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When the Uterus Becomes a Blood Trap: More than Just Ablations Cause this

Blood trap is not a gyno term, hematometra is. Pain, old dark, not the best smelling menstrual blood are both signs of this relatively uncommon problem. If a young woman has vaginal tract abnormalities that cause blood to back within the vagina, before backing up with in the uterus, the term is hematocolpos. If the fallopian tube (tubes) is dialated with blood as well, the term is hematosalpinx. Many causes of this hematometra, or blood trap are due to infections, usually an infection of the cervix, but it may have been the whole uterus. Other causes are scaring, prior surgeries such as endometrial ablations (not a common cause of this), Ascherman's syndrome with scaring in side the uterus itself, tumors of the cervix, or even some cases due to radiation treatments after cancers. New guidelines about less frequent papsmears do not apply to women with abnormal bleeding and it would be important to have an annual exam if irregular bleeding is occuring to rule out uterine or cervical cancer. IUDs are not typical causes of hematometra. The symptoms are usually sharp pains, often in a cyclic timing, and they usually are located very low in the pelvis or the abdomen, right in the midline. Pelvic exam is helpful but the best tool for the first diagnosis is an ultrasound. Often the best treatment is just opening up the block, but physically looking into the cervix to see if pockets of blood can be released with operative intervention may be a choice as well. Some cases are more complex than this. The cause of the hematometra will potentially be a prevention of pregnancy and treatment of the underlying cause will help you conceive if that is the goal.

Comments

  1. Hematometra;
    I would disagree in saying that ABLATIONS are indeed a common cause of this.
    http://findarticles.com/p/articles/mi_m0CYD/is_22_36/ai_94158744/

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  2. As this post is talking about hematometria, not common outcomes of ablations of which the common result is predictable amenorrhea. I we are clear the topic hematometra and then causes, the condition itself is what I term rare, but of causes, it is clear endometrial ablation is one, thanks for your discussions referenced.

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  3. I had a ThermaChoice ablation almost a year ago. I am now about to undergo a D&C and hysteroscopy due to hematometra. My uterus is now a septate configuration due to the ablation. I think the Anonymous poster above is correct in saying ablations are a common cause of hematometra

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  4. I think I have hematometra due to ablation a year ago, but my Dr says I'm fine. She ordered blood work and an ultrasound before saying I was fine. I know I'm not fine. My cycles resumed 36 days after the ablation, but over the last year have progressively decreased in blood flow and increased cramping and pelvic pain. I don't know what to do next.

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    Replies
    1. Go and see your Gynecologist. ....I had the same and have to go into hospital for a Haematometra procedure

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    2. I am having the same problem. 2 years ago my gynae inserted a tube and removed the blood and then my periods became fairly normal again. Today I had to return to her to do the same procedure again. She says she thinks scarring from a Caesar caused this .... hoping I am not going to have to go have this done every 2 years it is rather unpleasant!

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  5. Second opinions can be very valuable if you persist in having untreated symptoms. Hematometra does not resolve with self care measures of that is in fact your diagnosis.

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  6. I'm 44 & had a endometrial ablation over 2 yrs ago because of heavy painful periods. I was lucky & it worked, no more periods & no more pain! ~ until 2 months ago. Still no period, but the cramping is unreal! I went to the Obgyn who did the ablation & she ordered a trans ultrasound . That showed a thickening of the uterine lining by 2.3 cm & it showed hematometra as well. The pain is so bad each day that I'm in bed 85% of my day trying to cope. She wants to do a endo biopsy in the office this Thursday . I've been told this is painful. I'm wondering if maybe in the hosp being put out is the better option. I'm so uncomfortable already, why do something to make it worse. Anyone have insight about a endo biopsy that may help me make a decision about this?

