Question: I have a severe bleeding problem that has resulted in a long course of different treatments that have so far been ineffective. An ultrasound in February revealed a very large fibroid, but removing it hysteroscopically in March did not fix the bleeding issue. After a severe event that resulted in three transfusions in May, I was given a variety of hormone courses including progestin (ineffective) and estrogen birth control pills (effective only after multiple days at quadruple doses. Each time I drop the estrogen to a normal dose, the bleeding returns, so the doctors next tried a Mirena. Unfortunately, the insertion spiked my bleeding and I expelled the device the very next day.

The new suggestion of my doctor is to have a Novasure eblation. It is scheduled for this Friday. My concern is this. I noticed tonight while exploring with my finger that my cervix is extremely enlarged and 'low', to the point where I reach it at my second finger joint. Normally, I would need to go to my knuckle to feel it. I can imagine that expelling the Mirena caused inflammation, but this is quite extreme and sudden. The number one question on my mind is, could this affect the appropriateness and safety of the planned eblation in three days. I am extremely nervous about abnormalities in the shape of my uterus resulting in burns or colon damage.