HomeDo You Still Go Through Menopause After Endometrial Ablation

Do You Still Go Through Menopause After Endometrial Ablation

Diagnostics Of The Endometrial Hyperplasia In Menopause

Uterine Ablation Update (Fail)

To prevent the progression of endometrial hyperplasia in menopause, it is necessary to undergo a preventive checkup twice a year with a gynecologist.

At the scheduled visit to the doctor, a detailed history , assessment of the general health condition, examination of the patient on the gynecological chair, ultrasound of the pelvic organs, smears for the presence of atypical cells. Bacteriological or bacterioscopic studies, a general blood test, hormonal background research may be prescribed. If necessary, hysteroscopy is performed.

For the precise diagnosis and the appointment of adequate therapy, the following studies are carried out:

  • General blood analysis.
  • Diagnosis of smear for the presence of urogenital infections transmitted sexually.
  • Smear test for the presence of atypical cells.
  • Diagnostic biopsy.
  • Hysteroscopy and separate diagnostic curettage. These procedures are quite complex and traumatic. Simultaneously play the role of research and treatment.
  • Examination of the hormonal background of the body by blood. Usually, the levels of FSH, LH, estradiol, testosterone, progesterone, prolactin, adrenal hormones and thyroid gland are determined. It is used to examine the level of hormones and if there is a suspicion of metabolic syndrome or polycystic ovary syndrome.

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 Does Endometrial Ablation Last

  • How Long Does Endometrial Ablation Last? Center
  • Endometrial ablation is a minor surgical procedure performed to destroy the inner lining of the uterus. This treatment is done without making any visible cuts on the body. Depending upon the technique used, the actual procedure takes around anywhere between 2 and 10 minutes.

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    Can I Get Pregnant With A Sterilization

    Uterine ablation and pregnancy do not mix well. If you dont want to get pregnant, or you have completed your childbearing, you should strongly consider sterilization at the time of endometrial ablation. If sterilization is not an option, choose an effective form of birth control such as a hormonal IUD or other hormonal contraception.

    Why Does Inducing Menopause Help With The Symptoms Of Endometriosis

    Uterine Cancer Symptoms You Shouldn

    Endometriosis means that deposits of endometrium exist outside of the womb cavity and they thicken and bleed with every cycle. Inducing menopause causes suppression of the menstrual cycle and activity of the ovaries meaning that the symptoms of endometriosis may resolve. The methods of inducing a menopause are:

    • Hormones by injection or nasal spray: These suppress your own hormones and stop your menstrual cycle. This means that your periods stop and you are likely to experience menopausal symptoms.
    • Surgery involving removal of both ovaries. This may be with or without a removal of your womb but will permanently induce a menopause. The loss of libido is often felt more with a surgically induced menopause.

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    Is Endometrial Ablation Covered By Blue Cross Blue Shield

    3.9/5Bluecoverageendometrial ablationendometrial ablation

    Moreover, is NovaSure covered by insurance?

    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.

    Likewise, 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.

    Accordingly, 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.

    Why Are We The Only Ones

    Its a question I often get asked from women across the country and abroad.

    Let me try and explain this complex issue and why you dont find this procedure readily available around the countryat least not yet.

  • The procedure known as ultrasound-guided reoperative hysteroscopic surgery requires a great deal of experience in traditional resectoscopic or hysteroscopic surgery. Many of these skills were lost with the introduction of Global Endometrial Ablation techniques . To date we have performed nearly 3500 major operative hysteroscopic procedures of which 471 are reoperative procedures. But, it was the experience we gainedas far back as 1988in operative hysteroscopy that provides us the skill and experience necessary to perform UGRHS.
  • Ultrasound-guided reoperative surgery also requires ultrasound expertise. Ultrasound has been incorporated into our practice since 1993. We do not employ ultrasound technicianswe perform our own ultrasound examinations. Amy Daggettour very skilled nurse practitionerand I have worked together since 1986 and have extensive experience in both ultrasound and ultrasound-guided surgery. Most sonographers that one finds in Ob Gyn Departments and in radiologists office have little or no experience ultrasound-guided surgery. Between the 2 of us we perform thousands of ultrasound examinations per year and hundreds of procedures every year under ultrasound guidance.
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    Is Bleeding After Endometrial Ablation Normal

    Yes, vaginal bleeding for a few days is a normal part of endometrial ablation recovery. You will likely want to wear pads do not use tampons, douche or have sex in the first few days to the first week. Persistent bleeding, though, may be a concern and may require a pelvic exam as well as a conversation with your doctor about next steps, which may lead to a future hysterectomy.

