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Adenomyosis and Therm  Ablations Adenomyosis and Therm Ablations

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Unread 05-15-2002, 06:57 AM
Adenomyosis and Therm Ablations

Good morning - I am looking to see if anyone has been diagnosed with Adenomyosis and what your Dr. did to verify the diagnosis. I am also looking for feed back on Thermo ablations, especially those who had c-sections. My Dr. is suggesting I have one, but when I read about the thermo ablations, they say that a women who has had a c-section should not have one.

Thanks for the info

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Unread 05-15-2002, 07:10 AM
Adenomyosis and Therm Ablations

I did not have a c-section but my Dr. attempted one(before I had my TAH)but was unable to perform it because my uterus was too enlarged. I would as k your Dr. about what you heard and voice your conerns. Take care. Angela
Unread 05-15-2002, 07:20 AM
Hi Alex

Welcome to Hystersisters.

There is a message board in the Forums section for Hysterectomy Options and Alternatives. You may be able to find more information on that board regarding Thermo Ablations.

I do know there are several ladies here who have been diagnosed with Adenomyosis. I'm not one of them fortunately, but I'm sure someone will be along shortly who can give you some insight into that condition.


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Unread 05-15-2002, 08:18 AM
Adenomyosis and Therm Ablations

Here's are a couple links you can check out. Adeno is usually confirmed by pathology after a hysterectomy but sometimes an MRI can diagnose it before. If it is adeno ablation may not help because adneo can be really deep in the uterine muscle.

(This is good info)
Unread 05-15-2002, 08:34 AM
Adenomyosis and Therm Ablations

My Dr. did a CA125 blood test (it was high.) Then a Vag.U-sound.
He said it was not normal, I had alot of light shading. But the only way to be 100% is the pathology report after the Hyst. Look around on this sight, it is great.
Unread 05-15-2002, 09:17 AM
Adenomyosis and Therm Ablations

My doctor will do ablation for a uterus 10 week pregnancy size or smaller. Since I was 12 week size, it wasn't an option, plus he suspected adenomyosis because I have a family history of it and it wouldn't be an effective treatment. I have had 3 c-sections and he never mentioned it not being an option because of them. MRI and pathology are the only sure ways I've heard of to diagnose adenomyosis. Whatever symptoms you are having are taken into account to determine if they may be caused by adenomyosis.

Hope you find the answers to all you questions!
Unread 05-15-2002, 10:05 AM
Adenomyosis and Therm Ablations

Had Vag-ultrasound, showing 5 very large dark back areas,
I had a DNC about 3 weeks ago and the pathology report came back showing adenomyosis. I am scheduled for a TVh on 5/31.
As the date approaches my fear goes us but also my trust in my doctor goes up.
My dh told me last night, my mother in law wants to come and help me thru my recovery. This is truly a generous offer. However when she comes this means my father in law comes and their 2 dogs. I'm worried being a type A I will stress instead of recover.
Unread 05-15-2002, 10:22 AM
Adenomyosis and Therm Ablations

Hi Alex,

Thermal Ablation was one of the options my regular gyn recommended for me. Because I have a blood clotting disorder, I had to seek a specialist to see if I was a candidate for the Lupron you have to take for 2 months prior to the procedure. The specialist doctor told me that there is only a 25% success rate with the ablation. He said that it was not as successful as they had hoped it would be. Of course.....that doesn't mean that it won't be in your case. I just decided that the risk of it not being helpful wasn't for me. Once he did my ultrasound and found fibroid tumors and adenomyosis it wasn't an option for me anyway.

Hope this helps,

Unread 05-15-2002, 10:36 AM
Thermo Ablation

I have not had a c-section but, I had the ablation done last summer and it didn't help at all. I had severe endo., bad cramps, cysts & heavy periods. I had a laproscopy to remove the endo. & cyst, and he did the ablation to help the heavy bleeding. He said that some women stop having periods all together, or just "spot". I did neither, which is why I am now having a TAH/BSO. I am not saying it will not work for you, but you might want to get a second opinion. Good luck!

Unread 05-15-2002, 11:15 AM
Adenomyosis and Therm Ablations

I had a thermal ablation last December. I'd had 4 previous c-sections. I did have a minor complication that was in part due to my previous c-sections. My cervix was held very high and tightly in place by adhesions. The doctor was not able to get the cervix to dilate very well and used some force to get the equipment into the uterus. During the process she wound up tearing up my cervix which then required stitches. I had been bleeding since a few weeks prior to the ablation (even though I'd been given a shot of lupron) and it never stopped, even after the ablation.

In mid February I found a new dr. He deemed the ablation a failure. He then heavily suggested the hysterectomy. He didn't have to twist my arm. I had a TAH 3-28. I am 6-1/2 post and couldn't be happier.

Do a lot of research and good luck with your decision.


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