Endometrial Ablation: Is It a Good Option for Treating Uterine Fibroids?
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- เผยแพร่เมื่อ 10 ก.ค. 2024
- Endometrial ablation is often suggested to women suffering from uterine fibroids. It is also often mistaken by patient for uterine fibroid embolization.
In this video, Dr. John C. Lipman of Atlanta Fibroid Center explains how endometrial ablation works and who is a good candidate for endometrial ablation. He also explains how endometrial ablation compares to uterine fibroid embolization (UFE).
To learn more about uterine fibroid embolization, visit:
atlii.com/uterine-fibroids/wh...
To make an appointment with Dr. Lipman call 770-953-2600 or make an appointment online:
atlii.com/appointments/
To request a free phone consultation with Dr. Lipman, visit:
atlii.com/teleconsult/
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#fibroidtreatment #drjohnlipman #atlantafibroidcenter #atlantainterventionalinstitute
#heavyperiod #menstruation #gynecology #gynecologist #adenomyosis #fibroidembolization #hysteroscopicmyomectomy #myomectomy #hugefibroid #myomectomyrecoverytips #medicine #symptoms
#whatishysterectomy #polyp #ablation #thedoctors
I had one about 40 years ago. Best decision I ever made. No problems what so ever.
Does it get rid of cramps too?? Please answer
@@mariabimagnolia it did for me
@@mariabimagnolia it did for me
@@mariabimagnoliaI had one about 10 years ago (Novasure). I haven’t had any complications. I still experience mild PMS (no cramps, no headaches). My endometrial ablation and breast reduction were two of the best things I’ve ever done, in my life. I had my breast reduction 14 years ago and I want to have another one before my Dr. retires:) (I was 31 yes old. As my weight has fluctuated and hormonal changes have continued, my bra size has increased 2 full sizes and I feel like I’m close to where I started 😒
It’s late, but I Hope this information is helpful.
@@mariabimagnolia I have never had bad cramps.
THANK YOU! This was very informative.
Thank you so much for this information! Very helpful
I’m getting this done in the next 3 months.
Well done in your excellent work you have help me greatly 👍
Thanks for the kind words. Glad we can help.
Thank you Dr. This information was clear and helpful. I have fibroids.
I would be happy to help if I can. Our website (ATLii.com) has a lot of information people find helpful. If you want to see me in consultation, please call 770-953-2600 after 8:30am M-F. Thanks.
I had the embolization and I'm not any better.... Maybe worst than before
What happens if I have polyps and fibroids
Thank you Doctor for explaining the difference of the two procedures in detail. So the (UAE) treatment will get rid of all the fibroids but will it prevent new fibroids from happening ? (once the procedure is done).
The UFE procedure should knock out all of the fibroids that are in the uterus. For women over 40, this is typically enough to hold them until menopause. Some women will grow new fibroids that can become symptomatic before menopause and if so the UFE procedure can be repeated.
yes
Would it be an appropriate procedure for Adenomyosis?
Ablation is not recommended for adenomyosis. In fact, endometrial ablation will typically make the bleeding symptoms worse ! Uterine artery embolization (UAE) is a very effective, nonsurgical treatment option for adenomyosis. Learn more at ATLii.com.
Great explanation, I’m having an ablation done is a few days and I’m wondering if is worth it , because my bleeding is fibroid related ☹️
If bleeding is fibroid related it is best to treat the fibroids not just the lining. Have you looked in to UFE. Learn more at ATLii.com
I had a D&C with ablation 1 week ago. Started bleeding pretty heavy 4 days ago. Going on 3 1/2 months of bleeding. I don’t think it’s ever going to stop at this point.
My doctor is trying to give me an ablation for fibroids. omg, I was wondering why he won't just do this procedure instead 😢
Would this procedure be performed on a 57 year post menopausal woman that suddenly has a 20 day mensus with a 20 mm endometrial stripe and endometrial hyperplasia with Atypia ?
