Sunday, October 02, 2005

Can Endometrial Ablation Replace Hysterectomy in Cases of Heavy Menorrhagia?

Endometrial ablation (sometimes misspelled as "oblation") is the technique to stop heavy bleeding during the period. Normal loss of blood during the period is around 25 ml, and anything above 80 ml is too large. Besides anemia and the problems it can bring you, losing so much blood may make your life unbearable. Many women describe this not as having a period but as downright hemorrhaging. It is difficult to live when you cannot sleep, cannot move because of blood, cannot go to work for several days or even for a whole week.

Nature expects you to get pregnant every month. Your body gets ready for that and if the pregnancy does not happen, as is usually the case, the overgrowing endometrium is torn away and goes out. Often it will be painful as well, but that may not be such a big problem. At least, there are ways to fake or relieve pain, but if the abnormal bleeding persists, what is the woman to do? Up to 10 or 15 years ago, hysterectomy was the only solution. Today, there are many means to execute ablation, for instance:

-- Laser ablation
-- Thermal ablation
-- Novasure endometrial ablation
-- Hydrothermal ablation
-- Electrosurgical Technique (Roller Ball or Barrel)
-- Endometrial Resection
-- Radio frequency ablation
-- Baloon ablation
-- Microwave endometrial ablation
-- Cryo ablation

Endometrium is the innermost layer of uterus and if it can be removed, most of the mestrual bleeding should stop. That is the idea behind endometrial ablation -- remove the endometrium, leave the rest of the uterus intact and let the life merrily roll on!

In the beginning, in the 1990's, the ginecologists expected to end all the excessive bleeding in this way, actually, to introduce the patient into the state of amenorrhea. In practice, after ablation, you still get periods, but light or almost non-existant (that would be the best case scenario). The worst case scenario is when you have adenomyosis in the uterus, meaning the lining grows deeply into the muscle of the uterus. Ablation cannot go that deeply, so even after endometrial ablation, some of the lining is still there. That may cause the problems to continue, all up to the full hysterectomy. In some cases, women opt for a repetead ablation.

Are You a Good Candidate for Endometrial Ablation?

To see if you really are, please visit the following link:

http://www.how-to-avoid-hysterectomy.com/endometrial-ablation.html

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