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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Difference Between Re Ablation And Hysterectomy?

Hi I am a 46 yr old woman, tubes tied 10 years ago. I suffer Graves disease, radiation of thyroid, chronic left side pelvic pain (cause not diagnosed), IBS, Acid reflux, major tiredness, fibromialgia and depression (on many meds). 3 years ongoing hemorrhaging. Just been diagnosed with Bulky Adenomyhotic uterus with single posterior subserosal fibrod. 2nd thing, thing endometrial lining & normal ovraries. Dr pushing for the Mirena, but I have opted for Ablation of the uterus. Why would I not be the PERFECT candidate for a hysterectomy? . I am tired of all this hemmoraging. I am currently on Visane which I am told I need to come off, but this has controlled my hemmoraging for 6 months. I would like your thoughts please re ablation vs hysterectomy. Thank you and I await your answer.
Wed, 2 Apr 2014
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OBGYN 's  Response
hello and welcome,

I understand the query. Hysterectomy itself is associated with its own set of complications and hence maybe the doctor wants to try conservative methods before deciding for a hysterectomy.
In my clinic, I have a policy to provide all options to the patients with their risks and hazards and they decide the best of these for them with my guidance.

Both mirena and endometrial ablation have some failure rate with regards to control of bleeding. If you have completed your family and no longer desire a uterus, please discuss the option of hysterectomy with your doctor as it will get rid of the issue for ever.
Please do not hesitate to discuss this with your doctor as it is your body and if a procedure is being performed, you must understand its implications before subjecting yourself to it or it will not provide satisfaction.

Do not worry, just have a talk and I am sure your doctor will explain her rationale to you.
Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde     
Consultant Obstetrician and Gynecologist
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What Is The Difference Between Re Ablation And Hysterectomy?

hello and welcome, I understand the query. Hysterectomy itself is associated with its own set of complications and hence maybe the doctor wants to try conservative methods before deciding for a hysterectomy. In my clinic, I have a policy to provide all options to the patients with their risks and hazards and they decide the best of these for them with my guidance. Both mirena and endometrial ablation have some failure rate with regards to control of bleeding. If you have completed your family and no longer desire a uterus, please discuss the option of hysterectomy with your doctor as it will get rid of the issue for ever. Please do not hesitate to discuss this with your doctor as it is your body and if a procedure is being performed, you must understand its implications before subjecting yourself to it or it will not provide satisfaction. Do not worry, just have a talk and I am sure your doctor will explain her rationale to you. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist