Question: Hi, I am 59 years old and postmenopausal by 5+ years. I have an annual pelvic and pap each year (most recently in january 2015) and have never had any abnormal results. About 2 weeks ago I began having light vaginal spotting, bleeding and a few small clots. I called my family doctor immediately (who reminds me every year that any postmenopausal bleeding is abnormal) and within a few days saw her. After a pelvic exam in which she saw blood and clots packed around the cervix, she referred me to a GYN whom I saw 2 dates later. Had a vaginal ultrasound done in her office which showed endometrium thickness of 8+ mm. The GYN doctor told me, because of my other risk factors (obese, no children, diabetis) there was probably 60% chance this was either cancer or pre-cancerous and in eother cas i wold need a complete hysterectomy. I was scheduled for D&C with hystoscopy which I had done today. After I woke up from the procedure, I was told that she also did a Myosure Ablation. I understand that she found polyps during the procedure but don't know how many or what size. They were removed, along with the endometrium, and sent to the lab. I wont see her for a follow-up appointnent for another week and have some questions i hope you can help answer for me. Here are my questions:
1) Why would she have decided to do this ablation during surgery? She did not even mention this in the office, I had no pre-op education about this nor did I sign a consent for it.
2) Does this mean that she no longer suspects cancer? I realize we need to wait for biopsy reports for final answer but everything I've read this afternoon says that an ablation is not appropriate when cancer is suspected.
3) how is the ablation different or better than the D&C? Don't they both do the same thing?
4) are polyps sometime cancerous?

I'm sure I will think of other questions but this is a good start. Please help me understand why this procedure was performed. Thank you!

Thank you, but she would definitely taken the biopsies and removed the polyps BEFORE doing the ablation, correct?

Hi again, my doctor just called me to see how I was doing so I was able to ask her some questions. It seems that I was misinformed by the post op nurses about the ablation. She did not do that and said that would never be done without getting biopsy reports first. She said the polyps (3 of them) were in a difficult location so she used the myosure equipment to remove the polyps, which were sent, along with the d and c scrapings, to the lab. That makes so much more sense! She said if the biopsies come back as cancerous or pre-cancer, she will call and have me come in earlier, otherwise my follow up appointment with her is 1 week from today. So, hoping and praying I don't get that call. Thank you for answering my questions and for your assurance. I feel my doctor is right on track and so glad she called me today! Wasn't expecting that! Blessings, XXXXXXX

Hello again. My family doctor just texted me that the pathology report is back -- benign endometrial polyps and small, benign submucosal leiomyomas. My doctor said these are fibroids. I will see the GYN doctor again next tuesday. What can I anticipate she will say are the treatment options, or will this not need any additional treatment at this time? I just want to know potential options so I can research them before I see her.

Also, does this mean I should see a GYN for my annual exam each year? I've always just seen my family doctor for this however if they need to keep an eye on these growths I could see the benefit of going to the GYN who would have access to ultrasounds and things that my daily doctor might not be able to do. Please,tell me what your recommendation would be for your patient in a similar situation.

Thanks so much, blessings, XXXXXXX

Thank you fir you answers, advise and support. So should I plan to see the GYN once a year for ultrasound and pelvic/pap (rather than family physician)?

I know about the weight and have already begun the process for gastric bypass surgery. I hope to have the surgery before the end of the year.

Blessings, XXXXXXX

Hello there -- one more question, hopefully my last. I've had very little spotting and cramping since the D&C on Monday, much less than I anticipated. Until today. I'm having pretty much constant cramping and a much heavier flow of blood-like drainage today. Is it normal to have this "delayed" reaction after a D&C? -- XXXXXXX