WOMENS-HEALTH Messages for September, 1997: Re: post endometrial ablation cramping

Re: post endometrial ablation cramping

From: Kelly (anonymous@obgyn.net)
Mon, 29 Sep 1997 09:38:40 -0500 (CDT)

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In reply to: Karen: "post endometrial ablation cramping"

At Sat, 27 Sep 1997, Karen wrote: >
>February of 97 I had diagnostic hysteroscopy and D&C for extremely heavy
>bleeding. Pathology showed simple endometrial hyperplasia. Over the
>next several months, I continued to have heavy bleeding not controlled
>with Provera. I was unable to take BCP's due to hypertension, elevated
>cholesterol and triglycerides. On 7/28 I had an ablation done. The
>pathology showed endometrium and spindle cells suggestive of submucous
>leiomyoma. My Dr. had noted prior to hysteroscopy an enlarged uterus
>and was suspicious of "fibroid". At the time of the D&C, she saw so
>much endometrial tissue, she thought I had cancer. My question is, will
>the ablation solve the bleeding problem if it was not only due to
>hyperplasia but also a leiomyoma?

Endometrial ablation, or endomyometrial resection, should produce satisfactory results 80% of the time, even if a submucous fibroid was present.

"Satisfactory" results means that there is either no bleeding or only light bleeding.

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

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