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Re: HYSTERECTOMY: Post Endometrial Ablation - Sudden reversal in results,
From: Michelle (anonymous@obgyn.net)
Tue, 25 Sep 2007 15:13:13 -0500 (CDT)
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It is not that I am disappointed to not be amenorrheic (that was never
my expectation going into the EA anyway), its that I went from nothing
to having some form of bleeding (even though light or spotting) every 7
days lasting between 2-4 days. Yes, it is a vast improvement in terms
of menorrhagia and I am grateful for that. However, I can't help but
wonder if there is something else going on besides hormones. Given that
it is only light bleeding and spotting, I am in a ridiculous amount of
pain. I still have to take 600 mg of ibuprofen at a time just to get
through the day. That has only gotten worse each month, so I suspect it
is something else.
At Sun, 23 Sep 2007, William F. von Almen, II, MD, FACOG wrote:
>
>MagD
>
>All the hormonal symptoms are due to just that, your hormones did not go
>away, they are still working. It seems to me the bleeding is still
>better than menorrhagia. I would watch it several more months. You are
>considered a success if you have improved bleeding profile, not just
>amenorrhea. Hope this helps...Dr. von Almen
>
>At Sat, 22 Sep 2007, MAGD wrote:
>>
>>I had a Gynecare Thermal ablation at the beginning of May 2007, so I'm
>>almost 5 months out. After the procedure and initial healing process, I
>>was free of periods and spotting for the first 4 months post procedure.
>>I continued to have increasing pelvic pain each month despite no
>>periods, but I was thrilled that I at least was one of the lucky ones
>>with amenorrhea. All that changed at exactly the 4-month mark. I had a
>>period that lasted 4 days, although it was very light bleeding and
>>spotting. Exactly a week after the period stopped, I had 2 days of
>>spotting. Now it is almost a week later, and I have all of the PMS
>>stuff starting such as breast tenderness, extreme pelvic pain, skin
>>breakout, etc. What is going on? How can I have such a sudden reversal
>>after 3 months of such success? I had a pelvic ultrasound at 4 months
>>post EA (2 days prior to all this starting up), and it seemed to be
>>normal. Everyone says that you are supposed to see improvement after 3
>>months post EA, but this is definitely going the other direction!!!
>>Why???
>
>--
> 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, they will receive no response.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>
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