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  7. Most endometrial biopsies are done in the office setting under no anesthesia. The younger patients typically have an easier procedure as patients as they get nearer the menopause often will have a cervix that is less open and thus more uncomfortable to dilate. There are options for topical, local injections, iv sedation, that are all less invasive than general anesthesia. However, any medication has risks as well as benefits. Have your provider advise you based on your anatomy and the testing she plans to do. In the first book of our menopause series we discuss normal perimenopausal transition. http://www.amazon.com/Menopause-Make-Peace-Change-Making-ebook/dp/B015WOUOZY/ref=sr_1_1?s=digital-text&ie=UTF8&qid=1448282590&sr=1-1&keywords=menopause%2C+make+peace+with+change

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  8. 5 years after Novasure. Blood trapped in uterus and one tube. resenting having to get a hysterectomy at 44.

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  9. I had an ablation about 2.5 yrs ago and I had cramping a couple of months ago it lasted one day then went away. Today I woke up with a lot of cramping and then later bright red blood. The cramping has gotten worse throughout the day and the bleeding heavier. Could this be hematometra?

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  10. I had an ablation about 2.5 yrs ago and I had cramping a couple of months ago it lasted one day then went away. Today I woke up with a lot of cramping and then later bright red blood. The cramping has gotten worse throughout the day and the bleeding heavier. Could this be hematometra?

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  11. Most women who begin having menstrual periods after an ablation just have regrowth of lining tissue, a menstrual cycle, perhaps accompanied by a return of dysmenorrhea. Hematometra can only be diagnosed by medical evaluation by a gynecologist. We are seeing new patients at womenshealthpractice.com

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  12. Wow! I feel compelled to reply to this post even though it’s old. I had a NovaSure ablation procedure done 1/15/2016 and felt great that evening. The normal discharge they describe for about 2 1/2 weeks and then nothing. I was on the high road to living a more simple life after having bleeding for months without stopping.
    I didn’t have a cycle, spotting, discharge or anything. Fast forward to 3/21/2016 – roughly 9 weeks after surgery. I am getting the worst cramps ever – especially after urinating. I passed it off as a UTI, began to drown myself in cranberry juice and blew it off since my symptoms got better for about a day or so.
    Then on Saturday 4/1/2016 I had cramps so bad that I looked up my local Urgent Care facility and went to the them the next morning as soon as they opened. They took a urine sample, no UTI and not pregnant. They gave me 3 Rx’s for pain and a referral for an ultrasound and asked me to follow up with my GYN that Monday. I went home, then got my nails done, had lunch with a friend and returned home.
    While watching a movie with my husband that evening I began to cramp and took a Motrin 800. 2 hours later no relief. As a matter of fact, the pain got worse. I went to try to lay down in the hopes that would relieve the pain, no dice. It continued to get worse. I got dressed and my husband took me to the ER. While there I was given an IV and a dose of Morphine. the Morphine did nothing for the pain! All it did was make me feel relaxed/high.
    I continued to complain and they gave me another dose of Morphine – again, no relief from the pain! I know this has to be completely unbelievable for you all to read, but let me tell you, it’s unbelievable to me and i went through it. I got an ultrasound which I was told looked “normal”. and I again requested more pain meds. This time they gave me a pain med cocktail of Torodol and something else that I cannot remember. This also relaxed me and did barely help with pain. I was so tired and sleepy, and by this time, midnight was approaching. I was told that I couldn’t go to sleep because I wasnt breathing deep enough and my oxygen levels were dropping, so they began to give me oxygen and had my husband wake me every 5 minutes to remind me to breathe.
    My GYN was finally called in and told what was going on. He did a vaginal exam and told me to put up my index finger when it hurt where he touched. As soon as he touched my cervix I was in the worst pain ever and I wanted to jump out of that bed! I requested a 4th dose of pain meds after that and I finally began to get a small bit of pain relief, but not without the side effect of severe nausea. I was set for surgery at 2:30am to drain everything from my uterus along with a D&C.
    Honestly, I talked to my Dr prior to having NovaSure and the things that could go wrong, and I knew that tissue could be missed or grow back, however, i didn’t know it could get trapped and cause excruciating and debilitating pain. I have an appointment with my GYN in 2 weeks to follow up from surgery.
    At this point I am no longer fighting the idea of a hysterectomy. There is no way in hell that I would ever want to go through what I just went through again, just for the sake of a womb I will never again use. I don’t blame my GYN for what happened. It wasn’t his fault the procedure didn’t work for me. Things happen. I’m just onto the next step.
    I posted here to tell what happened to me and maybe help someone else who could be going through the same thing I went through but is blowing off the symptoms like I did. If you are having those severe cramps and little/no period, PLEASE see your GYN right away! Don’t put it off.

    Steph

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    1. Your story sounds very similar to mine except I had the ablation 4 years ago. Been having searing pains on and off for 6 months now and nobody seemed to think anything was wrong until I pushed for another review of my Transvag. ultrasound. Doc says it is post ablation syndrome. Scheduled for a hysterectomy and I wish I could have it done today!

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    2. I had an ablation in 2007. It worked wonderful lot until I day out of the blue I was crippled with pain. I went to the ER, Gyno, primary all to be told a variety of possibilities from appendicitis to fibriods. This lasted 1 week and almost daily visits between dr offices and Er. Never given pain meds because they didn't want to mask the pain. (I'm not masking anything)!!!! Finally after the diligent request of my then husband, my Gyno who performed my ablation looked at my ultrasound and realized I had a hematometra and promptly scheduled a d&c and thankfully gave me proper pain meds. I was great. That was 4 years post ablation. Now I'm having similar symptoms.. Extreme pain that I haven't experienced since and m Gyno is gone. Since I'm in my 40's I'm considering just having the hysto.. Any advice?

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    3. Everything that happened to you word for word happened to me. I have never felt such pain except for childbirth. Hysterectomy here I come.

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    4. You guys have no idea how happy and sad I am to have found this! Ablation on October 6, 2016. By march excruciating back and hip and lower abdomen pain for about 5 days. Then it went away, until today. Exactly 4 weeks later wake up with abdomen pain that feels like labor pain. I am making an appointment with my doctor tomorrow after reading all of this! I really wish I'd have done the hysterectomy instead of trying this first. Thanks so much for the info and that this is a real thing!

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    5. I had exactly the same 7 doses of morphine did not touch the pain and the pain came in cycles like labour pain but I would say worse. I have the pain back again tonight - I think I will need a hysterectomy too

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  13. Steph, thank you for sharing! Glad to find a more current comment. I'm currently waiting to schedule the MRI (waiting for insurance approval for procedure). I haven't been diagnosed yet, but after reading all of the experiences with hematometra after ablation, I'm at peace knowing that this is probably what I'm dealing with. I did put off my symptoms... But I'm finding comfort knowing others are sharing common stories. Thank you for taking time to share your experience. It has helped me!

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  14. I'm wondering why the pain medicine doesn't touch this? I also had gone to the ER but the morphine just made me dizzy. Didn't help the pain.

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  15. Endometrial ablation technology has been an incredible move forward in the treatment of women. Going forward in time the better the technology the better the outcomes and the fewer the complications will be over time. For some women this may mean better endometrial evaluation. At Women's Health Practice we have begun to use FemVue Sono HSG to improve the ability to diagnose patients. For other women the Minerva Endometrial Ablation system may offer a more complete ablation that is less likely to have complaints of bleeding or cramping after therapy.

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  16. I had my first ablation attempted by thermo in November 2015..my uterus was punctured (severely tipped uterus)so we had to wait a few weeks to try again. Pain was really nothing..Motrin 800 and was good. In the mean time I threw in a lumpectomy for fun. So this ablation was not simply for 'quality of life' it was because I had to get off birth control because I had breast cancer and was beginning a course of Tamoxifen. Tried again with ultrasound and post op I was jacked up on so much IV pain killers just to get me into recovery it wasn't funny. I had two doses of Fentanyl, the second one finally got me off the edge so they could move me although it didn't last long enough.

