Quick Answer: Which Is Better Hysterectomy Or Endometrial Ablation?

Does endometrial ablation cause hormonal changes?

Thoughts about endometrial ablation Because removing the endometrial lining doesn’t change the hormones of perimenopause , women often need to have repeat endometrial ablation surgeries.

Also, almost 20% of women who have had an endometrial ablation eventually require a hysterectomy ..

Where does sperm go after hysterectomy?

The answer to this is actually pretty simple. Following hysterectomy, the remaining areas of your reproductive tract are separated from your abdominal cavity. Because of this, sperm has nowhere to go. It’s eventually expelled from your body along with your normal vaginal secretions.

Does ablation lead to hysterectomy?

Women undergoing endometrial ablation at younger than 40 years of age are at elevated risk of hysterectomy, and rather than plateauing within several years of endometrial ablation, hysterectomy risk continues to increase through 8 years of follow-up.

Is endometrial ablation worth it?

A benefit of endometrial ablation is that the treatment can last until menopause and allow women to avoid the need for daily medication. However, about 20 percent of women require some kind of treatment afterward, such as a repeat ablation or a hysterectomy – so the surgery isn’t perfect.

Which procedure is best for hysterectomy?

The American Congress of Obstetricians and Gynecologists (ACOG) says the safest, least invasive and most cost-effective way to remove a uterus for non-cancerous reasons is a vaginal hysterectomy, rather than laparoscopic or open surgery.

Do you still go through menopause after endometrial ablation?

If your uterus was surgically removed through a hysterectomy, you may not know you’re going through menopause unless you experience hot flashes. This can also happen if you’ve had an endometrial ablation and your ovaries weren’t removed.

How do you know if endometrial ablation failed?

To summarize, the most troubling endometrial ablation failure is pelvic pain which is not accompanied by bleeding. The pain can be disabling and the diagnosis is often delayed or missed.

What is the success rate of endometrial ablation?

Compared with hysterectomy, endometrial ablation has a number of advantages, including decreased operative time, decreased recovery time, and overall decreased cost. Success rates for endometrial ablation are high, with many studies confirming up to 90% satisfaction.

Are you put to sleep for endometrial ablation?

Some methods of endometrial ablation require general anesthesia, so you’re asleep during the procedure. Other types of endometrial ablation might be performed with conscious sedation or with numbing shots into your cervix and uterus.

What can go wrong during a hysterectomy?

Hysterectomy is generally a safe procedure, but with any major surgery comes the risk of surgical and postsurgical complications. Such complications commonly include infection, hemorrhage, vaginal vault prolapse, and injury to the ureter, bowel, or bladder.

Can a woman have an Orgasim after menopause?

Satisfying sex depends on several things: presence of desire, arousal, absence of pain, and an ability to reach orgasm. After menopause, libido declines, and changes in our bodies can make it difficult to get aroused, painful to have intercourse, and impossible to climax.

Why am I still having periods after ablation?

After endometrial ablation, many women still have periods, but they are much lighter. One consequence of endometrial ablation is that scar tissue forms within the uterus after the procedure, changing the structure of the uterine cavity.

What are the disadvantages of having a hysterectomy?

The disadvantages of Hysterectomy involves risk associated with abdominal hysterectomy surgery. Premature menopause associated with long-term health risks which may include premature death, osteoporosis, cardiovascular disease, neurologic disease and so on.

What are the long term side effects of endometrial ablation?

Intrauterine contracture and scarring can occur after the procedure, which may obstruct bleeding from persistent viable or regenerating endometrial glands causing central hematometra, CH, PATSS, and retrograde bleeding and potentially delay the diagnosis of endometrial cancer.

How long do you have to be off work after an endometrial ablation?

Most women need between two and five days before they feel able to return to work, although this will depend on the type of job you do.