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Novasure ablation or Da Vinci Hysterectomy?

Forum: Women's Health


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July 6th, 2011, 06:54 PM
Platinum Supermommy
Join Date: Aug 2005
Location: USA
Posts: 7,429
Hi everyone I'm new here. What brings me here is that I'm trying to decide on a hysterectomy (but leaving my ovaries) or Novasure ablation. I'm 29 years old, we are done with kids (hubby had a vasectomy 6 years ago) so that's not an issue. I started with bleeding in December that went on for 10 weeks, I was scheduled for an ablation then as they thought they saw a polyp on the ultrasound so we were just going to kill 2 birds with one stone so to speak. But there was an issue with the machine, it was stuck in another city. Told the doc I couldn't keep bleeding, so she did a D&C instead and actually never found a polyp. Turns out I had TONS of clots and so they wouldn't have been able to do that form (HTA) of ablation that day anyway. So, after the d&C I had a normal period a month later, but then started having issues with bleeding and not stopping again, although not heavy this time. They gave me a stronger birth control pill, that worked for about 6 weeks, but now I just bleed randomly. One day and then fine for 5, an hour then fine for 3 days, 2 days and then fine for a week...there's no rhyme or reason.

My doc says that the ablation is designed for women with heavy bleeding to bring them into the normal range, not necessarily women with irregular bleeding and she's afraid I'll go through the ablation and then be back in her office with the same problem. But the doc that does the Da Vinci hysterectomy had the point that the ablation is extremely minimally invasive, poses almost no risks (infection, etc) and if it doesn't work I can always do the hyst. later. I don't know what I want to do here. Any thoughts? I'm diabetic Type 2, no meds, so my risk for infection is a tad higher, but he said they give antibiotics prior to surgery. Said that he's done approximately 70 of them with the robot and only had 2 incidents of bladder perforation, never had to open someone up abdominally, and I know he's good (he's been doing the robot for 3 years), 24 hour stay in the hospital, or the ablation that no risk of that stuff, a few hours in the hospital and maybe stave off a hyst for another 1-5 years.

Thoughts? (And sorry this got so long).
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