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Edometrial Ablation
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hobbit4u posted:
I recently had this done. I have been on the Depo Prevara shot for many years and had no period, which were very heavy prior. My doctor thought that I may have been starting to feel some side affects from this shot. He suggested the ablation which is supposed to scar the uterus and prevent periods. I am in the early stages and have had to wear a panty liner for some light bleeding. I am 44 and also had my tubes tied at the same time. I hope this will work out for me.
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Jane Harrison Hohner, RN, RNP responded:
Dear hobit4u: According to research used to write this month's blog on endometrial ablation (EA), you would have a good chance of a successful outcome for an EA.

Physicians from the Mayo Clinic 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. In your specific case you are very close to age 45, and the lining of your uterus should have been very thin from the years of Depo Provera use.

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. Again, in your specific case, you had your tubal at the time of the EA rather than years before.

Yours,
Jane


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