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What Causes Severe Vaginal Bleeding Post An Endometrial Ablation?

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Posted on Fri, 26 May 2017
Question: Facing a decision...have had daily bleeding past 4 months, recently excessively heavy ( have lost 3 units bet.4/21 and 4/27). Dr did dnc on 4/27 and placed a Mirena IUD. Told me if heavy bleeding persisted to come back Friday or ER if weekend. Said if heavy bleeding came back, likey would need hysterectomy. Then called back to say colleague said to also consider endometrial ablation. Heavy bleeding has returned early this a.m. Since she said I was borderline transfusion, I will probably go to ER and they will contact OBGYN on call (not my reg gyn)...so what will they do...one of the above procedures or just stabilize? Had another abdominal and trans sono yesterday + biopsy out from 4/27 DNC. File is in Dr lounge so they will check that, but I haven't heard results on sono or biopsy. Thank you...
doctor
Answered by Dr. Mahesh Koregol (9 minutes later)
Brief Answer:
Ablation is better option

Detailed Answer:
Hi,

I understand your concerns.

It is important to wait for biopsy report.

If biopsy is normal and not cancerous, ablation is better option than hysterectomy.

Let me know if you need anymore help.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Mahesh Koregol (32 minutes later)
Thank you. Fo ablation do they remove UUD & is it ambulatory procedure
doctor
Answered by Dr. Mahesh Koregol (36 minutes later)
Brief Answer:
Yes

Detailed Answer:
Hi,

Yes. They need to remove IUD before ablation.

It is an ambulatory procedure.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (20 minutes later)
Thank you. So is there any point in going to ER today?
doctor
Answered by Dr. Mahesh Koregol (19 minutes later)
Brief Answer:
No

Detailed Answer:
Hi,

No need to go to ER.

see your doctor with appointment.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Mahesh Koregol (41 minutes later)
Thank you...you've been very helpful
doctor
Answered by Dr. Mahesh Koregol (19 minutes later)
Brief Answer:
Welcome

Detailed Answer:
Wish you good health
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3830 Questions

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What Causes Severe Vaginal Bleeding Post An Endometrial Ablation?

Brief Answer: Ablation is better option Detailed Answer: Hi, I understand your concerns. It is important to wait for biopsy report. If biopsy is normal and not cancerous, ablation is better option than hysterectomy. Let me know if you need anymore help. Regards