
Have you been advised a Hysterectomy (removal of Uterus)?
Think Again…
Menorrhagia or Heavy Periods, is a common disorder for many reproductive-age women, with significant impact on their medical, social, economic, and psychological well-being.
The cause of HMB (Heavy Menstrual Bleeding) is not known in the majority of the cases, in which no pelvic or organic pathology is identified. However, HMB may have structural organic causes such as fibroids, adenomyosis, polyps, infections, pre-cancerous conditions or hematological disorders.
Medical treatment in the form of pills and injections are usually the first line of treatment offered to women.
However, medical therapy fraught with side-effects and symptoms of Menorrhagia invariably returns once therapy is stopped.
Surgical treatment is usually offered to patients who do not respond to drug therapy.
Hysterectomy (removing the Uterus ) is the only permanent treatment for heavy menstrual bleeding that guarantees Amenorrhea (complete cessation of menstrual periods), but it is associated with pre and postoperative complications, including incontinence and other urinary problems, fatigue, infection, pelvic pain and sexual problems apart from immediate complications such as bleeding and organ damage . Overall, 1 in 30 women suffers a major adverse event during or soon after the operation.
NICE and the Royal College UK (these are Internationally accredited organizations in Gynecology) have recommended that Fluid-filled Thermal Balloon Endometrial Ablation should be offered to a woman with heavy menstrual bleeding where surgery is being considered as an appropriate way to manage her bleeding.
Thermal balloon ablation is thus a great new option to consider prior to undergoing full-blown surgery.
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