    What Are The Causes Of Abnormal Uterine Bleeding

    Endometrial Ablation

    There are many causes of abnormal bleeding, including:

    • Structural abnormalities in the uterus, including:
  • Early pregnancy
  • Hormonal changes
  • Polycystic ovary syndrome is a condition where cysts grow in the ovaries. PCOS may lead to hormonal imbalance. This condition may cause your periods to come at different times or not at all. PCOS is caused when certain hormones are out of balance. When this happens, you may have difficulty getting pregnant. You may grow hair on your body and face. Also, the hair on your scalp may get thinner.

    Women who are going into menopause or are in menopause are more apt to have changes in hormones. The changes can cause the lining of the uterus to get thick. This can cause bleeding, or abnormal menstrual cycles in terms of long the cycle lasts and how heavy it is . For women who are in menopause, any bleeding should be thought of as not normal and should be investigated.

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    What Is Cervical Ablation And Why Is It Performed

    Cervical ablation is a procedure that ablates the inner lining of the uterus, the endometrium. The goal of this procedure is to reduce menstrual flow and it is performed in cases of AUB . Endometrium is the inner lining of the uterus and it is replaced every month by hormonal changes provided there is no pregnancy established. By destroying the endometrium, your period will reduce or stop. Of course, this procedure can be performed only if is no pregnancies are planned.

    In the past, the only solution to heavy and painful periods was a hysterectomy. Cervical ablation is a milder procedure and more importantly your uterus and ovary remain intact. By leaving your reproductive organs in place, you will be less likely to undergo menopause immediately. In fact, even if cervical ablation shouldnt drive the menopause there are cases in which it happens and this can bring all the side effects that early menopause brings with it.

    Procedures

    There are different types of procedures for cervical ablation. The surgery is performed under general or loco-regional anaesthesia . The procedure can be performed in three ways, all by natural means:

    The curettage. It involves scraping the inside of the uterus with a curette thereby stripping the mucosa. The fragments recovered are kept and sent for analysis. This is also the case when the procedure is carried out due to suspicion of cervical cancer.

    Possible complications of endometrial ablation include:

    REFERENCES:

    Treatment Options For Women With Heavy Periods

    There are a variety of treatment options for women with heavy bleeding. Combined have been used for decades to control heavy periods. The pill is frequently effective, but many women have concerns about side effects and consequences of long-term exposure to these hormones. Moreover, oral contraceptives are not be safe for many women: Women over 35 who smoke, or women who are very overweight, have high blood pressure, or diabetes are not ideal candidates for the pill.

    A progesterone-containing intrauterine device is also sometimes used for control of heavy periods. The levonorgestrel-containing Mirena, for example, is easily placed during an office visit. For the first 3 to 6 months with Mirena, many women will report some disorganized bleeding usually this consists of periods which are a bit prolongedbut not heavyor persistent light staining between periods After 3 to 6 months, women with Mirena generally fall into one of two groups: Either they get light regular periods, or they get no periods at all. Some women are uncomfortable with the idea of a foreign body inside their uterus, and others are concerned about the small amount of hormones contained in the Mirena device. It does, however, provide an effective control of heavy periods in some women.

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    Diagnosing Arthritis Or Arthralgia

    Not all joint pain requires emergency care. If you have mild to moderate joint pain, you should make regular appointments with your doctor. If your joint pain involves redness, swelling, or tenderness, you can address these symptoms in a routine visit with your doctor. However, if your immune system is suppressed or if you have diabetes, you should be evaluated promptly.

    Testing for diagnosing arthralgia or specific types of arthritis can include:

    Is There A Risk Of Reactivated Endometriosis Transforming Into Cancer

    Uterine Cancer Symptoms You Shouldn

    Reactivation of endometriosis by HRT is very rare and it is impossible to say how likely it is for endometriosis to turn into cancer. However, there have been a few reported cases of it occurring. This means that while on HRT, if you develop new symptoms or old symptoms start to recur, it is important to discuss this with your healthcare professional who can start any investigations that are needed. From all the evidence it seems that there is very little risk of reactivation of endometriosis or cancer for women on HRT who have had a removal of both of their ovaries and all of their endometriosis removed. For women with some endometriosis who are under 45 or who have significant menopause symptoms the evidence suggests that the benefit of taking HRT to manage the menopause symptoms outweighs the small risk of worsening of the endometriosis or risk of cancer.