No. You need to be checked for uterine cancer. You should not be bleeding at all.
Having this done Thursday i have a fibroid but I'm going into the hospital
How did it go?
Did it get better?
@@michellelcampos yes no bleeding
Hello Dr.
Recently I am having heavy bleeding and my Dr suggested me some tests and today I got report came to know about that uterus has got thick, it's thickness is around 1cm, because I am unmarried so please suggest me do I need this endometrial ablation surgery or not.
I would have children first.
I have one 3 mm fibroid and a small polyp. They want to do a thermal balloon ablation on me since my periods are heavy, long and every two weeks. I'm worried that I might have an ablation failure and end up having to have a hysterectomy since I have this fibroid but since they said there is only one of them there, would it be a good option for me to go ahead and have the ablation that they recommended?
Can't say without more information. A 3mm fibroid is tiny and incidental. From the limited amount of information, what they are proposing sounds reasonable.
I came off the pill called lolo, and a month later I went from 135 hemoglobin to 75. I hemorrhaged for 11 days and went t ER. Had blood transfusion, just tried IUD and broke out in hives rash, became feverish etc just had it removed after 1 month. I have a 4 cm to mm fibroid and my gyne is suggesting ablation. My periods are so heavy I can’t leave the house for a week. I’m sob, fatigued etc. I’ve had an iron infusion which helped with my sob. Should I get ablation or get rid of the fibroid? Thanks Tracy
While i can’t say without knowing more information, ablation should be reserved for heavy bleeding not due to structural causes in the uterus (exs. Fibroids, adenomyosis). Ablation doesnt do anything to the fibroid(s) which often also causes bulk symptoms too. Learn more at ATLii.com. Good luck.
I had mine done today.had polyps and fibroids. Didn't feel a thing.but now my abdomen is so painful. Using heat pad and painkillers.
How are you now? I'm having the same
@mzeye actually I'm 101% better.sorry it didn't work for you.first month was tough but got better than.
@manormani1 I haven't got it yet. I'm scared dr I'm 40 no kids. Was considering it. I have both polyps and fibroid didn't even know this was a thing until I researched and got tested. I est healthy and work out but idk
Hello, I have very heavy periods and I would like to have an endometrial ablation (i don’t have any other problem). However I have a question: does the hormonal cycle continue normally after this operation until the menopause that is to say 50 years (I am 22 years old). because I read somewhere that it causes menopause 10 years after the ablation and stops the hormonal cycle. I'm worried, thank you for your answer
You should do a IUD, it will help a lot with your heavy periods. You shouldn’t do this surgery, not at 22 y/o because it decreases your chances of becoming pregnant. You may not want kids now but your story could change 😊 I didn’t want kids…. And I met my husband at 33 and we had our first when I was 36.
@@katiecarter2363who cares
okay
I had endometrial ablation for extremely heavy periods. I do not have fibroids. I found that the procedure did not make a significant difference. My doctor said we can try ablation again or a partial hysterectomy by just removing the uterus. Have you had patients that have undergone endometrial ablation more than once? If so, did they notice improvement? I understand every situation is unique to the individual. I'm just curious.
Mine worked. Let's see after 6 months
You may have adenomyosis. Ablation should not be done for structural causes of bleeding (like fibroids or adenomyosis) It often makes the bleeding worse with adenomyosis. Dont repeat ablation. Ask to get a pelvic MRI to see if you have adenomyosis. Pelvic ultrasound doesnt have good enough resolution and often misses that diagnosis. Learn more about adenomyosis and endometrial ablation at ATLii.com
Ok...The UFE is what I'm considering! I was told it only shrinks the fibroids 70-90% and they may come back or new ones grow! With them only shrinking them 70-90%, wouldn't they just grow back because they aren't fully gone? In this vid, he's saying it get rid of the fibroids! Which does it actually do?