    1 month after the procedure I started having all of these symptoms you ladies are describing, and this month it's so bad I had to pop my leftover Motrin 800s just to sleep. It's like labor without the contractions..like something big inside is loose when you walk.. I wish I had a corset so mentally I'd feel 'together'. I;m so glad I found this..I need to call my OB.

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  17. It is important for women who take Tamoxifen to get evaluated if they are having gynecologic symptoms. Menstrual disorders are more common, as are uterine lining polyps and other more significant disorders. These could cause cramps and abdominal symptoms.

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  18. HI Gyno Gab!

    I have a problem going on, and would love your input. I had to have a d and C back in 2011 due to a polyp in the uterus lining. Everything was fine and I got pregnant in 2012 had a baby girl in 2013. It was a natural birth but she was a big baby and I tore pretty bad. After giving birth I got my period regularly for about three months, but then my periods stopped altogether for 10 months my gyny put me on progesterone to induce a period, I have been getting my periods somewhat regularly since then. Sometimes I skip a month but for the most part normal I guess. Well my last period was on April 26 and for the past few day I have been experiencing lower pelvic pain and bloating and a need to urinate frequently. I went to my doctor thinking I had a UTI but the test came back negative he then said lets do an ultrasound to see what is going on, he called me back with the results claiming that I have a collection of blood in the uterus. He said that he will fax me the report to give to the gyny. I am assuming that this is a hematometra. I very worried at the moment and have not had a chance to speak to my gyny. I want to have more kids in the future, but I am deathly afraid that this can be some type of cancer and that I no longer will be able to have children. Can this hematometra be caused by uterine cancer? is it more likely something benign? can you still have kids after having this? what is the best course of action that I should take? I appreciate any feedback! Thank you so much!

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  19. It1 nice to know I am not alone because at one point I thought I was. I am glad online forums like this exist to give women a chance to be heard and receive invaluable support and advice. I have also experienced the same symptoms. I have had a total of 3 EAs with the latest being done in 2011. I also had my tubes removed during the ablation procedure. Although, I never stopped having my periods intially I did get relief from the heavier bleeding and cramping. My troubles started about 3 years ago. The bleeding wasnt so bad but slowly the cyclic pain became unbearable lasting up to 3 days at times. It even landed me in the ER on 4/20/16. I was given IV morphine and zophram which didnt provide me much relief with the severe labor-like pelvic pains. My period came again on 5/17/2016 and I happened to be working that day. I ended up leaving work because I was hurting so badly I couldn't concentrate enough to work due to pelvic cramping and discomfort. I was determined to take charge of my health that day and I decided to call my gyn for an appointment. Thankfully, he was able to work me in that afternoon. He diagnosed me with Post ablation syndrome and he said that unreleased blood flow or hematometra during my menstrals were to blame for the pain I was feeling. I was glad to know what I had been going through wasnt just in my head and there was a true medical diagnosis that explained it all. My doctor made several treatment suggestions with the most major being a hyst. I decided on a total hyst and had the cervix, tubes, and uterus removed. I didn't want to make this decision but something had to give. My hyst went just fine. Im glad I made the decision to have this procedure done. It has given me a different outlook on life I am already feeling much better. The cramping and pain appear to have subsided even though I am still recovering from my surgery. Ladies I strongly encourage each of you to take full charge of your health. Don't ignore the aches and pains and cramping after an EA. Overtime they will worsen until you find yourself painted in a corner with very few options. Good luck to everyone!

