A total hysterectomy means that the uterus and cervix are removed. In some cases, the fallopian tubes and ovaries are removed along with the uterus and cervix. This is called Total Hysterectomy with Bilateral salpingo-oophorectomy. In a Supracervical Hysterectomy, only the uterus (not the cervix) is removed. The type of hysterectomy performed depends on the reason for the procedure. There are multiple ways that hysterectomy can be performed.
An Endometrial Ablation is used to treat heavy bleeding. It destroys a thin layer of the lining of the uterus (endometrium) and reduces or stops the menstrual flow in most women. Heavy bleeding is often first treated with hormones, such as birth control pills. An Endometrial Ablation is a non-hormonal option for women who cannot tolerate or do not desire hormonal treatment.
The procedure can be done as an outpatient surgery at the hospital or in our office with light sedation. Virtually no recovery is needed and patients generally resume normal activity within 24 hours.
What to do to prepare for an Endometrial Ablation?
Dr. Patton will help determine if An Endometrial Ablation is the right treatment option for you. An ultrasound is done to evaluate the size and shape of the uterus, and to rule out any other causes of bleeding, such as uterine fibroids or endometrial polyps. An Endometrial biopsy is also required to ensure there are no pre-cancerous or cancerous cells present before scheduling an ablation.
What to expect after the procedure?
Cramping, like menstrual cramps, for 1-2 days are not uncommon. Also, thin, watery discharge mixed with blood can last a few weeks. If you experience heavy bleeding, fever, severe pain, persistent nausea or vomiting or abdominal distention, please call our office.
Benefits of an Endometrial Ablation
- A one-time, safe, effective, quick procedure
- Treatment success rate of 93%
- Treatment Amenorrhea Rate 72% (bleeding completely eliminated)
- Patient satisfaction rate of 98%
- Procedure time, average 3 to 4 minutes
An IUD prevents pregnancy by interfering with the movement of the sperm inside the uterus and the progestin prevents some women from ovulating (releasing an egg) at all, thus preventing the possibility of pregnancy. An IUD is a good option for women who want to avoid systemic hormonal methods of birth control, and do not desire a pregnancy in the near future.
What To Expect
A speculum will be placed in the vagina as with a Pap smear. The cervix will be cleansed with an antiseptic solution before the device is inserted. Cramps, dizziness, and/or some bleeding may occur and are common side effects.
Some cramping and bleeding can be expected. Ibuprofen can be taken to help with any discomfort.
A Colposcopy is simply a way to look more closely at the cells on the cervix. When a Pap smear is collected, the cells are screened for an abnormality, which may suggest a precancerous or cancerous lesion. In the event a pap would come back abnormal, if certain criteria are met, a Colposcopy may be required. During this procedure, a speculum is placed in the vagina, much like when collecting a Pap smear. A vinegar solution is then applied to the cervix to highlight any abnormal cells. At that time, the provider is able to assess the abnormal cells under magnification and take a sample of any areas of concern to be sent for further evaluation.