The shrinking is not what is most important. What’s important is that all of the fibroids are dead. If so ( and 9 chances out of 10 that would be so) the symptoms will fade away and that’s why the procedure is done (i.e. to dramatically improve a woman’s quality of life). Now typically we get a lot of fibroid and uterine shrinkage also, but that’s really secondary. You’re rid of the symptoms and you be rid of some fibroids too. Also, those dead fibroids don’t grow back, they’re dead. If you’re over 40yrs of age, the UFE will likely be “a one and done” but even in “worst case scenario” where you need a 2nd embolization, that’s still way better than 1 surgery. To learn more about UFE and fibroids, check out ATLii.com. Good luck to you
@@Atlii Thank you! One more question, please! I have a protruding stomach! Will it help that go down? I want the heavy periods to go away and the belly!
@@c.williams3480 Yes. I would expect both to improve significantly.
@@Atlii ty very much!!
If fibroids are small can ablation be an option?
It can be depending on how small. If a woman has heavy periods and fibroids are truly very small (
I had one 3 weeks ago cause of heavy periods they tried twice while I was as asleep and it failed now I got to go and discuss having a hysterectomy, had lower abdominal and pelvic pain since
Tried twice? They weren’t able to do the procedure? Very strange. Can you provide any more detail?
@@Atlii I don’t know why it didn’t work they didn’t say anything when they discharged me all I was told is i need the next available appointment with the consultant to discuss a hysterectomy, hopefully they can tell me why it didn’t work
@@lauraslater9121 That’s extremely rare and not acceptable. The IR (not the Gynecologist) that attempted the procedure needs to explain to you what happened. Did they fail to catheterize one (or both) uterine arteries? Did they come from your wrist or groin? You’re entitled to know what happened. Insist !
@@Atlii they went up internally all i know from the nurse who discharged me said they wasn’t able to do the endometrial ablation and now I got to have a hysterectomy there was no explanation and that was 3 weeks ago I don’t see the consultant for another 2 week
I was under a general anaesthetic
Padahal harusny semua prosedur harus ada biar pasien sendiri yang menentukan pilihannya sendiri...jangan seolah terpaksa histetektomy karena tidak ada pengobatan pilihan yang lain
What if the the fibroid is submucosal?
UFE is an excellent treatment for submucosal fibroids. Endometrial ablation is not a good treatment for bleeding from submucosal fibroids as the underlying culprit (i.e. the fibroid) is not addressed by ablation.
Atlanta Fibroid Center Thank you because I was considering getting the laparoscopic radiofrequency ablation procedure.
From what I understand. I have 3 different types of fibroids which the largest one is submucosal.
Doesn’t the endo lining grow back after the procedure?
Endometrial Ablation is performed by a Gynecologist, and cannot be performed on a patient who desires fertility. Endometrial Ablation is NOT (and should not be) recommended for patients who have fibroids, because the lining will not be fully treated due to fibroids getting in the way--endometrial ablation treats the lining of the uterus, but NOT the fibroids!. Please consult a Gyn regarding your specific question about whether the lining grows back after an endometrial ablation.
It is very important to note that endometrial ablation and uterine fibroid embolization (UFE) are VERY DIFFERENT procedures and are done for very different purposes. Patients with fibroids typically have great results with UFE. Patients with fibroids who have endometrial ablation typically do not have good results, and end up seeking another treatment (like UFE) which is designed to treat fibroids.
@@jaynel5656 hi I’m a healthy woman and I want my periods stop permanently so can I do this???? Plzzz tellll
@@zapakmeans1075 Hi, Dr. Lipman does not perform endometrial ablation, and therefore would suggest you consult an OB/Gyn doctor who performs this procedure for your specific question. Dr. Lipman performs UFE to treat symptomatic uterine fibroids, and a patient's cycle does return after a UFE procedure. Hope this is helpful!
@@jaynel5656 ok thankss
10 years supposedly it lasts
If someone had endometrial ablation. Is UFE still an option?