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    What Are The Major Risk Factors For Late

    Several important factors have been identified that increase a womans risk for failure with endometrial ablation. These are as follows:

    • Age< 35 years of age
    • Submucous or intramural fibroids. Remember that endometrial ablation is NOT a treatment for fibroids. If you have fibroids inside your uterus they should be removed at the time of your endometrial ablation or endomyometrial resection.
    • Polyps. Polyps, like fibroids, need to be removed prior to your endometrial ablation.
    • Anomalies of the uterus . These are present a birth. Most women who have them already know about it. However, its important to have an ultrasound and a hysteroscopy prior to an endometrial ablation just to be sure you dont have one. This can be done at the time of your EA. If you have a uterine septum or a bicornuate uterus you should consider another form of treatment such as endomyometrial resection.
    • Active infection. This is self-explanatory. Elective uterine surgery should be avoided in the presence of infection.
    • Uterine cancer or atypical endometrial hyperplasia. This is also self-explanatory. Since an ablation is a burning procedure you dont want to burn the evidence
    • Motivation. If you understand the risks and consequences of endometrial ablation and youre simply more comfortable with a hysterectomy, dont let someone talk you into an EA. Women who are poorly motivated to undergo EAafter they review the informationwill likely not do well.

    How Is Endometrial Ablation Performed

    Endometrial ablation removes the entire thin layer of the endometrium by heating or freezing it. It can be performed either in a doctors office as an outpatient or in the operative room during a hospital stay.

    The surgeon can perform endometrial ablation using any of the following methods:

    • Cryoablation: It is freezing the endometrium with the help of liquid nitrogen.
    • Radiofrequency ablation: It is the use of radiofrequency waves to vaporize the endometrium.
    • Hot fluid: It is circulating heated saline fluid within the uterus.
    • Heated balloon: It is the insertion of a balloon device into the uterus and inflating it with hot liquid.
    • Microwave energy: It is the use of a slender wand to emit microwaves that heat the endometrium.
    • Electrosurgery: It is the use of electric current passed through wires to burn the endometrium .

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    Endometrial Ablation Risks Cycle Drop Estrogen

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    Can You Have Menopause After Ablation

    Should I get uterine ablation?

    Menopause after Ablation. As you know, neither the ablation or our age absolutely guarantees against pregnancy, and at some point it would be nice to know menopause had definitely arrived so that I didnt have to bother with the extra step of birth control if I didnt have to. A pregnancy after ablation would likely be a very dangerous thing.

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    For Other Types Of Ablations

  • You will be asked to remove clothing. You will be given a gown to wear.
  • An intravenous line may be started in your arm or hand.
  • You will lie on a procedure table, with your feet and legs supported as for a pelvic exam.
  • Your healthcare provider will put a tool into your vagina. He or she will use it to widen your vagina and see the cervix.
  • Your provider will clean your cervix with an antiseptic solution.
  • The healthcare provider will numb the area using a small needle to inject medicines.
  • Your provider will insert a thin, rod-like tool through the cervical opening. This is to find out how long your uterus and cervical canal are. The tool may cause some cramping. The tool will then be removed.
  • With balloon ablation, your provider will put a small balloon through the cervical opening and into your uterus. He or she will put hot liquid into the balloon to destroy the uterus lining. A computer will control the pressure, temperature, and time of the treatment. This may cause some mild to strong cramping.
  • With radiofrequency ablation, your provider will put a special mesh through the cervical opening. He or she will expand it to fill the uterus. Radio wave energy will be passed into the mesh. This will destroy the uterus lining. Suction helps remove liquids, steam, and other gases that will be made during ablation. This may cause some mild to strong cramping.
  • When the procedure is done, your provider will remove the tools.
  • Arthritis Vs Arthralgia: Whats The Difference

    Overview

    Do you have arthritis, or do you have arthralgia? Many medical organizations use either term to mean any type of joint pain. Mayo Clinic, for example, states that joint pain refers to arthritis or arthralgia, which is inflammation and pain from within the joint itself.

    However, other organizations make a distinction between the two conditions. Read on to learn more about their characteristics.

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    What Can My Health Professional Do To Help With These Symptoms

    HRT is very effective at reducing menopause symptoms so starting HRT is the first thing your medical professional will offer to do. Its not clear from research when is the best time to start HRT for women with induced menopause. There can be a concern about the hormones keeping some areas of endometriosis active so sometimes it is not started for 3 to 6 months after induced menopause. However, if started immediately it can prevent bone loss and reduce menopause symptoms. This will be discussed with you.

    The best HRT for women under the age of natural menopause with endometriosis contains at least two hormones, estrogen and progesterone, and is given continuously with no breaks. This can be given as tablets, patches or gel and sometimes alongside a hormone containing coil depending on what you would like and your situation. This combined HRT should be given for at least the first few years after removal of the ovaries but may be changed to oestrogen-only HRT later as it may have a better safety profile for women over the age of natural menopause. Ideally HRT should be continued until at least the age of 51 for all women in induced menopause.

    For women with vaginal symptoms, vaginal estrogen tablets or cream are very effective and are safe to use alone or in combination with standard HRT in women with endometriosis. If your health professional is struggling to manage your situation they can refer you to a menopause specialist in your area to help you.

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