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Can An Endometrial Ablation Cause Early Menopause

Mayo Clinic Q And A: Consider Potential Risks Associated With Endometrial Ablation

Endometrial Ablation

DEAR MAYO CLINIC: What are the risks of endometrial ablation? Ive read that the younger you are when its done, the more likely it is to cause issues down the road. Im 31, and my doctor told me Im a candidate for the procedure due to heavy menstrual bleeding. But should I wait to have it done?

ANSWER:Endometrial ablation can reduce heavy menstrual bleeding significantly. But you should consider the potential risks associated with this procedure. And age can be a factor in how likely you are to experience problems after endometrial ablation. If you decide endometrial ablation isnt right for you, other options are available to treat heavy menstrual bleeding.

During your period, your body sheds the lining of your uterus, called the endometrium. When periods become unusually heavy on a regular basis, the condition requires evaluation. In general, producing enough blood to soak through a pad or tampon every two hours or less is considered heavy flow.

Endometrial ablation destroys the uterine lining. Although techniques vary, the procedure usually is conducted using instruments that deliver heat or extreme cold to the endometrium. After endometrial ablation, many women still have periods, but they are much lighter.

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Endometrial Ablation Risks Cycle Drop Estrogen

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When Do I Know That Im Having A Hot Flash

During a hot flash, youll likely feel your body temperature rise. Hot flashes affect the top half of your body, and your skin may even turn red in color or become blotchy. This rush of heat could lead to sweating, heart palpitations, and feelings of dizziness. After the hot flash, you may feel cold.

Hot flashes may come on daily or even multiple times a day. You may experience them over the course of a year or even several years.

Avoiding triggers may reduce the number of hot flashes you experience. These can include:

  • consuming alcohol or caffeine

Being overweight and smoking may also make hot flashes worse.

A few techniques may help reduce your hot flashes and their symptoms:

  • Dress in layers to help with hot flashes, and use a fan in your home or office space.
  • Do breathing exercises during a hot flash to try to minimize it.

Medications such as birth control pills, hormone therapy, or even other prescriptions may help you reduce hot flashes. See your doctor if youre having difficulty managing hot flashes on your own.

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What To Do Against Warm Flashes

In more than 85% of situations, hormone substitute therapy can eliminate the most awful hot flashes within a few weeks. As for non-hormonal therapies, such as herbal medication , can often alleviate them, yet much less effectively and also with much less consistency than HRT. Can Endometrial Ablation Cause Early Menopause

What Are Hot Flashes

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A hot flash is an unpleasant feeling of intense warmth or burning that flows through your body,often causing your skin to redden, your face and chest to flush, andsweat to break out.

The feeling generally comes on suddenly, which is why its called a hotflash. At one moment you may be feeling quite normal, but the nextmoment a wave of heat rolls over you and you start pouring sweat.

Hot flashes may be so severe that you feel faint. The feeling ofoverheating may last moments or for longer periods. They may occurinfrequently, every day, or almost constantly. If they happen at night,hot flashes can cause night sweats, when you wake up and find the sheets are damp or even soaked through with sweat.

One thing is for sure: hot flashes are difficult to live with and for mostwomen they interfere with the quality of life. It is not easy to be aproductive, calm, and focused person in the midst of hot flashes!!

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Can We Lower Our Cardiovascular Threat

Yes, by preserving a healthy and balanced way of living, dealing with against cigarette smoking and obese, practicing routine workout, and also carefully keeping an eye on blood pressure, the look of possible diabetic issues, and also cholesterol degrees.Allows not forget that heart diseases are the leading cause of death among females.

Anovulatory Or Dysfunctional Uterine Bleeding

Dysfunctional uterine bleeding is the occurrence of uterine bleeding unrelated to structural abnormalities of the uterus or the endometrial lining. It is a diagnosis of exclusion made after structural causes of bleeding and chronic medical diseases have been ruled out. Other causes of abnormal bleeding must also be ruled out, including pregnancy complications and medications that influence hormonal action or affect clotting. Dysfunctional bleeding occurs more commonly in the first five years after a woman starts menstruating and as she approaches menopause, but it can occur at any time period. The cause of DUB is anovulation, the absence of ovulation and the orderly secretion of estrogen and progesterone, and may alert the woman and her physician to the fact that she is no longer ovulating normally.

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Does Sexuality Stop With Menopause

No, menopause is not the time for sexual hideaway. HRT can boost sex drive conditions and lower the signs and symptoms explained over. There are additionally regional hormonal agent treatments, in the form of a gel or egg, which restore the wall surfaces of the vaginal canal and also increase its lubrication.Above all, however, the companion needs to be gentle and also understanding, and for the couple to interact. Can Endometrial Ablation Cause Early Menopause

What Happens After An Endometrial Ablation

Global Endometrial Ablation for Heavy Menstrual Bleeding-Mayo Clinic

The recovery process will vary, depending on what type of ablation you hadand the type of anesthesia used.

If you had spinal, epidural or general anesthesia, you will be taken to therecovery room. Once your blood pressure, pulse, and breathing are stableand you are alert, you will be taken to your hospital room or sent home. Ifyou had the procedure as an outpatient, plan to have someone else drive youhome.

If you did not get anesthesia, you will need to rest for about 2 hoursbefore going home.

You may want to wear a sanitary pad for bleeding. It is normal to havevaginal bleeding for a few days after the procedure. You may also have awatery-bloody discharge for several weeks.

You may have strong cramping, nausea, vomiting, or the need to urinateoften for the first few days after the procedure. Cramping may continue fora longer time.

Do not to douche, use tampons, or have sex for 2 to 3 days after anendometrial ablation, or as advised by your health care provider.

You may also have other limits on your activity. These may include nostrenuous activity or heavy lifting.

You may go back to your normal diet unless your healthcare provider tellsyou otherwise.

Take a pain reliever for cramping or soreness as recommended by yourhealthcare provider. Aspirin or certain other pain medicines may increasethe chance of bleeding and should not be taken. Be sure to take onlyrecommended medicines.

Your healthcare provider will tell you when to return for more treatment orcare.

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What Symptoms Are Caused By The Reduced Levels Of Estrogen In My Body

About 75 percent of women experience hot flashes during menopause, making them the most common symptom experienced by menopausal women. Hot flashes can occur during the day or at night. Some women may also experience muscle and joint pain, known as arthralgia, or mood swings.

It may be difficult to determine whether these symptoms are caused by shifts in your hormones, life circumstances, or the aging process itself.

How Long Is This Going To Last

Now, I then get asked, “Well, how long is this going to last?” On average, from the minute your hormones start to change until you would have been two years without a period when you are considered through the menopause, is roughly about five years. So if you’re in this situation, you would have a normal menopause lasting the normal length of time as well.

So from the moment that you start to see any significant changes, you’re going to be counting roughly five years, and that would be you postmenopausal. Again, it’s one of these things. It’s going to be different for absolutely every single one of you.

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Is Endometrial Ablation Permanent

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About 9 of 10 women have lighter periods or no period after endometrial ablation. These improvements may not last forever, though. Your periods may get heavier and longer after several years. If this happens, you may need to have your uterus taken out.

Also, how long after ablation does period stop? About one third of women will stop having their periods after an ablation, but most women will have lighter periods. Over time, periods usually return so ablation is often not the best option for women who are many years away fro menopause .

Similarly, it is asked, can periods return after endometrial ablation?

Most women will have lighter or no periods after an ablation. In some cases, your period may come back after a few years, and you may wish to explore another treatment option for your heavy bleeding if needed.

Does endometrial ablation affect hormones?

Endometrial ablation is a kind of surgery. Because removing the endometrial lining doesn’t change the hormones of perimenopause , women often need to have repeat endometrial ablation surgeries. Also, almost 20% of women who have had an endometrial ablation eventually require a hysterectomy .

Even If Your Period Stops After Endometrial Ablation It Doesnt Make You Menopausal

Fibroid Necrosis Symptoms

Results of the endometrial ablation procedure are truly remarkable. Patients previously accustomed to excessive menstrual bleeding, with flooding, clots, and cramps find that after ablation, their periods consists of just a few days of light staining for some women, their period just fizzles out altogether. Women who have severe period crampsespecially those with their worst cramps on their heaviest daystypically have dramatic relief after ablation. Interestingly, there is evidence that endometrial ablation even improves symptoms of PMS. The results of endometrial ablation are expected to be permanent. This really represents a revolutionary option for women with heavy menstrual flow: A 10-minute procedure which can safely permanently reduce menstrual flow, with no hormones whatsoever.

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What Surgical Options Are Available For Women With Abnormal Uterine Bleeding

There are several surgical options used to treat the causes of abnormal uterine bleeding. Your healthcare provider will advise you on the best option based on your condition.

If the cause of your abnormal uterine bleeding is a structural issues, such as a fibroid or polyp, surgery may be needed. One option for getting rid of fibroids is called uterine artery embolization. With this, the fibroids blood supply is cut off by putting tiny particles into the uterine arteries. This makes the fibroids shrink. Uterine fibroids can also be removed surgically, while keeping the uterus and the ability to have children. This is called a myomectomy.

Surgery to destroy the lining of the uterus, called uterine ablation, may be an option for some women. Uterine ablation is not recommended for women who may want to have more children in the future. With this, the lining of the uterus is destroyed through the use of a laser, heat, electricity, microwave energy or freezing.

Taking out the uterus may be tried as a last resort. This may be done when hormone treatment fails to control heavy bleeding.

