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Endometrial Ablation Side Effects
KERRIG71913 posted:
I am 39 Yr old - mother of two (children in mid-teens). I had the Nova-Sure Endometrial Ablation done in Nov 2010 (1 1/2 yr ago). As a cure for heavy menstrual bleeding & cramps, due to thick uterine lining.The procedure itself & immediate symptoms after a breeze. Took a few months for me to adjust or recognize my new monthly cycle symptoms. Still had hormonal affects, of course, but almost no bleeding for nearly a year. However, in the last 3 to 4 months my periods are increasing in blood amount & cramping-----in addition to the PAIN in my LOWER BACK. I have a constant pain in my lower right back area, that started bout 7-8 months ago & only around the time of my period, was more like a weird dulling kind of ache.
But lately the pain is constant !! EVERYDAY-ALL DAY- never goes away. The pain level stays at approx 4 to 5 intensity level & increases often to near a 8 or 9 intensity level. I cant say why or when the pain level increases but it does!!
I WOULD NOT recommend having this procedure done, this elective surgery cost approx $20,000 (I do have insurance), seems to be only a Temporary Fix & the BACK PAIN is unbearable and definatley not worth it. I should have stood my ground with my Gynecologist & had a partial hysterectomy, but I was talked into having the ablation done, as a less invase alternative. I have an appt to revisit the Dr to review my back pain,but i dont think there is a fix at this point except medication. NOT HAPPY & UPSET THAT I DID THIS TO MYSELF
.
But lately the pain is constant !! EVERYDAY-ALL DAY- never goes away. The pain level stays at approx 4 to 5 intensity level & increases often to near a 8 or 9 intensity level. I cant say why or when the pain level increases but it does!!
I WOULD NOT recommend having this procedure done, this elective surgery cost approx $20,000 (I do have insurance), seems to be only a Temporary Fix & the BACK PAIN is unbearable and definatley not worth it. I should have stood my ground with my Gynecologist & had a partial hysterectomy, but I was talked into having the ablation done, as a less invase alternative. I have an appt to revisit the Dr to review my back pain,but i dont think there is a fix at this point except medication. NOT HAPPY & UPSET THAT I DID THIS TO MYSELF
.Thanks for your Reply!
7 Replies |Watch This Discussion | Report This| Share this:Endometrial Ablation Side EffectsI am 39 Yr old - mother of two (children in mid-teens). I had the Nova-Sure Endometrial Ablation done in Nov 2010 (1 1/2 yr ago). As a cure for heavy menstrual bleeding & cramps, due to thick uterine lining.The procedure itself & immediate symptoms after a breeze. Took a few months for me to adjust or recognize my new monthly cycle symptoms. Still had hormonal affects, of course, but almost no bleeding for nearly a year. However, in the last 3 to 4 months my periods are increasing in blood amount & cramping-----in addition to the PAIN in my LOWER BACK. I have a constant pain in my lower right back area, that started bout 7-8 months ago & only around the time of my period, was more like a weird dulling kind of ache. <br />But lately the pain is constant !! EVERYDAY-ALL DAY- never goes away. The pain level stays at approx 4 to 5 intensity level & increases often to near a 8 or 9 intensity level. I cant say why or when the pain level increases but it does!! <br />I WOULD NOT recommend having this procedure done, this elective surgery cost approx $20,000 (I do have insurance), seems to be only a Temporary Fix & the BACK PAIN is unbearable and definatley not worth it. I should have stood my ground with my Gynecologist & had a partial hysterectomy, but I was talked into having the ablation done, as a less invase alternative. I have an appt to revisit the Dr to review my back pain,but i dont think there is a fix at this point except medication. NOT HAPPY & UPSET THAT I DID THIS TO MYSELF <img src="http://img.webmd.com/community/images/frown.gif" align="top" border="0">.
tjaa4 responded:
I had the balloon ablation 2 yrs ago. My periods are still light, but I too have had lower back pain! Especially around when my periods are due. I had painful issues for about a yr, then they subsided. I have gained about 35 pounds since the surgery though. Even though the dr swore to me that it would not affect the hormones at all! I would not gain weight! I googled other womens opinions after I had the surgery. Most have gained weight! I wouldn't do it again either. Other than the lighter periods, the only reason I agreed to it is because it wouldn't affect my hormones... not true!
