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Endometrial Ablation or Hysterectomy?

From: Susan (anonymous@obgyn.net)
Mon, 2 Aug 1999 11:41:42 -0500 (CDT)


I have had Abnormal Uterine Bleeding since mid January. I've run the gammut from watchful waiting to Provera (3x), to D&C/hysteroscopy/biopsy, to Depo-provera shot, to estrace. Nothing has helped for more than a few weeks (and some not at all.) I'm 31 years old and surgically sterilized. I'm anemic for the third time this year and my gyn is ready to do something more radical. I've read anything I can get my hands on about endometrial ablation and hysterectomy. I recently found an article here on the net that said that endometrial ablation had a failure rate (as in, it was no better after the surgery than it was before) in as many as 60% of women who've had more than one instance of AUB (which I have had), especially when they've also had a cesarian section (which I have had.) I was wondering if this was accurate. I don't want to have the ablation if the odds are less than 50% that it will help me, but I don't want to have a hysterectomy if ablation is very likely to help. I have an appointment to discuss surgery with my Dr. on Wednesday and I'll have to make the decision one way or the other then. With what I know now, I'm leaning toward the hysterectomy. Any medical professionals out there think that the statistics I read are wrong?

--
Susan
The Estrogen Queen



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