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  20. I had a Endometrial ablation in June of 2014 because fibroids had me bleeding heavily to the point I was anemic. Everything went well. I had lightl periods until October and after that, nothing. One late November morning, I experienced the worst cramping and pain ever in my lower abdomen. The pain increased every hour. My stomach was sore and tender to touch as well as excruciating pain in the abdomen. 800 Motrin was no match for this pain - I could barely walk. By 2:00 pm the next day, I couldn't take any more pain. Went to the ER, had a cat scan that showed nothing. Couldn't have a ultrasound... way too painful - i literally could not be touched in that area. Followed up with my gyn that included getting a transvag ultrasound... nothing. I kept getting these attached every 6 months or so being followed up with ultrasounds showing nothing, however, the pain and soreness was never to the degree of the first episode. In January of 2016 a cyst showed up on my ovary, followed by another cyst in February. After another comparison in May, I was diagnosed with Hematometra. Scheduled for a laparoscopic hysterectomy the first week in July.

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  21. I had a nova sure procedure done in 2013 after heavy periods that made it impossible to go on with my day. For 2 years I did not bleed had nothing but some dull aches and pains around my period time. I was thrilled about the results but around 2015 I began getting cramps in my pelvic area. Sharp stabbing pains no bleeding I thought it was my appendix, a gastro issue because my sono showed nothing. I was very frustrated I even went for a catscan and it shows nothing!!! So I'm thinking I am just going to live with this pain. Then one day I got severe pains And a big gush of bright red blood came! It was a lot but then it was gone it stopped as fast as it came. I went to doctor had tests done again and nothing shows up again. 4 months later which was yesterday the pains were unbearable and out of no where im standing in my laundry room and bright red blood comes flowing out Non stop for a few minutes and then again it was gone.. I called my Gyno she scheduled me for a sono and pelvic exam immediately I was pretty firm this time and told her I know my body something is wrong and I can't go on like this! She did the sono this time they found the backed up blocked fluid/blood in my cervix. She performed an endometrial biopsy which was very painful!!! And also drained it I can't believe the amount of blood that came out. So now I'm waiting for results and have to follow up with a sono in 6 weeks. I am glad we found something but can't go on with this continuing. I wonder what my choices will be and if there is even a solution to This. I wish I would have known about these risks when getting the ablation! And ps I still have pain I'm glad I found this blog now I know I'm not crazy!!!!

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  22. For women who have hematometra, successful avoidance of recurrance is to halt uterine bleeding. The most efficient is to have another ablation if that is possible, treatment with other therapies to decrease uterine bleeding can also work such as DMPA shots, continuous oral contraception. We have discovered that some of the pain and issues with bleeding are due to adenomyosis. For Central Illinois Women interested in seeing if they have this condition contact the research division at Women's Health Practice.

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  23. I had a balloon ablation 3yrs ago. I have had great results. No debilitating migrains that had me down and extremely mean for 3 days. I also no longer have a period at all. My doctor was very thorough. He told me I had a small fibroid. He informed me that if the fibroid was on my uterine wall he would not continue with the ablation. He also explained that younger women should not have them because there is a chance for regrowth. I was 48, with high blood bressure and birth control was making it worse. I tried the IUD and it did nothing to help my situation. There can be complications during any procedure as well as failures. It is your job to ensure you are the right candidate. I wouldn't necessarily question the procedure, I would question the doctor who performed the procedure. If you notice, mostly people who have had complications write in these blogs. There are more successes than failures. I caution anyone who allows this to be done in office to run. I had it done at the hospital under General anethesia. This a surgical procedure that should be done in the right setting.

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  24. The reader discusses the use of general anesthesia for ablation procedures. General anesthesia is very safe, often recommended, and used but it is not the safest type of anesthesia for minor gyneologic procedures. Many gynecologic procedures can safely be done in an office setting, and in those settings done with or without general anesthesia and using local or sedation anesthesia. Because the techniques have improved, the monitoring devices have improved, and the cost has improved, office gynecological surgical settings are the best and safest for many women. Ablation procedures, even ones that do not last until menopause, can allow a woman to prepare her body and her emotional self for a hysterectomy should she be one of the rare failures. We are discovering that adenomyosis is a reason that ablations fail and for women interested in hearing more about this calll 217-356-3736.