Thanks for your Reply!
Report This| Share this:Endometrial Ablation Side EffectsI had the balloon ablation 2 yrs ago. My periods are still light, but I too have had lower back pain! Especially around when my periods are due. I had painful issues for about a yr, then they subsided. I have gained about 35 pounds since the surgery though. Even though the dr swore to me that it would not affect the hormones at all! I would not gain weight! I googled other womens opinions after I had the surgery. Most have gained weight! I wouldn't do it again either. Other than the lighter periods, the only reason I agreed to it is because it wouldn't affect my hormones... not true!
KERRIG71913 replied to tjaa4's response:
thank you for correspondence. I have an appt w Gyno,in like a week& they'll likely do an ultrasound, then what ?? I dont know. WHAT I WANT TO KNOW IS THE TREATMENT FOR THE BACK PAIN!!! I dont see anything !! & ALSO WHY the pain or HOW is it related to my uterus!! WTF!!! I had a couple of times when pain came around the time of my period, but now the pain will not subside. Most of the time it is dull but can be sharp unbearbale pain at any time. I did also gain weight afterward, approx 20lbs.(was overweight & short to begin with)!
I WOULD LIKE TO KNOW WHAT DRs have told others about the back pain side effect & what to do!!!!
I WOULD LIKE TO KNOW WHAT DRs have told others about the back pain side effect & what to do!!!!
Thanks for your Reply!
Report This| Share this:Endometrial Ablation Side Effectsthank you for correspondence. I have an appt w Gyno,in like a week& they'll likely do an ultrasound, then what ?? I dont know. WHAT I WANT TO KNOW IS THE TREATMENT FOR THE BACK PAIN!!! I dont see anything !! & ALSO WHY the pain or HOW is it related to my uterus!! WTF!!! I had a couple of times when pain came around the time of my period, but now the pain will not subside. Most of the time it is dull but can be sharp unbearbale pain at any time. I did also gain weight afterward, approx 20lbs.(was overweight & short to begin with)!<br /> <br />I WOULD LIKE TO KNOW WHAT DRs have told others about the back pain side effect & what to do!!!!
Anon_6061 responded:
Maybe some of the replies on this "endometrial ablation side effects" discussion would be helpful in figuring out how to help the back pain -
http://forums.webmd.com/3/gynecology-exchange/forum/12649/51#51
I had a hysterectomy and never had back pain until several years after the hyst.
http://forums.webmd.com/3/gynecology-exchange/forum/12649/51#51
I had a hysterectomy and never had back pain until several years after the hyst.
Thanks for your Reply!
Report This| Share this:Endometrial Ablation Side EffectsMaybe some of the replies on this "endometrial ablation side effects" discussion would be helpful in figuring out how to help the back pain - <br /><a href="http://forums.webmd.com/3/gynecology-exchange/forum/12649/51#51">http://forums.webmd.com/3/gynecology-exchange/forum/12649/51#51</a><br /><br />I had a hysterectomy and never had back pain until several years after the hyst.
