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Endometrial ablation + mirena--anyone done this?

SnarlsSnarls Posts: 2,537Registered Users
I recently had an endometrial biopsy and then an ultrasound to check out perimenopausal symptoms. Everything's fine, but an ablation was suggested to me to help reduce or eliminate some of the symptoms. They also want to put in a mirena iud at the same time, to extend the effectiveness of the ablation.

I'm pretty sure I don't want the mirena for a number of reasons, but then the office really doesn't want to do the ablation without it.

Anyone had an ablation and/or exerience with the mirena?
formerly Castella
(my dogs aren't snarly, my hair is)

Comments

  • heart-of-dixieheart-of-dixie Posts: 392Registered Users
    I had the ablation done about 15 years ago. It was not bad. I had it done on a Thursday and was back to work
    on Monday. I was drugged up for 2 days but it was an easy recovering and no problems. Don't be scared.
  • SystemSystem Posts: 39,059 Administrator
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  • SnarlsSnarls Posts: 2,537Registered Users
    They gave me literature on both the ablation and the mirena, and I've done some googling. They pegged me right away as someone who wants to know everything about a procedure before I'll agree to it.

    My main concern about the ablation is that my uterus is tipped. I'm afraid they might puncture the uterus.

    They're pushing the mirena because they say the ablation will only last about 5 years, and I probably won't be in menopause by then. With the iud they think the ablation should get me through menopause. They're projecting menopause about 8 to 10 years out. I don't want the mirena because I've never had children and even though it's a low dose hormone supply, I haven't responded well to hormones in the past. Also, if that's the route I choose, I'd rather try it out with pills which I could just stop taking, than with a device that the doctor would have to remove. The mirena scares me way more than the ablation.
    formerly Castella
    (my dogs aren't snarly, my hair is)
  • heart-of-dixieheart-of-dixie Posts: 392Registered Users
    My uterus is tipped too. I had my tubes tied so
    I did not need any type of BC.
  • finestrandzfinestrandz Posts: 33Registered Users
    My doctor was suggesting this to me today due to my on going stomach pains since Sept. I still didn't quite understand what Endometrial ablation.

    When I'm on my last row of birth control pills the pain would start small and tight almost like I ate something bad. I did have a 6cm ovarian cyst which most of the doctors I visited believed that was the source of the problem. In 5 mins time my stomach(right above the pelvic) starts swelling up, hot/cold flashes, weak in my entire body where I can't walk, numbness in some areas on the body. The pain would come in waves. Does these symptoms sound familiar to anyone? Could this be endometriosis? It's almost like I'm forced to take the birth control pill and not miss not one day or my uterus wall inflames.
    Last Relaxer: May 2008
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  • SystemSystem Posts: 39,059 Administrator
    .
  • hennaredhennared Posts: 14Registered Users
    Please, please, please, read this:

    /home/leaving?target=http%3A%2F%2Fwww.womenshairlossproject.com%2F%3Fs%3Dmirena" class="Popup

    I suffer from hairloss, and have read MANY stories of women who had major hairloss triggered from the
    mirena.. AND major blood loss! Not to suggest that your hair is more important than your health, but it is sure unclear to me why you are told the ablation cannot be done without the mirena.

    Please be careful.
  • crwrittcrwritt Posts: 705Registered Users
    This is kind of interesting to me since I have had experience with both Mirena and Ablation. You don't say how old you are or what your symptoms are.
    When I was in my late 40's my periods were very heavy. this was due to fibroids. I had good relief from that for a year with Mirena. When it was removed, I had major bleeding again. I then had the ablation last year with excellent results. My symptoms were heavy bleeding, not pain or bulk symptoms.
    I had not heard of having both Mirena and ablation at the same time, though.
    If you are still thinking of having kids,don't even consider an ablation. It pretty much cauterizes the endometrium so there is no way it can safely support a pregnancy. It is often done along with Essure or tubal ligation for this reason.
    So ablation is for women who are sure they are past the childbearing phase of life.
  • SystemSystem Posts: 39,059 Administrator
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  • rudeechickrudeechick Posts: 6,726Registered Users
    Hmmm... I had one after removing a fibroid a few years back... and my sister had one to lessen SEVERE menopausal symptoms. Its no big deal. I'm not sure why you need the Mirena? Why arent oral hormones/contraception an option?
    The mirena was BAD for me and I couldnty get it out fast enough!

