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Novasure ablation for adenomyosis

I had the procedure done yesterday, after being advised by Doc #1 that a hysterectomy was...

Posted by sizzled

I had the procedure done yesterday, after being advised by Doc #1 that a hysterectomy was my only option due to apparent adenomyosis. (Tentative diagnosis based on vaginal ultrasound views.)

Doc # 2, whom I went to because of her expertise in bio-identical hormone replacement, strongly encouraged me to try the ablation. My uterus is not too enlarged (about 9.5 cm) and ridiculously heavy bleeding and clotting are my main issues--cramping is controllable with a few Motrin. This doc has herself had the Novasure done twice for similar issues. Two of the three nurses also told me they has done it. (One was "due" for another, as the bleeding was coming back after three years.)

Biopsy was clear, and I don't have fibroids. I have driven myself crazy researching this, and almost cancelled my appointment. Everything I read seemed to confirm what Doc #1 said might happen--scar tissue would cover up possible deep-seated endometrial tissue invading the uterus wall, and leave me worse off than before. From what I read, there is definitely anecdotal evidence to support this! HOWEVER, I also read a few medical journal study reports which suggested that ablation IS often a good treatment for adeno and should not be discounted. Really, it seems to be all about A) the size of the uterus. (Too big, and the equipment can't handle it and will leave too much un-ablated tissue.)

how deeply the adenomyosis has invaded the muscle. This used to be impossible to tell until the uterus was removed via hyst. but now imaging improvements can allow them to see things a little better. Unbearable cramps each month might mean that the adeno is deep. C) presence of fibroids--from everything I've read, this can lead to a poor outcome.

My adeno appeared "diffuse" not "deep" although it is impossible to know for sure. I am keeping my fingers crossed and hoping for at least a few years of diminished bleeding and relief from severe anemia. (My hemoglobin was down to 7 after one particularly horrible month.)

The procedure was done in her office with Percocet and shot of some other pain killer. (I forget!) They numbed my cervix with something lidocaine-like. I watched the laproscope beforehand-very interesting! Yes, it was quite painful for those 90 seconds, but hardly bad enough to consider general anesthesia. I'm surprised that so many people go under general for this procedure.

My doc told me I'd have a few "honeymoon hours" because of the pain shot, and then cramping would set in if I didn't stay on top of it. I took 4 Motrin at the beginning of more cramping and have no been in pain or taken anything since. It has been about 28 hours. Very light brownish discharge--hardly enough for a liner, even. I know that the discharge will probably increase as the wounded tissue starts "weeping".

I'm writing this because there aren't many adenomyosis+ ablation threads. Will keep y'all posted on my eventual outcome!

Best of luck to everyone looking for answers and information!View Thread

Posted bysizzled

34 Replies | Reply | Watch This DiscussionReport This| Share this:Novasure ablation for adenomyosis I had the procedure done yesterday, after being advised by Doc #1 that a hysterectomy was...

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