KERRIG71913 replied to Anon_6061's response:
THANKS FO RTHE INFO:
I WOULD LIKE TO KNOW WHAT THE DRs' say about the pain side effects & what to do!!!! I've read lots of posts, most report having similar pains, but not much on why, how it relates or how to fix. SO I thought I'd post some discussions I found that may be helpful in connection with the back pain:
Possible Back Pain sources:
1) Urinary Tract Infection
2) Fluid or blood excess on the uterus
3) Fibroids or lesions on the uterus
4) Scarring or Fibroids pinching on the cervix
5) Nerve Damage
Possible procedures for the Diagnosis & Treatment:
1) Ultrasounds /vaginal ultrasounds
2) Biopsies & Procedures to drain fluids
3) Pain Medication
4) Surgery - ablation(NOT) or hysterectomy
I WOULD LIKE TO KNOW WHAT THE DRs' say about the pain side effects & what to do!!!! I've read lots of posts, most report having similar pains, but not much on why, how it relates or how to fix. SO I thought I'd post some discussions I found that may be helpful in connection with the back pain:
Possible Back Pain sources:
1) Urinary Tract Infection
2) Fluid or blood excess on the uterus
3) Fibroids or lesions on the uterus
4) Scarring or Fibroids pinching on the cervix
5) Nerve Damage
Possible procedures for the Diagnosis & Treatment:
1) Ultrasounds /vaginal ultrasounds
2) Biopsies & Procedures to drain fluids
3) Pain Medication
4) Surgery - ablation(NOT) or hysterectomy
Thanks for your Reply!
Report This| Share this:Endometrial Ablation Side EffectsTHANKS FO RTHE INFO: <br />I WOULD LIKE TO KNOW WHAT THE DRs' say about the pain side effects & what to do!!!! I've read lots of posts, most report having similar pains, but not much on why, how it relates or how to fix. SO I thought I'd post some discussions I found that may be helpful in connection with the back pain: <br /><u>Possible Back Pain sources:</u><br />1) Urinary Tract Infection<br />2) Fluid or blood excess on the uterus <br />3) Fibroids or lesions on the uterus<br />4) Scarring or Fibroids pinching on the cervix<br />5) Nerve Damage <br /> <br /><u>Possible procedures for the Diagnosis & Treatment</u>: <br />1) Ultrasounds /vaginal ultrasounds <br />2) Biopsies & Procedures to drain fluids<br />3) Pain Medication <br />4) Surgery - ablation(NOT) or hysterectomy<br />
KERRIG71913 responded:
I WOULD LIKE TO KNOW WHAT THE DRs' say about the pain side effects & what to do!!!! I've read lots of posts, most report having similar pains, but not much on why, how it relates or how to fix. SO I thought I'd post some discussions I found that may be helpful in connection with the back pain:
Possible Back Pain sources:
1) Urinary Tract Infection
2) Fluid or blood excess on the uterus
3) Fibroids or lesions on the uterus
4) Scarring or Fibroids pinching on the cervix
5) Nerve Damage
Possible procedures for the Diagnosis & Treatment:
1) Ultrasounds /vaginal ultrasounds
2) Biopsies & Procedures to drain fluids
3) Pain Medication
4) Surgery - ablation(NOT) or hysterectomy
Possible Back Pain sources:
1) Urinary Tract Infection
2) Fluid or blood excess on the uterus
3) Fibroids or lesions on the uterus
4) Scarring or Fibroids pinching on the cervix
5) Nerve Damage
Possible procedures for the Diagnosis & Treatment:
1) Ultrasounds /vaginal ultrasounds
2) Biopsies & Procedures to drain fluids
3) Pain Medication
4) Surgery - ablation(NOT) or hysterectomy
Thanks for your Reply!
Report This| Share this:Endometrial Ablation Side EffectsI WOULD LIKE TO KNOW WHAT THE DRs' say about the pain side effects & what to do!!!! I've read lots of posts, most report having similar pains, but not much on why, how it relates or how to fix. SO I thought I'd post some discussions I found that may be helpful in connection with the back pain: <br /><u>Possible Back Pain sources:</u><br />1) Urinary Tract Infection<br />2) Fluid or blood excess on the uterus <br />3) Fibroids or lesions on the uterus<br />4) Scarring or Fibroids pinching on the cervix<br />5) Nerve Damage <br /> <br /><u>Possible procedures for the Diagnosis & Treatment</u>: <br />1) Ultrasounds /vaginal ultrasounds <br />2) Biopsies & Procedures to drain fluids<br />3) Pain Medication <br />4) Surgery - ablation(NOT) or hysterectomy<br />
Dear KERRIG7: We are grieved to hear that your "cure" may be worse than the original heavy bleeding. I too was struck by the variety of outcomes for women getting an endometrial ablation (EA).
