Re: endometrial ablation and endometriosis
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 28 Mar 2000 20:59:23 -0600 (CST)
At Tue, 28 Mar 2000, anonymous wrote:
>
>Has anyone heard of any other side effects of Endometrial ablation?
Anything in mind? You may find more in the Alternatives to Hysterectomy
section of OBGYN.,net
HSM
>At Tue, 28 Dec 1999, Harvey S. Marchbein, M.D. wrote:
>>
>>At Tue, 28 Dec 1999, Wendy wrote:
>>>
>>>At Tue, 28 Dec 1999, William D. McIntosh, MD wrote:
>>>>
>>>>At Tue, 28 Dec 1999, Wendy wrote:
>>>>>
>>>>> In January I am scheduled
>>>>>to have a laperoscopy, a D&C, and a procedure called endometrial
>>>>>ablation. Has anyone ever heard of an endometrial ablation as a
>>>>>treatment for endometriosis? In all my reading, I have not come across
>>>>>this and wonder if I should reconsider this part of the surgery. As I
>>>>>understand it, the procedure destroys the lining of the uterus. Aside
>>>>>from sterility (I have two children so this is not an issue for me), I
>>>>>am also wondering what long-term side effects there may be.
>>>>>
>>>>>Thank you!
>>>>
>>>>Endometrial ablation is not a treatment for endometriosis, but it is an
>>>>effective treatment for heavy, painful periods. I am going to assume
>>>>that they only suspect that you have endo, as it can only be diagnosed
>>>>for sure by laparoscopy, so the hysteroscopy and endometrial ablation
>>>>are really to evaluate and treat other conditions.
>>>>
>>>>The long term consequences of the endometrial ablation are the absence
>>>>or reduction in the blood flow, sterility, and the failure of the
>>>>proceedure to fix the bleeding. There are no hormonal consequences, you
>>>>cycle as before, though without the bleeding.
>>>>
>>>>--
>>>>William D. McIntosh, MD, FACOG
>>>>Clarksville, TN
>>>>
>>>>This is for educational purposes only. It is not intended
>>>> to replace consultation and examination by your physician
>>>> or other health care provider.
>>>>
>>>Thank you, Dr. McIntosh. I'm glad to hear there are no hormonal
>>>issues. How about any increased risk of uterine cancer?
>>
>>It won't increase it but may, in the future, mask the appearance of it.
>>
>>>They very STRONGLY suspect endo. I had an ultrasound to rule out
>>>fibroids. With the back pain and the bowel pain coming at the same time
>>>as my period, they are pretty sure. The doctor did say he would do the
>>>lap first, followed by the D&C and lastly the ablation.
>>>
>>>I have read that endometrial ablation is not a treatment for
>>>endometriosis. That's why I was concerned. As I understand it, he's
>>>doing the ablation to treat the heavy bleeding. However, if the
>>>bleeding is caused by the endo,
>>
>>It isn't. But if the bleeding is hormonal or from fibroids, the
>>ablation probably won't help.
>>
>>>won't he ablation be ineffectual? HAve
>>>you heard of it actually aggravating endometriosis?
>>
>>No.
>>
>>HSM
>>
>>>Thanks again!
>>>Scared in PA...
>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS
>>Great Neck, New York
>>
>>**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 no private emails will receive a response.
>>
>>**Thank you for your understanding ;-)
>>
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
**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 no private emails will receive a response.
**Thank you for your understanding ;-)
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