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  25. Question for Gyno Gab.. if 90% of your Uterus is occluded like mine is with trapped blood above it.. can they do an ablation? Would it be safe? Had Hysteroscopy and they backed out as they didn't want to cause any harm by trying to get around the occlusion.

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  26. Women with hematometra, who do not desire more children, can be considered for an endometrial ablation. This is a decision for you and your gynecologist. For women with adenomyosis or uterine fibroids call 217-356-3736 to discuss your treatment alternatives.

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  27. I had my ablation in September of 2014 and started having severe cramps 3 months ago. My gynecologist gave me the choice of doing the office procedure, which is extremely painful, or a hysterectomy. I opted for the hysterectomy because she told me that even after the office procedure that I may have to have it done again if the blood continues to get trapped. I have MS and suffer from pain on a daily basis. These painful cramps with bloating and all the trimmings without having a period is just too much. Also during my ultrasound she couldn't locate my ovaries so she's going through the belly button to perform the hysterectomy. She said she needs to explore to find my ovaries. To say the least, I had the ablation in the first place because of heavy and painful periods but, this has really turned into a nightmare. My surgery is scheduled for September 13th and I'll just be glad to get it all over with. Good luck to you. 😊

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  28. Often women can have a second ablation and avoid a hysterectomy, come in to discuss with your gynecologist. 217-356-3736

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  29. I had an Novasure ablation 3 years ago. At first great as no periods. After 2 years of miss diagnosed back pain, my physio thought it might be something else. After seeing my gynaecologist, I have a haematometra and multiple cysts on an ovary and am having a Laporascopic hysterectomy and an ovary removed. I was 39 when I had the procedure.

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  30. I had an Novasure ablation 3 years ago. At first great as no periods. After 2 years of miss diagnosed back pain, my physio thought it might be something else. After seeing my gynaecologist, I have a haematometra and multiple cysts on an ovary and am having a Laporascopic hysterectomy and an ovary removed. I was 39 when I had the procedure.

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    1. Hello Wendy, I also had a ablation about 3 years or so ago. I don't recall the name. But I was also having no periods, no problems nothing, till 10/27. I started having pain and the pain got worse. I had Ultra sounds done, and they found blood backed up into my Uterus and fallopian tubes. The gyno I was referred to (not my actual one that did my procedure), put me on progesterone. I go back this Thursday to see her to check in to see how I am doing. I am about the same with that med she gave me. I still feel the cramping that never stops. How soon did they say you needed a Hysterectomy?

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  31. Hysterectomy is a treatment for hematometra. Typically the issues of hematometra will not involve the ovary, and at Women's Health Practice we encourage lengthy discussion before deciding on ovarian removal.

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  32. I also had the ablation done but back in 2002. I was the first patient my doctor saw with all these same symptoms you all are describing. She first used
    laminaria ( a natural seaweed ) to open me but that didn't work so she started with the dialation in the office. So painful as all of you know. She said I was so close to menopause and all this would stop then. We'll it hasn't even after menopause. I get dialated every other year. Each time thinking this will be my last. I don't know why she was so against me getting a hysterectomy? I now have a different doctor and her first question was, " why didn't you get a hysterectomy? ' wish I had...and since symptoms are back AGAIN! I will plan one when I see her this week.

