MY HEALTH CONCERN
WHY ARE THERE SO MANY HYSTERECTOMIES?
There are quite a few reasons why women are recommended to consider a hysterectomy.
The most common are intense bleeding, when many things have been tried and failed, large fibroids, endometrial polyps, endometriosis, causing debilitating pain and discomfort and other endometrial concerns.
Some women are fed up with the discomfort or the bloating that accompanies a large fibroid uterus or have uterine prolapse, (a condition in which the uterus drops).
More serious symptoms include cancers of the uterus or ovaries — conditions that truly merit immediate surgery.
However, if we take a closer look, the latter is relatively uncommon and leave women with few choices, so this conversation and topic are geared toward women who are considering surgery for less clear-cut reasons.
Throughout traditional medical practices, heavy blood loss is termed “dysfunctional uterine bleeding” when it is not the normal amount of bleeding but no demonstrable organic pathology is found. Diagnosis is made by exclusion since organic pathology always has to be ruled out.
What may be more useful for us to identify as “dysfunctional.” Or imbalanced. Are environmental and lifestyle influences. Affecting our hormones and sending the uterus mixed messages.
Every now and then these influences lead to a state of estrogen dominance. And in other cases, the menses may be out of sync, because of general hormonal imbalance.
In whichever the case. Tuning in and paying attention to what the body and mind need can restore balance.
Furthermore, what is dysfunctional for one woman may not be for another. And the term is somewhat subjective by nature. So it should be with a knowledgeable and experienced provider.
Having reached a state of hormonal imbalance. A woman’s body can get stuck, and even her greatest efforts to restore balance can take quite a few months.
The annoyance of having to change pads hourly. Doubling up on tampons, wash extra linen, never wear white at that time of the month. Or any light colors for that matter. And timing activities around the heavy flow. Leads several women to the end of their reproductive rope.
BACK TO MY PERSONAL STORY
It is two procedures performed at the same time. Which is slightly more invasive but definitely less traumatic than a hysterectomy. Below is everything you need to know about fibrosis of the uterus, hysterectomy, and hysteroscopy endometrial ablation.
1. What Is Fibroids on The Uterus?
2. What are The Symptoms of Fibroids?
Most fibroids do not cause any symptoms, but some women with fibroids can have:
A feeling of fullness in the pelvic area (lower stomach area)
- Heavy bleeding (which can be heavy enough to cause anemia) or painful periods
Enlargement of the lower abdomen
Pain during sex
Lower back pain
Complications during pregnancy and labor, including a six-time greater risk of cesarean section
Reproductive problems, such as infertility, which is very rare
3. What are The Causes of Fibroids in the Uterus?
Genetic (runs in families)
4. Can Fibroids Cause Cancer?
5. What Is Hysteroscopy?
6. What Is A Operative Hysteroscopy?
7. When Is Operative Hysteroscopy Used?
Polyps and fibroids. Hysteroscopy to remove these non-cancerous growths found in the uterus.
Adhesions. Also known as Asherman’s Syndrome. Uterine adhesions are bands of scar tissue that can form in the uterus. It may lead to changes in menstrual flow as well as infertility. Hysteroscopy can help your doctor locate and remove the adhesions.
Septums. Hysteroscopy can help determine whether you have a uterine septum. A malformation of the uterus that is present from birth.
Abnormal bleeding. Hysteroscopy can help identify the cause of heavy or lengthy menstrual flow. As well as bleeding between periods or after menopause. Endometrial ablation is one procedure in which the hysteroscope. Along with other instruments. Is used to destroy the uterine lining to treat some causes of heavy bleeding.
8. What Are The Benefits Of A Hysteroscopy?
Compared with other, more invasive procedures, hysteroscopy may provide the following advantages:
Shorter recovery time
Less pain medication needed after surgery
Avoidance of hysterectomy
Possible avoidance of “open” abdominal surgery
9. How Safe Is Hysteroscopy?
Risks associated with anesthesia
Injury to the cervix, uterus, bowel or bladder
Reaction to the substance used to expand the uterus
10. When Should The Procedure Be Performed?
11. What Is An Endometrial Ablation?
12. Why Endometrial Ablation?
Heavy periods, sometimes defined as soaking a pad or tampon every two hours or less
Bleeding that lasts longer than eight days
Anemia from excessive blood loss
To reduce menstrual bleeding. Doctors generally start by prescribing medications or an intrauterine device (IUD). Endometrial ablation might be an option if these other treatments don’t help. Or if you’re not able to have other therapies.
Certain abnormalities of the uterus
Cancer of the uterus, or an increased risk of uterine cancer
An active pelvic infection
13. What Are The Risks Of Endometrial Ablation?
Pain, bleeding or infection
Heat or cold damage to nearby organs
A puncture injury of the uterine wall from surgical instruments
14. What About Future Fertility?
Pregnancy can occur after endometrial ablation. But, these pregnancies might be a higher risk to mother and baby. The pregnancy might end in miscarriage. Because the lining of the uterus has been damaged. The pregnancy might occur in the fallopian tubes. Or cervix instead of the uterus (ectopic pregnancy).
15. What Happens After The Procedure
- Cramps. You may have menstrual-like cramps for a few days. Over-the-counter medications such as ibuprofen or acetaminophen can help relieve cramping.
- Vaginal discharge. A watery discharge, mixed with blood, may occur for a few weeks. The discharge is heaviest for the first few days after the procedure.
- Frequent urination. You may need to pass urine more often during the first 24 hours after endometrial ablation.
16. What Are The Results Of Endometrial Ablation?
It might take a few months to see the final results. But endometrial ablation usually reduces the amount of blood lost during menstruation. Most women will have lighter periods, and some will stop having periods. Endometrial ablation isn’t a sterilization procedure. So you should continue to use contraception if you are currently using it.
Pregnancy might still be possible, but it will likely be hazardous and end in miscarriage. Although there are many benefits associated with Hysteroscopy Endometrial Ablation. It may not be appropriate for some patients. A doctor who specializes in this procedure. Will consult with your primary care physician. To determine whether it is appropriate for you.
I decided that this was the best method for me.