    PS, both my sister and I have tipped uteruses and had no complications...
    Curls,Coils,Waves & WhatKnot:geek:
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  • misspammisspam Posts: 5,318Registered Users
    My gyno tried to push endometrial ablation 2 years ago during a routine visit. I had mentioned having a typical perimenopausal symptom of heavy periods. Never did she mention combining that with Mirena or anything else. I took the brochure, did my own research and concluded it was not for me. My goal is to manage menopause as naturally as possible and the ablation sounded like more intervention than I personally wanted. I ended up ditching that Doc.

    If your doctor's office won't consider the ablation without Mirena, I would get a 2nd opinion.
    [SIGPIC][/SIGPIC]
  • SystemSystem Posts: 39,059 Administrator
    .
  • SnarlsSnarls Posts: 2,537Registered Users
    I'm 45, in the US, and they did tell me that ablation is not an option if I want children, which I don't. The ablation would treat symptoms like heavy bleeding, frequency of bleeding etc. As I understand it, it won't necessarily help with cramps or PMS and I don't have any expectation that it would help with mood.

    I did ask about the tubal ligation and they said it is rarely done any more since most women opt for the ablation/mirena combo.

    My first option is to continue "watchful waiting" and just cope with the symptoms. I already see someone for mood issues. I've always been of the go natural, pick minimally invasive first, but lately I just want this uterus gone!

    As for the hair loss, that actually is a major consideration for me because my hair is already thinning and becoming more brittle, even though I use really good hair products and have a good hair routine and eat a good diet.

    I have an appointment to meet with the surgeon and just talk about the options. I'd like to know what approach they use for the ablation, since there seem to be so many different ways to go.
    formerly Castella
    (my dogs aren't snarly, my hair is)
  • SystemSystem Posts: 39,059 Administrator
    .
  • misspammisspam Posts: 5,318Registered Users
    curlsalot wrote: »
    misspam wrote: »
    My gyno tried to push endometrial ablation 2 years ago during a routine visit. I had mentioned having a typical perimenopausal symptom of heavy periods. Never did she mention combining that with Mirena or anything else. I took the brochure, did my own research and concluded it was not for me. My goal is to manage menopause as naturally as possible and the ablation sounded like more intervention than I personally wanted. I ended up ditching that Doc.

    If your doctor's office won't consider the ablation without Mirena, I would get a 2nd opinion.

    Thanks misspam - that was my point as stated.

    I'm not going to get into detail as I got slammed on another post but doctors don't always have your best interest at heart - it's up to "Y-O-U" to make all your own health decisions.

    Yes, in my case, I did not think my gyno had my best interests at heart. She did not seem to support my desire to seek more natural relief and wanted me to consider low-dose birth control pills or endometrial ablation. I did have an abdominal and transvaginal ultrasound to rule out other causes but they found nothing. A good friend of mine went to the samd doc and was told about the ablation as well for the same symptoms as I had. I felt the office was only interested in medical interventions instead of natural management for an entirely natural phase of a woman's life, so I took my business elsewhere.
    Snarls wrote: »
    I'm 45, in the US, and they did tell me that ablation is not an option if I want children, which I don't. The ablation would treat symptoms like heavy bleeding, frequency of bleeding etc. As I understand it, it won't necessarily help with cramps or PMS and I don't have any expectation that it would help with mood.

    I did ask about the tubal ligation and they said it is rarely done any more since most women opt for the ablation/mirena combo.

    My first option is to continue "watchful waiting" and just cope with the symptoms. I already see someone for mood issues. I've always been of the go natural, pick minimally invasive first, but lately I just want this uterus gone!

    As for the hair loss, that actually is a major consideration for me because my hair is already thinning and becoming more brittle, even though I use really good hair products and have a good hair routine and eat a good diet.

    I have an appointment to meet with the surgeon and just talk about the options. I'd like to know what approach they use for the ablation, since there seem to be so many different ways to go.

    I would encourage you to look at the links for any information you feel may be helpful in your particular situation. I have found them to be invaluable resources for managing this time of hormonal imbalance, particularly Dr. John R. Lee's book series, "What Your Doctor May Not Tell You About Premenopause."

    /home/leaving?target=http%3A%2F%2Fwww.johnleemd.com%2F" class="Popup
    /home/leaving?target=http%3A%2F%2Fwww.womentowomen.com%2F" class="Popup
    /home/leaving?target=http%3A%2F%2Fwww.womenlivingnaturally.com%2Findex.php" class="Popup

    We all have to do what's right for us and our particular situations. I wish you luck with whatever you decide to do.
    [SIGPIC][/SIGPIC]
  • jeepcurlygurljeepcurlygurl Posts: 19,373Registered Users Curl Connoisseur
    I have no experience with Mirena and know no one who uses it so I have no opinion of that, tho I'm a little leery of it.