Physicians from the Mayo Clinic (http://www.ncbi.nlm.nih.gov/pubmed/19104365 ) reviewed the outcomes of 816 women who had an EA. Factors which seemed to predict successful stopping of all bleeding ("amenorrhea") included: age 45 or older (menopause would be kicking in within 5 years or so), a thin uterine lining of less than 4 mm, normal size of uterine cavity (less than 9 cm), and use of NovaSure type rather than heated balloon.
Patient characteristics linked to treatment failure were: age younger than 45 years, five or more pregnancies (leads to larger uterine size), prior tubal ligation, and history of bad menstrual cramps. Of note, 5% of their women had complaints of pelvic pain after their EA procedure. Among that 5% of women with persisting pain 40% had retained fluid within the uterus—referred to by the authors as "postablation syndrome."
EA and adenomyosis: As many of you know, one can have endometriosis which invades into the muscular walls of the uterus. This is called adenomyosis. It is very difficult to diagnose; most often it is identified after removal of the uterus. Adenomyosis is not well visualized on ultrasound; an MRI may be needed. Like endometriosis it can worsen menstrual cramps, create uterine pain, and even prompt bleeding problems. I began to wonder if there was a link between continued pain after EA and possible undetected adenomyosis.
I found a study of 190 women with known adenomyosis who had a rollerball EA. After an average of five years follow up, almost 87% reported reduced or no menstrual cramps. This leaves 13% who had continued monthly pain. In a smaller study of women receiving microwave ablation, 59 had known adenomyosis. After an average of five years of follow up, younger age and presence of adenomyosis, were found to be linked to unsatisfactory treatment outcomes.
The pain of endometriosis and adenomyosis can be referred from the uterus to the lower back, (e.g., like "back labor" during childbirth). Pain from the uterus may also be referred down the thigh. There can be many other causes of low back pain, including: disc problems, muscle strain, nerve entrapment. Thus it may be difficult to establish if back or pelvic pain after an EA was related to the EA, or a concurrent medical condition.
Thus, abnormal uterine bleeding can be treated with medications and/or a synthetic progesterone containing IUD ("Mirena"). Surgical techniques such as hysteroscopy or endometrial ablation can be utilized to retain the uterus as a support for other pelvic structures. Even with these options a percentage of women will go on to hysterectomy because of continued symptoms---this maybe what you decide to do. The GYN who did your procedure is in the best place to give you the most "for sure" answer.
In Support,
Jane
Physicians from the Mayo Clinic (http://www.ncbi.nlm.nih.gov/pubmed/19104365 ) reviewed the outcomes of 816 women who had an EA. Factors which seemed to predict successful stopping of all bleeding ("amenorrhea") included: age 45 or older (menopause would be kicking in within 5 years or so), a thin uterine lining of less than 4 mm, normal size of uterine cavity (less than 9 cm), and use of NovaSure type rather than heated balloon.
Patient characteristics linked to treatment failure were: age younger than 45 years, five or more pregnancies (leads to larger uterine size), prior tubal ligation, and history of bad menstrual cramps. Of note, 5% of their women had complaints of pelvic pain after their EA procedure. Among that 5% of women with persisting pain 40% had retained fluid within the uterus—referred to by the authors as "postablation syndrome."
EA and adenomyosis: As many of you know, one can have endometriosis which invades into the muscular walls of the uterus. This is called adenomyosis. It is very difficult to diagnose; most often it is identified after removal of the uterus. Adenomyosis is not well visualized on ultrasound; an MRI may be needed. Like endometriosis it can worsen menstrual cramps, create uterine pain, and even prompt bleeding problems. I began to wonder if there was a link between continued pain after EA and possible undetected adenomyosis.
I found a study of 190 women with known adenomyosis who had a rollerball EA. After an average of five years follow up, almost 87% reported reduced or no menstrual cramps. This leaves 13% who had continued monthly pain. In a smaller study of women receiving microwave ablation, 59 had known adenomyosis. After an average of five years of follow up, younger age and presence of adenomyosis, were found to be linked to unsatisfactory treatment outcomes.
