Just for Her: Heavy periods? There are alternatives to a hysterectomy
By John Eggers, MD
Obstetrician/Gynecologist
Cascade Valley Arlington Women's Health
Menstrual dysfunction is a major health problem for many women. It is the reason for more than a third of the hysterectomies performed each year. Women who choose to accept the problem and "live with" the heavy bleeding and pain often have to miss work and family outings. Many women, who don't want to have a hysterectomy, feel they do not have any options to deal with their discomfort.
Endometrial ablation, or destruction of the lining of the uterus, has been used in various forms since at least 1971. The first attempts involved "freezing" the lining. This method did not meet with great success or interest. In 1983, cautery or burning techniques were first applied to the lining of the uterus. The process was difficult to learn, cumbersome, and even fatal in rare circumstances where serious fluid changes in the patients were hard to detect until it was too late.
The limitations of prior endometrial ablation methods made them unpopular with many gynecologists, and most women, upon learning of the risks, opted to either live with the problem or have a hysterectomy. Enter thermal balloon ablation.
Thermal Uterine Balloon Therapy
In December of 1997, the FDA approved this device for general use. The distinct advantage is, if properly performed, the technique does not carry a risk of death or serious injury. It is also much faster while providing the same level of bleeding reduction as prior methods. All this combines to make the thermal balloon endometrial ablation technique an exciting option to help women with their bleeding problems.
Should YOU have this procedure?
- You should be finished with your child bearing.
- You should be evaluated by your Ob/Gyn for any cancerous causes of bleeding or abnormalities in the shape of the uterus, which can contribute to bleeding.
- Your bleeding should be serious enough to disrupt your life.
How long does it take?
The procedure takes 15 to 30 minutes and only requires light anesthesia. You will usually recover the same day and have only minor cramping for a few days.
What is the success rate?
Ninety percent of women who have this procedure can expect to be pleased with the results of the thermal balloon endometrial ablation, which offers a safe, easy, and effective solution for troublesome uterine bleeding.
Disclaimer: This information is provided for educational purposes only. It should not replace a visit with your health care professional. Call your doctor if you need more information or have additional questions.