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Re: Ablation and possible endometriosis

From: j wang, M.D. (anonymous@obgyn.net)
Mon, 30 Oct 2000 19:44:52 -0600 (CST)


The ablation should help decrease the flow, but it doesn't always work. When it does, sometimes the pain is better too. If you do have endo, it may still be worth the ablation. One argument can be: you don't want any nore children (thus the tubal), you have very painful cramps (looking for endo), and you have heavy bleeding (ablation) - if other medical (drug) therapy didn't work, what about a hysterectomy? That would likely solve all three issues.

At Mon, 30 Oct 2000, Linda wrote: >
>Many thanks to all the doctors (and others) here who take their valuable
>time to answer these questions. This board has been a great resource
>for me lately. Several of my own questions were answered yesterday -
>but not this one. Any chance someone could give it a shot? I'm going
>for my pre-op testing and Q&A session in the morning, and I'd like to
>have as much info as possible beforehand. Thank you so much!
>
>At Sun, 29 Oct 2000, Linda wrote:
>>
>>I am scheduled for a balloon ablation on Thursday to, I hope, get long,
>>heavy periods under control. I also have bad cramps with my periods. As
>>I understand it, if endo is causing the cramps (or contributing), the
>>ablation won't help with that problem (cramping). I'd still be much
>>happier, even if I still have pain, to just to have the bleeding
>>reduced. My doctor will be doing a laparoscopy at the same time (tubal
>>ligation) and will look for endo.
>>
>>If he finds endo, is there any reason not to go ahead with the ablation
>>anyway, just to reduce the bleeding, with the understanding that I'll
>>still have pain to deal with? Or is there some reason that I *shouldn't*
>>have an ablation if endo is present?
>>
>>Many thanks.

--
James 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.






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