Cancer or cancerous changes in the endometrium are often treated with hysterectomy. This is sometimes followed by radiation. If cervical cancer is the cause, the treatment depends on the stage of the cancer. Hysterectomy is often used to treat early stages. More advanced stages may need radiation or chemotherapy.

Is Endometrial Ablation Covered By Blue Cross Blue Shield

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Treatment for heavy periods is covered by most insurance plans, so the cost is usually the amount of your copay. As with any medical procedure, we always recommended calling your insurance company to have them explain your coverage.

Subsequently, question is, can anyone get an endometrial ablation? Endometrial ablation should not be done in women who are past menopause and is not recommended for those with the following medical conditions: Disorders of the uterus or endometrium.

Furthermore, can you have more than one endometrial ablation?

Repeat endometrial ablation can eliminate the need for hysterectomy in women who continue to have bleeding problems after one endometrial ablation. Gynecologists should not hesitate to offer repeat ablation since the results will usually be excellent.

Can uterine lining grow back after ablation?

Endometrial ablation is a permanent procedure. Your uterine lining won’t grow back afterward. This procedure is helpful for many women, but it isn’t recommended for everyone. Talk to your healthcare provider about whether this is the best option for you.

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A Clinical Message From Dr Andre Saad

I performed my first endometrial ablation twenty years ago. Back then, endometrial ablation was technically very challenging and, frankly, out of the reach of most practicing gynecologists. With early rollerball and resectoscopic procedures, the surgeon operated through a narrow telescope inserted into the uterus. We would pass an instrument through a channel in the telescope, and manually roll back and forth over the inner lining of the uterus with an electrified rollerball, or shave off the inner lining with a wire loop attached to electric current. Results were good, but the procedure was time-consuming, the equipment was temperamental, and the technique was highly dependent on the surgeons skills. As might be expected for this specialized, advanced procedure, complications occasionally occurred, and were sometimes serious.

Over the last two decades, rollerball and resectoscopic ablations have been largely abandoned, because several devices have been developed which automate the procedure. These global endometrial ablation devices certainly remove some of the technical demands of the procedure, and probably make the procedure safer and more effective as well. The American College of Obstetricians and Gynecologistsa national organization which gives guidance on standards of practicenow recommends endometrial ablation as a first-line option for women who perceive their periods to be too heavy.

How Is Abnormal Uterine Bleeding Diagnosed

Endometrial Ablation

The tests your doctor orders may depend on your age. If you could be pregnant, your doctor may order a pregnancy test. If your bleeding is heavy, in addition to other tests, your doctor may want to check your blood count to make sure you dont have a low blood count from the blood loss. This could lead to iron deficiency and anemia.

An ultrasound exam of your pelvic area shows both the uterus and the ovaries. It may also show the cause of your bleeding.

Your doctor may want to do an endometrial biopsy. This is a test of the uterine lining. Its done by putting a thin plastic tube into your uterus. Your doctor will use the catheter to remove a tiny piece of the uterine lining. He or she will send that lining to the lab for testing. The test will show if you have cancer or a change in the cells. A biopsy can be done in the doctors office and causes only mild pain.

Another test is a hysteroscopy. A thin tube with a tiny camera in it is put into your uterus. The camera lets your doctor see the inside of your uterus. If anything abnormal shows up, your doctor can get tissue for a biopsy.

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Can Abnormal Uterine Bleeding Be Prevented Or Avoided

If your abnormal uterine bleeding is caused by hormonal changes, you will not be able to prevent it. But if your hormonal changes are caused by being overweight, losing weight could help. Your weight affects your hormone production. Maintaining a healthy weight can help prevent abnormal uterine bleeding.

What Is Endometrial Ablation

Endometrial ablation is the diathermy or removal of endometrium, a thin layer of the tissue lining the uterus. It is done to treat various conditions of heavy menstrual bleeding or unusual bleeding between periods. Hormonal imbalance that happen most often in women nearing their menopause or after menopause is the main cause for menorrhagia and abnormal bleeding. Other causes of abnormal bleeding may be presence of fibroid tumors, polyps or cancer in the endometrium or uterus.

The ablation is a quick simple and very effective procedure and may be performed as an alternative treatment option to hysterectomy .

However, endometrial ablation is not recommended in women of childbearing age who are planning for a pregnancy in future, were pregnant recently or in those with disorders of the uterine lining such as cancer, recent infection, and complex endometrial hyperplasia.

Endometrial ablation may be performed using one of the following techniques under general anaesthesia and combined with hysteroscopy to view the uterine cavity plus taking endometrial biopsy:

Radiofrequency: In this technique, a special probe that emits the radiofrequency probe will be inserted into the uterus through the cervix. A mesh-like arrangement at the tip of the probe emits the radiation to the walls of the uterus. The heat energy destroys the endometrium layer and the damaged tissue will be suctioned

The procedure is done as a day procedure so you go home the same day.

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