, but it is a pretty major pasion killer
>- the sound effects are entertaining though!
>
>I know this leaves me with the copper IUD - I have worries about this,
>because my sister had severe bleeding with it, and I am wanting to get
>LESS bleeding because I am constantly anaemic and having a period for
>10-12 days of 28 is not much fun.
>
>I have tried mefanamic acid and tranexamic acid as well on the medical
>side of things with no effect.
>
>I am told that they may offer me the filshe clip but I am assuming that
>will be a separate operation, and I would really rather not have a
>general anaesthetic if I can avoid it after ending up with an acute
>depressive episode last time I had one.
>
>Most of all I am frustrated with the whole thing because I know I am
>labelled as a difficult patient because of the above history, but if any
>of these things had actually worked and given me 5 day periods with
>losses of less than 80ml I would have been very, very happy.
>
>Oh, and to add to it, I am also going to have to hope I have a
>sympathetic gynaecologist because I am nulparous and 38 years old - I've
>known I don't want to have kids for about 8 years now - but it has taken
>2 years to get this referral because my GP keeps thinking that my
>biological clock will catch up with me.
>
>My partner is fully supportive of my wish for permanent sterilisation,
>we are not having kids together in part because of his dodgy genetic
>history.
>
>Thanks for listening - excuse the rant!
--
Note: Opinions expressed here are for educational purposes
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relationship. This information is not intended to supplant
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William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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