WOMENS-HEALTH Messages for December, 1999: Re: endometrial ablation and endometriosis

Re: endometrial ablation and endometriosis

From: Wendy (anonymous@obgyn.net)
Wed, 29 Dec 1999 07:45:33 -0600 (CST)

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In reply to: Harvey S. Marchbein, M.D.: "Re: endometrial ablation and endometriosis"

At Tue, 28 Dec 1999, Harvey S. Marchbein, M.D. wrote: >
>At Tue, 28 Dec 1999, Wendy wrote:
>>
>>At Tue, 28 Dec 1999, William D. McIntosh, MD wrote:
>>>
>>>At Tue, 28 Dec 1999, Wendy wrote:

Has anyone ever heard of an endometrial ablation as a >>>>treatment for endometriosis? As I
>>>>understand it, the procedure destroys the lining of the uterus.
>>>
>>>Endometrial ablation is not a treatment for endometriosis, but it is an
>>>effective treatment for heavy, painful periods. I am going to assume
>>>that they only suspect that you have endo, as it can only be diagnosed
>>>for sure by laparoscopy, so the hysteroscopy and endometrial ablation
>>>are really to evaluate and treat other conditions.
>>>
>>>The long term consequences of the endometrial ablation are the absence
>>>or reduction in the blood flow, sterility, and the failure of the
>>>proceedure to fix the bleeding. There are no hormonal consequences, you
>>>cycle as before, though without the bleeding.
>>>
>>>--
>>>William D. McIntosh, MD, FACOG
>>>Clarksville, TN
>>>
>>Thank you, Dr. McIntosh. I'm glad to hear there are no hormonal
>>issues. How about any increased risk of uterine cancer?
>
>It won't increase it but may, in the future, mask the appearance of it.
>
>>They very STRONGLY suspect endo. I had an ultrasound to rule out
>>fibroids. With the back pain and the bowel pain coming at the same time
>>as my period, they are pretty sure. The doctor did say he would do the
>>lap first, followed by the D&C and lastly the ablation.
>>
>>I have read that endometrial ablation is not a treatment for
>>endometriosis. That's why I was concerned. As I understand it, he's
>>doing the ablation to treat the heavy bleeding. However, if the
>>bleeding is caused by the endo,
>
>It isn't. But if the bleeding is hormonal or from fibroids, the
>ablation probably won't help.
>
>>won't he ablation be ineffectual? HAve
>>you heard of it actually aggravating endometriosis?
>
>No.
>
>HSM
>
>>Thanks again!
>>Scared in PA...
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>Thank you, Doctor! This is a wonderful thing you are doing for women.

Next message: Gina: "Re: Question for Dr. M, Pain & FMS"
Previous message: anxious: "Thanks Dr. McIntosh -- Re: Myomectomy next week! Help: Is OBGYN as good as RE?"
In reply to: Harvey S. Marchbein, M.D.: "Re: endometrial ablation and endometriosis"

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