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Conflicting info from different gynae consultants

4 replies

longtompot · 02/04/2022 10:52

I have seen three different gynae consultants over the past two years, and the first two have said an ablation is the way to go to sort out my heavy periods and in between bleeding (fibroids and polyps).
I saw a different one this week and he said that an ablation isn't possible as I have fibroids and said a hysterectomy would fix it all for me.
I have been against having the ablation for this whole time due to it sounding like a horrific procedure and finding out that I wasn't a candidate for it due to the fibroid. Now, when I have decided this is the route to take, I'm told it's not an option!
I have another appointment in 4 weeks with a female consultant as I was not happy about having a hysteroscopy with a male consultant so will ask her then. I just wondered if anyone else has had something similar happen to them, told one thing and then something completely different.

OP posts:
Igotchills · 02/04/2022 11:34

It depends, I think, on size & where your fibroids are. I personally refused to entertain the idea of ablation as the lining can regrow so you are back with the same issue. My hysterectomy was life changing.

Fibroids potentially distort the uterine cavity, making ablation technically difficult and often unsuccessful. Even when uterine cavity preservation occurs in the setting of intramural fibroids, patients may still experience failed ablations.

It works best in women who have small fibroids located close to the inside of the uterus. Ablation doesn't remove your fibroids, but it does help relieve heavy bleeding

longtompot · 02/04/2022 15:42

@Igotchills I know, I discovered all that when I researched about ablation (during the long wait for my appointment) which was why I didn't think it was the right thing to do. But after my last ultrasound scan they said the fibroid was small, 2.5cm whereas before they said it was 5cm and the one that could cause the issue is at the top of my womb, it seemed like it had shrunk so ablation seemed to be an ok treatment. I am 50 so likely to go into menopause in the next few years so if it doesn't work for as long as normal it might not be an issue for me anyway.
I am on the waiting list for a hysterectomy, or rather will be when I see gynae next. It's weird as it's something I have wanted for years, about 10, but now someone has said I can have it it seems like such a big thing. The what ifs are big in my mind.

Was your op keyhole, as that's how they have said they will perform it?

OP posts:
JinglingHellsBells · 03/04/2022 14:19

If this is NHS, how have you managed to see 3 different consultants?

Anyway- has no one offered you the Mirena coil? It's sometimes harder to insert with fibroids but yours is tiny and unless it's near the entrance, can't see the problem.

longtompot · 03/04/2022 15:23

It is the nhs, and it's been a different person each time. I've had the Mirena and it was expelled at 5am one morning. Also didn't help with the bleeding.

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