Sometimes a gynecologic diagnosis is very straightforward. Other times a test may be within normal limits for most women but yet be hiding something abnormal. It is possible to make a diagnosis of abnormal lining thickness of the uterus with an ultrasound. When women found out they could avoid the ouch of an actual biopsy or D and C and just rely on the ultrasound to detect uterine cancer they were very happy. The biopsies of the uterus may be able to be done in a quick office visit, but the biopsy is always uncomfortable, and an ultrasound is rarely painful. But it's important to remember that one test is just one test. And even if the lining measurements on ultrasound do not show that there is unusual thickness, the the newest information says that relying on ultrasound alone may miss some cases of uterine cancer. So One test is only one piece of the information you may need about your case. When women have an ultrasound, they need to understand they may need a repeat ultrasound, a pap, a culture or a biopsy to really get the correct answer. And knowing that there are uterine cancers that can be present within thin uterine lining brings that point home even more so than before.So if you have uterine bleeding, particularly in perimenopause or post menopause, you may need to progress to a surgical evaluation to really know what your diagnosis is. This may require a hysteroscopy or D and C to rule out endometrial disease and rule out uterine cancer rather than just rely on the ultrasound.
If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...
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