WOMENS-HEALTH Messages for June, 2000: Re: Ablation to hysterectomy, need a few doc opinions from here...

Re: Ablation to hysterectomy, need a few doc opinions from here...

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 14 Jun 2000 09:28:01 -0500 (CDT)

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In reply to: Debbie: "Ablation to hysterectomy, need a few doc opinions from here..."

At Tue, 13 Jun 2000, Debbie wrote: >
>Just want to get a few of the doc opinions here.
>
>I had an ablation done in Feb this year. It has lightened the
>bleeding...just what is was supposed to do, but my periods are still
>9-11 days long! Frustrating! I am seeing my doctor next week again, and
>am asking for a hyst. I am just not too happy w/this ablation. I am 32
>so I really feel this is not a cure anyway...just a bandaid to get me by
>a few years. I doubt it will last until menopause for me and I just
>don't want to relive that hemorrhage type bleeding ever again.
>
>If you had a patient like this, that had an ablation which did lighten
>the bleeding, but she was still not living a good life quality out of
>not trusting the ablation, would you go ahead and do the hyst? My doctor
>is trying to get me to wait a few more months...all that will do is
>prolong the inevitable. My husband is going to the apt. with me to
>tell my doc how I still live life around my periods, cannot go back to
>work for fear I will bleed heavy again, etc. I even saw a psychiatrist
>for this thinking maybe I was being irrational about this whole
>thing..she told me to have the hyst done as they just don't know much
>about ablations~the longevity of them~yet. So, I feel I made a decision
>that is in my best interests. I know there can be complications to a
>hyst, but that is the exception, not the rule and I am willing to take
>my chances and be done with this and close this chapter of my life. It
>has taken two years of my life away from me, all this bleeding, tests,
>D&C's, and now the ablation. I am done!
>
>Any opinions will be greatly appreciated:)
>
>TIA:)

Debbie, I will give you my opinion for what its worth. I have never been a fan of ablation. I have not been pleased with the outcomes, either immediate or long term. Further my track record is that I don't do them, but I have never cared for a patient that got an ablation that didn't subsequently require a hyst within a year of the procedure.

I manage dysfunctional bleeding and heavy periods in a systematic fashion, starting with hormonal therapy (which fixes most), followed by a D&C for those refractory to the hormones. Ultimately, depending on the woman's desire for fertility, If the afore mentioned options are unsuccessful, I will discuss the option of hysterectomy. In your case at age 32, I would prefer the option of vaginal hysterectomy with preservation of the ovaries (leaving them in place)... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: Anxiety Disorder and Fears @ Dr."
Previous message: Lynn D. Montgomery, MD: "Re: Cilest"
In reply to: Debbie: "Ablation to hysterectomy, need a few doc opinions from here..."

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