Should I have a coil fitted or an Endometrial ablation ?

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I'm 47 and recently had problems with very heavy periods and pelvic pain. An ultrasound scan showed my endometrium was 25mm thick, I've since had this removed by a D&C. My GP has told me the consultant thinks this is all due to a recent tragic family bereavement and that I should have a coil fitted or an Endometrial ablation. I really am not sure what I should do for the best. Will my grieving still have an affect on my hormones?
You could really do with a longterm solution. A coil is good for contraception but can make periods heavier. You really need to discuss this in more detail with an expert. However, try Evening Primrose Oil to try and help balance your hormones. Works for me.  (+ info)

What's better for recurrent corneal erosions: anterior stromal puncture or phototherapeutic keratectomy?

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The corneal erosions in this case are non-traumatic, of unknown etiology and conservative treatment (lubricating drops, antibiotics, bandage contact lens) have all failed. Which procedure has a lower recurrence rate, risk of scarring/reduced vision?
Are you experiencing this, or are you researching for project? It would seem a doctor's advice would be in order considering the complications that could occur if someone did not know the whole case history. I hope you get a better answer, I am not sure that I answered you, but I am curious to know.  (+ info)

What is the endometrial thickening during the 65th day of pregnancy?

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What happens if my endometrial biopsy is abnormal?

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I know that I should have asked my doctor but he seemed to be in a hurry. But what is the next step if the test comes up abnormal.
What is the test?

Doctors take biopsies of areas that look abnormal and use them to detect cancer, precancerous cells, infections, and other conditions. For some biopsies, the doctor inserts a needle into the skin and draws out a sample; in other cases, tissue is removed during a surgical procedure.

This test takes a tissue sample from the lining of your uterus (the endometrium) to evaluate it for problems, including endometrial cancer, that might explain unusual bleeding.

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How do I prepare for the test?

If you are not bleeding heavily, you might want to take an NSAID medicine such as ibuprofen one to two hours before the test, to reduce the possibility of uterine cramps during the procedure. Ask your physician for a recommendation ahead of time.

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What happens when the test is performed?

This test is performed in the doctor's office. It begins with a pelvic examination (see page 44). Then, after cleaning your vagina and cervix (the entrance to the uterus, visible from your vagina) with antibacterial soap, the doctor might put a clamp on your cervix to hold it steady. He or she inserts a flexible, sterile plastic instrument called a pipelle, which looks like a drinking straw, through the opening in your cervix and positions it several inches into the uterus. Then the doctor pulls a thin wire out of the center of the pipelle. As the rod is pulled out, the pipelle becomes hollow and creates suction, drawing some of the cells from the lining of your uterus into the pipelle. To get a good sample, the doctor will move the pipelle forward and backward a few times before removing it. The cell sample is deposited in some fluid to be examined later under a microscope. The entire procedure takes about 10 minutes.

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What risks are there from the test?

You might have pelvic cramps (sometimes intense) during the procedure and sometimes for a day or two afterward; you may also experience a small amount of vaginal bleeding. It is extremely rare to have heavy bleeding or to develop an infection that needs treatment.There is also a small risk of disturbing a very early pregnancy. To guard against this, your doctor might order a pregnancy test before performing the biopsy.

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Must I do anything special after the test is over?

Call your doctor if you develop a fever of over 100° F, or if you have vaginal bleeding that lasts longer than two days or is heavier than your normal menstrual period. Your doctor may also recommend avoiding sexual intercourse until two or three days after any bleeding has stopped.

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How long is it before the result of the test is known?

It usually takes four to seven working days for the doctor to get the final report.  (+ info)

Has anyone had an endometrial ablation without having the Lupron injection?

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I've heard that some people have horrible reactions to the Lupron Depot injection and my ob/gyn is willing to do my ablation without the shot, but it may not be as effective. Just wondering if anyone else has gone this route and was it successful?
Thanks
I didn't have the Lupron injection and 18 months later all is well.....

Of course I had a false cycle right after the procedure for about a week and some pain (very mild) nothing compared to the other gyno procedures I've had done.

My cycles are minimal (if any....light spotting for about a day or nothing at all....it varies) the painful, heavy, excessive periods are gone. I was told that sometimes a few people have to repeat the procedure in a few years but I've been pleased since mine.


Good luck.  (+ info)

How long does pain last after a cervical and endometrial biopsy?

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I had one done on Friday it was the most painful procedure I have ever had. I am still having intermittent pain. How long is this expected to last?
I'm not surprised you're still having intermittent pain, especially if you found it most painful, which they can be. Keep taking paracetamol or whatever pain killers they've given you. It should have eased off a bit by Friday-ish, it's hard to say, every woman is different. The important thing is that you are not having any unexpected bledding from there, which you would know about because it would come out.  (+ info)

What are some oral manifestations of Kaposi's Sarcoma and where can I get photos of this disease?

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I am doing a research paper on this subject and have not been able to find some oral manifestations or photos thus far. Any ideas?
involvement of the oral cavity is seen after that of the extremities and face. the oral lesions are same as cutaneous nodules i.e. they appear as reddish or brownish red nodules which may vary in size from a few mm to a cm or more in diameter. cervical lymph node and salivary gland involvement commonly precedes cutaneous and visceral involvement in African children.

u may refer to textbook of Oral Pathology(Shafer), PubMed, http://www.hivdent.org/slides/ (for pictures)..  (+ info)

Has any one had an endometrial blation and had a successful pregnancy afterward?

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I had an EA several years ago and now am with a man who would like to have his own child. Has anyone had this done and been able to carry a full-term pregnancy with a healthy baby?
When I had my ablation the doctor required that I have a tubal at the same time.

If DH is set on having a biological child, you might want to look into surrogacy. (They would use your eggs and his sperm.)  (+ info)

Has any one had an endometrial balloon ablation?

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I am due one and worrying about their safety and recovery time. Do they make any difference to monthly bleeding?
I am also having one on Aug 6th so I'm interested to hear if you get any responses. As for the other poster about ruining a life, are you referring to the lining being destroyed? The fact of the matter is for some people, pregnancy may be impossible anyways and have other things going on that need this procedure and opt to have it done vs. a hysterectomy. For example, Im 36 and don't want to be that aggressive or want the need for hormones. OP sorry for my rant. And if you meant her own, please elaborate!  (+ info)

How serious is endometrial cancer?

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My grandma has endometrial cancer and I am so sad about it that when I even think about it I start to cry. Everyone in my family seems to be ok about it because she's only in the first stages of it. She doesn't know that she has it and everyone seems to think it will be fine after her surgery. Am I overreacting? Is this not as life threatening as I think?
endometrial cancer is frequently cured just by surgery.

as far as being lucky with cancer, this is about as good as it gets. Of course, it would be good if your grandmother was also in good health, but if this has not spread, she is in pretty good shape. (which early stages kind of implies)

Is this not as life threatening as I think?
well, no cancer is cause for celebration, but it probably won't kill her.

she will be in the hospital for surgery - maybe 4 or 5 days.
then home. they will do checkups on her about every 3 months.

this one is NOT as life threatening as most other cancers.
but she shouldn't delay surgery.
and you can worry less.  (+ info)

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