The pain of endometriosis and adenomyosis can be referred from the uterus to the lower back, (e.g., like "back labor" during childbirth). Pain from the uterus may also be referred down the thigh. There can be many other causes of low back pain, including: disc problems, muscle strain, nerve entrapment. Thus it may be difficult to establish if back or pelvic pain after an EA was related to the EA, or a concurrent medical condition.
Thus, abnormal uterine bleeding can be treated with medications and/or a synthetic progesterone containing IUD ("Mirena"). Surgical techniques such as hysteroscopy or endometrial ablation can be utilized to retain the uterus as a support for other pelvic structures. Even with these options a percentage of women will go on to hysterectomy because of continued symptoms---this maybe what you decide to do. The GYN who did your procedure is in the best place to give you the most "for sure" answer.
In Support,
Jane
Thanks for your Reply!
Report This| Share this:Endometrial Ablation Side EffectsDear KERRIG7: We are grieved to hear that your "cure" may be worse than the original heavy bleeding. I too was struck by the variety of outcomes for women getting an endometrial ablation (EA).<br /><br />Physicians from the Mayo Clinic (<a rel="nofollow" href="http://www.ncbi.nlm.nih.gov/pubmed/19104365">http://www.ncbi.nlm.nih.gov/pubmed/19104365</a> ) reviewed the outcomes of 816 women who had an EA. Factors which seemed to predict successful stopping of all bleeding ("amenorrhea") included: age 45 or older (menopause would be kicking in within 5 years or so), a thin uterine lining of less than 4 mm, normal size of uterine cavity (less than 9 cm), and use of NovaSure type rather than heated balloon.<br /><br /> Patient characteristics linked to treatment failure were: age younger than 45 years, five or more pregnancies (leads to larger uterine size), prior tubal ligation, and history of bad menstrual cramps. Of note,<u> 5% of their women had complaints of pelvic pain after their EA procedure. Among that 5% of women with persisting pain 40% had retained fluid within the uterus—referred to by the authors as "postablation syndrome."</u><br /><br />EA and adenomyosis: As many of you know, one can have endometriosis which invades into the muscular walls of the uterus. This is called adenomyosis. It is very difficult to diagnose; most often it is identified after removal of the uterus. Adenomyosis is not well visualized on ultrasound; an MRI may be needed. Like endometriosis it can worsen menstrual cramps, create uterine pain, and even prompt bleeding problems. I began to wonder if there was a link between continued pain after EA and possible undetected adenomyosis. <br /><br />I found a study of 190 women with known adenomyosis who had a rollerball EA. After an average of five years follow up, almost 87% reported reduced or no menstrual cramps. <u>This leaves 13% who had continued monthly pain.</u> In a smaller study of women receiving microwave ablation, 59 had known adenomyosis. <u>After an average of five years of follow up, younger age and presence of adenomyosis, were found to be linked to unsatisfactory treatment outcomes</u>.<br /><br />The pain of endometriosis and adenomyosis can be referred from the uterus to the lower back, (e.g., like "back labor" during childbirth). Pain from the uterus may also be referred down the thigh. There can be many other causes of low back pain, including: disc problems, muscle strain, nerve entrapment. Thus it may be difficult to establish if back or pelvic pain after an EA was related to the EA, or a concurrent medical condition.<br /><br />Thus, abnormal uterine bleeding can be treated with medications and/or a synthetic progesterone containing IUD ("Mirena"). Surgical techniques such as hysteroscopy or endometrial ablation can be utilized to retain the uterus as a support for other pelvic structures. Even with these options a percentage of women will go on to hysterectomy because of continued symptoms---this maybe what you decide to do. The GYN who did your procedure is in the best place to give you the most "for sure" answer.<br /><br />In Support,<br />Jane
KERRIG71913 replied to Jane Harrison Hohner, RN, RNP's response:
thank you -- sounds like what i am goin through!!
Thanks for your Reply!
Report This| Share this:Endometrial Ablation Side Effectsthank you -- sounds like what i am goin through!!

