Endometrial Ablation vs Hysterectomy

Hello. I am in perimenopause for four years now and I have not had what your are going through but I was wondering if having the cyst do you have pain in your ovaries? I have this especially during sex and I am worried that I might have something like this.

I have been bleeding off and on since 4/18, I will not consider surgery, there are other hormone treatments out there.  You will stop bleeding when menopause comes.  Yesterday morning it was heavy (not crazy heavy though) and then I was very irritable all day and had had a lot cramps.  I am doing 1200 mg of Advil which sometimes helps reduce bleeding today is one of those days, I also take Shepherds Purse, although not convinced it does much.  I take  multi vitamin, iron, vitamin K and a citrus bioflavanoid (just started the last 2) this is a natural process and I would like to see how it resolves.

Hiya

Not had any surgeries myself. One of my sisters has had a hyste - long-term gynae issues.

Another had the ablation. Said it was the best thing she ever had. Stopped her heavy bleeding forever - never bled again, took her bleed-free into full meno aged 54 (she's now 62, been taking HRT for 8yrs. Tells me to try it. Not just yet for me, but won't rule it out).

I also told a colleague to mention the Ablation to her aunt who was due to have a hyste that week. She had this op instead and hers too was a major success!

Suppose it all depends on the individual and their particular symptoms.

I'd have tried either. I've no 'attachment' to my womb (bloody nuisance most of the time). Think its a case of you having to decide which procedure may be best for you in the long run.

Good luck, whatever you decide :-)

Six

PS - forgot to mention. I'm 54, still having regular P's. Had REALLY heavy bleeding in my late 40s. Was one of the few times I went to my GP. No mention of these ops for me. Was prescribed Tranexamic Acid - totally sorted me out.

Took for a year or so then decided to see how things were/how

I'd cope without it = fine. Think maybe aside from anything else I was 'changing' anyway as my bleed was and had been much lighter thereafter.

I still have a bit of heavy now, but I'm under no illusions its anything near as bad as it had been. Just can't wait until they become irregular and finally stop!!

hi - i had an ablation due to severe cramping and heavy bleeding.  i had to have iv infusion one time i was bleeding so much.  the ablation did not work as well as promised...only i found out afterwards that since i have fibroids, c-section scar, tubuligation it was probably not going to work for me anyway.  now my doctors refuse to give me pain pills other than NSAIDS (which we recently found out caused an ulcer, so NO NSAIDS) and they would rather cut something (uterus) out of me and be in more pain and recovery time, than give me 3 pills per month for pain until i get through this stage where i am bleeding irregularly and close to getting through to post menopause.    always happy to cut us open though.  i'm going next month to talk to the surgeon.

if you've had a c-section and tubal ligation, with fibroids they say it may not work.  look up post ablation syndrome.  that's what happened to me.  good luck.   

Ok., this is an old post, but hopefully I can give some information. I work volunarily in a hospital, & there are a lot of women who go through the surgical dept. scheduled for Novasure Ablation or hysterectomy.

Novasure takes about 5 min. There is a small tool that is inserted into the womb, then radiofrequency pulses are sent into the womb. This ablates the lining of the uterus to a certain extent. Some lining may be left behind. Women still may have periods, & of course the womb is still intact,necessitating returning to the GYN's office yearly for paps, etc. After speaking with several woman, I'm told they would much prefer to opt for hysterectomy.That way, the uterus is gone, as are the very heavy periods & cramps. Don't permit any surgeon to leave the cervix intact. That is a common site for cancer! Leaving the cervix intact serves no purpose.

There is no guarantee that the ablation will get rid of your problem. It can come back, & yes there's a chance you could still become pregnant, although the GYN may deny this...likely because he wants to do the ablation. I"ve seen the scheduling as well...ablation after ablation after ablation. The procedure takes just 5 min, so it's like an assembly line for the GYN. One woman was suffering heavy bleeding with cramps, etc.etc. She & her husband had completed their family. The husband had vasectomy a few years back. She herself had a tubal ligation. She told me also that she fought with her GYN because she wanted hysterectomy, & he was arguing with her that ablation should be done. Finally she told him that if he wouldn't do the hysterectomy, she'd find a doctor who would! Good for her! The Dr. finally agreed, which is why she was having hysterectomy that morning. 

Yes, hysterectomy is major surgery, however there are a few methods of how this surgery can be performed...abdominally, vaginally, laparoscopy assisted, etc. 

Again, if you are scheduled for or are planning your hysterectomy with the Dr., TELL him the cervix is to be removed.Don't take no for an answer. 

Hi There AVR1962. I know you posted this 3 years ago so maybe the discussion is no longer relevant. However, in 2011 after decades of very heavy bleeding during menstration i finally  I had endometrial ablation. It worked very well and I regained a significant level of health begining after this procedure. I had regular very minor bleeding each month which let me know my menstral cycle was still regular. About 2 years ago my period  started to become less regular but with no problems. I am now 52 and thought I'd been experiencing a normal mild menopause until now. For 10 months last year i had no bleeding, then late last year I had 2 normal periods. Now I've had 3 weeks of bleeding getting heavier. So I'm to the doctor today to check it out and as part of that i did a little reading and have seen that actually the lining of the uterus can grow back and with it the experience of heavy bleeding. Given that i had such a great response from the first ablation i will not let a long time pass before doing something about it again. Not sure what yet. I hope you no longer have troubles and had a successful endometrial ablation.