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  33. I had my hysterectomy on September 13th. Because I have multiple sclerosis the pain was almost unbearable. I just passed my 6 week healing last Tuesday and even though it's taking longer to heal, I have to say that I'm feeling so much better! I can't believe the difference in before and after. If you're suffering and you've past your child bearing years I say Go For It!!! For a person that is healthy besides this ablation problem, everyone I've talked to that had a hysterectomy said it was not so bad, pain wise. The only reason mine was is due to the MS and the amount of pain medication I'm on already. It was just harder for them to get it under control. I'm really happy it's done and over with. Good luck to all of you and I hope that you all can feel as good as I do. 😊

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  34. I had my hysterectomy on September 13th. Because I have multiple sclerosis the pain was almost unbearable. I just passed my 6 week healing last Tuesday and even though it's taking longer to heal, I have to say that I'm feeling so much better! I can't believe the difference in before and after. If you're suffering and you've past your child bearing years I say Go For It!!! For a person that is healthy besides this ablation problem, everyone I've talked to that had a hysterectomy said it was not so bad, pain wise. The only reason mine was is due to the MS and the amount of pain medication I'm on already. It was just harder for them to get it under control. I'm really happy it's done and over with. Good luck to all of you and I hope that you all can feel as good as I do. 😊

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  35. I had a ablation done about 2-3 years ago and now I started with pain on 10/27 they found a fallopian tube fluid filled and my Uterus as blood backing up in it as well. My doctor was leaning toward a Hysterectomy after the meds I was prescribed failed. I received a call today now she wants to do a exploratory lap to remove the fluid filled tube. What about my Uterus? Any suggestions?

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    1. Fact is even though they remove the blood that's trapped for now, the chances that they'll continue to have to keep doing it again and again is highly likely. My gynecologist told me that the blood will continue to get trapped and it was in my best interest to eliminate the entire problem...hysterectomy. That was the only assurance that I would never have that problem again. I'm 47 years old so I was perfectly content with having the hysterectomy. I still have my ovaries and I'm doing better than ever. At the end of the day, it's entirely up to the individual. Good luck to you!

      Michele

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    2. Fact is even though they remove the blood that's trapped for now, the chances that they'll continue to have to keep doing it again and again is highly likely. My gynecologist told me that the blood will continue to get trapped and it was in my best interest to eliminate the entire problem...hysterectomy. That was the only assurance that I would never have that problem again. I'm 47 years old so I was perfectly content with having the hysterectomy. I still have my ovaries and I'm doing better than ever. At the end of the day, it's entirely up to the individual. Good luck to you!

      Michele

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  36. Hello,
    I have a question. After reading this article, I wonder if this applies to my situation. I have irregular periods. Very heavy. They last 1-5 months at a time (bleeding heavily the entire time), and they may not return for 3-5 months, sometimes longer. There are many blood clots during my cycle (falling out all day long). I have been to many doctors. No one knows why. One doctor told me it could be because I don't have a period for months on end that it comes out like sand on the beach. It still doesn't explain anything. Is it old blood? Another doctor told me that's just the way I am. One time a decidual cast came out. It was terrible and hurt awful. I took it with me to the ER (thats how I found out it was a decidual cast). Multiple docs have done the camera inside and out and I do not have fibroid, PCOS, or anything else. Can anyone guide me in a direction to guide the doctors to?

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  37. For women who have have prolonged times without menstrual periods, it is common to have the next cycle be very heavy as there is so much to shed. The appropriate therapy usually involves either suppression of lining formation, or making sure you shed that lining more regularly. A gynecologist can give you a consultation and help you understand how to apply that advice to your situation.

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  38. I have been following this blog for a while now and today i felt like i should share my story because i was a victim too. I had endometriosis for 18 years and i never thought i would ever get a cure due to the terrible symptoms i had and this made it impossible for me to get pregnant even after 12 years of marriage and it was a serious issue. I got to know about Dr. Aleta who treated someone and the person shared a story of how she got a cure and let her contact details, i contacted Dr. Aleta and she actually confirmed it and i decided to give a try too and use her herbal medicine that was how my burden ended completely. My son will be 2 this december and i am gratetful to God and thankful to her for medicine too. If you have (Endometriosis, PCOS, Fibroid, Ovarian cyst, Ectopic Pregnancy or any infertility issues) just reach her on (aletedwin @ gmail. com) she has professional advise and a cure too.