Yes. If you have fibroids and symptoms due to these fibroids you are likely a candidate for UFE. We see a lot of patients that have had ablation and previous surgery (myomectomy) too.
Mengapa tidak banyak orang yang memilih prosedur ini...katanya takut penyakitnya malah jadi berubah ganas kalau gak dibuang atau dikeluarkan dari tubuh pasien,malahan kebanyakan di Indonesia malah pake histetektomy
I have very heavy periods and a short cycle. I don't have fibroids or any other uterine pathology. But my iron level is low (because of the bleeding). I want to have an endometrial ablation but I heard that this is only for woman who have a thick lining. My lining is not thick it's normal can I have an endometrial? ablation?
We do not perform endometrial ablation--we would suggest you contact an OBG for an examination/imaging to determine if this is their recommendation.
@@jaynel5656 Do you mean that this procedure is impossible on a woman with normal lining or that's not the speciality of this center and I have to ask someone else ? Thank you (I'm not good at english so I didn't enderstand perfectly your answer)
@@betrave7090 Endometrial Ablation is performed by a Gynecologist, and is not the Specialty of our Center. They can determine if Ablation is appropriate for you based on their assessment. At Atlanta Fibroid Center, WE only treat women experiencing symptomatic uterine fibroids.
@@jaynel5656 ok thank you very much for your answer
Was your pelvic ultrasound absloutely normal. If so ablation is an option. On the other hand, if your uterus is enlarged and “heterogenous in echotexture” you likely have adenomyosis and ablation would make things worse.
Sir I’m a healthy women and if I did endometrial ablation then my periods will not come forever? Is it safe and worth it I want to end my periods forever plzzz replyyy
Can't say without more information. Ablation is a good tool used in the appropriate setting. For most women the periods after ablation are lighter and in a small percentage there will be no period afterwards.
Is this procedure going to correct the condition of infertility in women?
Hi sir... I am madhavi rayapaneni.from India... Endoblestion surgery after no periods.. I will d...t sir...
Pls reply sir
Can a woman who no longer want children at their 20s is allowed to do this?
I wouldn't because women's circumstances change. Once a woman undergoes an ablation, she will never be able to have a child again.
@@Atlii In my opinion, you should. Some women have Tokophobia. You should make sure they wouldn't change their mind before doing it.
@@Atlii yea, that’s kinda the whole point
I'm in my 30s, married , 2 live births, 2 losses, ALL high risk pregnancies and it would be dangerous to get pregnant again.
I bled every day for 2.5 YEARS and multiple OBs told me ablation was "too radical " SMH!!
I had ultrasounds, labwork and biopsies to rule out cancer, infection etc. I'm even bleeding on the highest dose of hormonal BC which is making me incredibly sick. I didn't even have morning sickness with my pregnancies, but this high dose pill has me getting up at 3-5 AM to puke.
Guess you have to be over 50 for them to care 😒
Does this stop you from getting pregnand?
No. We have seen numerous pregnancies after the UFE procedure. Our births are typically full term and vaginal whereas if you undergo a surgical myomectomy and get pregnant, you’ll not be allowed a vaginal birth. Instead, those women get more surgery (i.e. c-section).
I didnt know you couldn’t get pregnant anymore after this procedure. My dr never told me
You absolutely can. Our births are typically full term and vaginal, whereas if u get a surgical myomectomy you wont be allowed to have a vaginal birth. You’ll get a c-section. Learn more at ATLii.com
So it don't stop your period for good, then whats the point?
Endometrial ablation is not a good option for the treatment of fibroid-related bleeding. UFE is much better for that. If a woman has heavy bleeding unrelated to fibroids (or adenomyosis) and not interested in fertility, ablation is a good procedure. Typically ablation does not end all bleeding (it does for some), but it makes it a much lighter manageable flow.
They told me they are doing a ablation done and they will take out fibroids and put a marina in
I'm so scared
@@katelancaster7645 they told you what