|
Re: To Dr. Jwang;Re:Ablations and extended bleeding
From: jwang, M.D. (anonymous@obgyn.net)
Sat, 10 Jun 2000 15:22:54 -0500 (CDT)
There are differing opinions to the different techniques. The balloon
procedure is often preferred because it is safe, quick and reasonably
effective. It doesn't require a lot of experience to learn to perform
it correctly. Another type, the "rollerball" ablation does have a
potentially higher complication risk, takes longer (depending on the
skill of the operator), but probably has better effect than the balloon
ablation. The rollerball actually uses an electrical current to
cauterize the endometrial tissue. This technique tends to give a deeper
tissue effect and increased scarring of the endometrial lining- the
desired effect.
The effects of an ablation can change over time because the body has an
amazing ability to heal itself. The endometrium can actually regenerate
over time. In addition, things like fibriods and polyps can develop.
>From my experience, it seems the best effects are found after three to
four months.
At Sat, 10 Jun 2000, Debbie wrote:
>
>Thanks for the reply:)
>
>I had a balloon ablation done, isn't this type considered the best of
>all the ways they are doing them? I spent a long time researching
>ablation before I had one and got several doc opinions and everyone and
>everything points to the balloon ablation as being most effective. I
>heard now they have a freezing procedure they are doing...I can't
>believe that one!
>Yes some woman are having ablations done to just be rid of their periods
>when there is no excessive bleeding, they are just sick of having
>periods! I wouldn't have done that. I agree that a lot of doctors do
>ablations to treat most cases of heavy bleeding when I feel not all are
>good candidates for one. If one has the proper pre ablation diagnostic
>testing done and the uterine lining is perfect...with no polyps or
>fibroids, I feel the balloon ablation is the best choice. Now some
>woman with fibroids will opt for a myomectomy w/ an ablation, so all
>cases are different, but w/a situation w/fibroids involved, I don't feel
>a balloon ablation is the best way to go as that lining has to be
>perfect I have read.
>
>I will wait and see what happens here. I heard it can take up to 12
>months for a bleeding pattern to settle in, is this true? Why would this
>be? I don't get the medical reasoning behind that. Why wouldn't it work
>the first few months if the lining has been burned off?
>
>Thanks again:)
>Deb
--
J Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
>**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.>
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)