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  39. This is an informative post. Below is my personal story on how i permanently got cured from PCOS. I was diagnosed of PCOS due to my irregular period at the age of 17 and my mom too had pcos when she was my age, i had annoying hair growth and when i got married at 23 even after 7 years of marriage this caused me inability to conceive and have a child. I have tried several treatments ranging from doctors to pills to lotions to drugs and therapies but none worked as the annoying symptoms still persisted. I got to know about Dr Aleta's PCOS treatment which is a natural herbal medicine treatment which was finally able to cure me in a space of 3 months. Today i have two kids and happiness have been restored back to my home. never give up because there is a cure you can reach her personally on [aletedwin @ gmail. com] for advise and information on how to get this medicine. Happy New year

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  40. After ablation u have scar tissue. The uterine lining will still grow every month in response to estrogen..however the lining gets trapped in between the scar tissue and abdomen. Then when your body needs to shed the lining it has no where to go. I have endo and did my research. I thought ablation would help but came across this info on Internet and glad I never had ablation done.

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  41. Endometrial ablations have the ability to prevent suffering from menstrual pain, menstrual blood loss, and help women avoid hysterectomy. None the less the reader's point is well taken and the choices must be weighed before any treatment plan decision. WE are accepting new patients at womenshealthpractice.com

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  42. My diagnosis was July and had my operation late November. I live in the U.K. and for the NHS this was very good. My surgeon is well known in his field and did it laparoscopically. My recovery was amazing. Am 100% pain free, after months of pain killers m. I did need my right ovary removed due to multiple cysts and histology have confirmed all benign. After years of painful periods due to endometriosis I am finally pain free. I still have my left ovary so don't appear to have gone through the menopause. I am so much better.

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  43. I had an endo ablation in 2011 for heavy periods. I have only had light spotting since. The last six months or so it has been brownish in color. This is the second month that I have had severe cramps with my spotting. Last month I went to the er had a transvaginal us that came back normal. My gyn even thought that maybe it could be gi related. This month he put me on Aygestin. A hormone to stop the uterine bleeding and hopefully stop the cramps. Has anyone else been on this? Nothing is helping as far as pain meds except Percocet and I can't function with them. I missed one week last time and two days so far this time. The gyno doesn't want to do anymore surgery because he doesn't want to cause anymore adhesions but I don't know how much more I can take of this.

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  44. Hi all. I had NovaSure done in late Sept. 2017, and Im just wondering if anyone may have experienced milder and what might at first appear to be unrelated post-procedure side effects. Things like joint aches/pains/numbness/tingling; sleep disturbances; recurrent diarrhea or ibs; low energy; lack of motivation/melancholic feelings; mild dehydration (dry mouth)...just to name a few. Any thoughts or exp. to share?

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  45. As women get into their late 30s and 40s, prior to menopause, and prior to perimenopause they often will have less estrogen and less progesterone and potentially less male hormone testosterone produced by the ovaries. It is possible that these hormonal changes, depending on their degree, and the balance between these hormones, will result in changed menstrual cycles, mood an depression issues, weight changes, sleep issues, and complaints of aches and pains. We advocate seeing a provider and considering hormone testing. This can be done with either blood or saliva, but salivary testing can offer solutions for therapy that are different from blood testing. The salivary testing can be combined with bioidentical hormone prescriptions that can smooth many menstrual symptoms. That being said it's possible there are other conditions that need evaluation, such as polyps, fibroids, or endometriosis. www.womenshealthpractice.com

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Thank you for your comments and questions. WE hope you will buy our book, https://www.gynogab.com/shop This blog is not intended to replace medical care, but is informational only. We hope you will become a follower or visit Womens Health Practice. We offer a variety of unique services including MonaLisa Touch, Coolsculpting, Labiaplasty, and Gynecoloigic Clinical Research Trials. For more information on menopause see

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