    Ablation seems to have become very common and seems to be pushed on everyone who has cramps, heavy bleeding, etc. It's been suggested to me but I've refused it. I do have heavy bleeding and other symptoms but it's not going to kill me so I can live with it.
    My sister, 2 cousins, and numerous friends have all had ablations done in the last couple years. None of them had any problems with it, but I'm still not convinced that every woman with any type of symptons needs it. I would have to do alot more research before having it done.
    But I'm a worry wart and tend to overthink everything so take that into account. : )
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  • wavycurly40+wavycurly40+ Posts: 2,017Registered Users
    It sounds like this procedure has become somewhat controversial.... I wonder if this is why I saw one doc who was strongly advising it for me, to alleviate heavy bleeding (caused by a fibroid) ..... only to be told by a subsequent doc that I'm not a candidate for it because of that fibroid! Anybody else confused?

    Now, granted, the 2nd doc took a closer look at the location of the fibroid and said that was the issue (how far it was pushing into the lining). But still, I wonder if there's a philosophical difference at play here too. I liked both docs a lot -- both are female gynos with excellent reputations.

    Interesting.

    Wurly and proud!
    Modified CG since 2008.
  • misspammisspam Posts: 5,318Registered Users
    Ablation seems to have become very common and seems to be pushed on everyone who has cramps, heavy bleeding, etc.

    Yup.
    [SIGPIC][/SIGPIC]
  • anonymous_22139anonymous_22139 Posts: 659Registered Users
    misspam wrote: »
    Ablation seems to have become very common and seems to be pushed on everyone who has cramps, heavy bleeding, etc.

    Yup.

    +1

    I had really heavy periods for the last two years before they completely ceased in August of 2008. Didn't seem to effect my health at all, but I made sure I took extra iron to make up for extra blood loss. It isn't rocket science.
  • rbbrbb Posts: 4,126Registered Users Curl Connoisseur
    snarls -- if you say you've had problems with hormones in the past, then anything with hormones that you cannot stop immediately is probably not a good idea for you.
    so many drs still will not accept the fact that many women have very severe reactions to supplemental hormones. as a therapist, i can testify to women developing depression a few days within starting birth control pills, hormones, and then within a few days of stopping them the depression disappears. gone.
    but drs still say that cannot happen. i've personally had 4 clients to whom i've seen this happen.
    i agree with everyone else about getting 2nd and 3rd opinions. and, continue to do your own research. i generally refer to the mayo clinic website for info, and webmd is pretty decent also. be careful when using the internet, not all websites are the same!
    good luck!

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  • janeylizjaneyliz Posts: 777Registered Users
    I had an ablation in 1999 as I'd had a period lasting 2 years. The effects have lasted, and no bleeding since.

    At the time I didn't want any more children - or should I say, my then husband told me I didn't want any more. Now I wish I'd not had it done.

    I did have a haemorrage (spelling?) afterwards and was anaemic for a long time. I wasn't offered any form of hormone treatment afterwards, but this is the UK and perhaps things are done differently (not necessarily correctly) this side of the Atlantic.
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  • tammy50htammy50h Posts: 1Registered Users
    I had both the uterine ablation and the Mirena done together about 6 years ago. Do not ever do this! I didn't have good, competent doctors to give me good advice. I was in so much pain I couldn't think. You can't put heat to any part of the body, in or out, and then place birth control there. Every time I called my Obey for an appointment I got the run around. This happened for a good while around my 5 year mark. I'd had no bleeding at all. Finally I go somewhere else and find out my Merina won't come out. It's lodged in scar tissue due to the ablation.
    I'm 45 and near menopause. Unless you've chosen your poison, if you can please stick to condoms, birth control pills or the morning after pill. Only go all the way if you don't want more kids or medical reasons arise like mine.
    I do plan on getting this out of me and legal action. Be careful everyobe!!!
  • curlisue1curlisue1 Posts: 491Registered Users
    I would find another doctor. I had horrible heavy periods due to fibroids for years. You don't have to do an ablation. I just did the mirena. I'm on my second mirena and no problems. I do not have periods with the mirena which can is great. My uterus is also tipped. The first one I had put in was no big deal. The second one the doctor wasn't so good and I was pretty uncomfortable during and after the procedure. But then everything was fine.


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