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Re: Endometrial Ablation or Hysterectomy?From: anonymous@obgyn.netMon, 2 Aug 1999 13:21:55 -0500 (CDT)
At Mon, 2 Aug 1999, Susan wrote: > >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 > That failure rate seems a bit high, though that is a narrow patient demographic. The failure rate (just as bad or worse than before) is generally quoted as 15%. The failure rate for an ablation after a previous ablation may be that high, though I doubt it.
-- William D. McIntosh, MD
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