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    Ablation vs. IUD to treat heavy periods
    avatar
    Curious39 posted:
    I have been hearing different things from many different women on both of these treatments to help with heavy periods. My Gyne basically left it up to me to decide, and just told me that neither methods are a 100% guarantee of having no period at all.

    I am torn on which way to go. I know alot of women have great success with IUDs, but then I hear about the different risks involved as well.

    Some other women have told me that they are so happy they went the ablation route, however, the process getting to the ablation was quite painful (some sort of biopsy supposedly was pretty bad).

    I am a big wimp, so the whole pain factor is weighing on me. However, I do not need the IUD for birth control. My husband took care of things on that end - woohoo!

    Any comments and/or suggestions would be greatly appreciated.
    Reply
     
    avatar
    Anon_6061 responded:
    At least the IUD can be removed if it doesn't work out for whatever reason. But with the ablation, there's no going back. You're stuck with the consequences whether they be good, bad, or a combination.

    The experiences with ablation are fairly mixed on this lengthy discussion - http://forums.webmd.com/3/gynecology-exchange/forum/12649/172#172. It appears that any adverse consequences tend to occur long after the procedure (as long as a year or more later). According to this study, the younger you are at the time of the ablation, the higher the risks for negative effects - http://www.ncbi.nlm.nih.gov/pubmed/19037028. It says "Cox regression analysis found that compared with women aged older than 45 years, women aged 45 years or younger were 2.1 times more likely to have hysterectomy (95% confidence interval 1.8-2.4). Hysterectomy risk increased with each decreasing stratum of age and exceeded 40% in women aged 40 years or younger."

    I'm curious if you've tried any of a number of hormonal or non-hormonal medications to control the heavy bleeding. Here's a table of the medication options and their % effectiveness - http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0015970/table/ch8.t1/?report=objectonly.

    Hope you're happy with whatever treatment you choose.


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