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Women's health

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Endometrial ablation after c-section experiences please.

8 replies

Spareincoming · 14/11/2023 22:41

Has anyone had one?
Was it uncomplicated?
How was your recovery?

I went to see my GP today and one of things discussed was contraception; I now can’t
have the combined pill that helped
me navigate the hell of periods due to my age and single hormone contraceptive was prescribed, I know these don’t suit me.
I have horrendous periods, heavy, long and painful and had always said about having my last child (born 3 weeks ago) and having an ablation post section. However my Gp seemed keen to put me off as I’ve gave several sections. I do not want the coil again and that seems to be the Gp’s preferred choice.
I have been referred though with an appointment likely in March/April.

OP posts:
MidnightMidwinter · 14/11/2023 22:45

I’m in exactly the same situation. I refuse to have a coil fitted as I‘ve heard so many stories of it being excruciatingly painful. I vomited during my last smear from pain so there’s no way I could cope with coil fitting. GO says there’s no nerve endings there so won’t hurt 🙄. I’ve also had 2 c sections so he’s trying very hard to say that ablation isn’t an option due to existing scar tissue.

Bigtitsbetty · 14/11/2023 22:50

I had a section and then an ablation about six years later. After years of heavy periods and flooding it was great because my periods stopped completely.

However about 8 years after that I got serious abdominal pains and it turned out I had very bad endometriosis and adenomyosis, serious enough that they had to do a hysterectomy and remove both ovaries/tubes and cervix.
TBH i wouldn’t change it because I stopped having periods but I think the endometriosis and adenomyosis were fuelled by the ablation.

Ashemark · 14/11/2023 22:59

If it were me I would want a scan first to check for adenomyosis before consenting to the ablation. Adenomyosis is a common cause of abnormal bleeding and can be exacerbated by a C-section. Endometrial ablation might reduce the bleeding but would just cause increased pain in the long term.

Spareincoming · 14/11/2023 23:08

@Ashemark Good to know; I have had many scans etc to try to find the cause of my horrendous periods - they’ve been this way since I was 13 - and this isn’t something that’s been mentioned post section; although I’ve had scans between all pregnancies to rule out fibroids etc.

OP posts:
AttilaTheMeerkat · 15/11/2023 06:58

Endometriosis cannot be ruled out here either. My problems with periods started upon onset of menses at 14. I had severe pain and heavy bleeding. The root cause was determined to be endometriosis.

its not normally picked up on either blood tests or internal ultrasound scans and is usually diagnosed via a keyhole surgery op called a laparoscopy.

Spareincoming · 15/11/2023 07:19

@AttilaTheMeerkat Endometriosis has been ruled out by a consultant sometime previously; not sure if it was due to what had been seen during one of the sections or when I had a growth removed.
But I have been fobbed off by to separate consultants with “some women just have heavy periods for no clear medical reason, take the pill/get a coil…”

OP posts:
Jandob · 17/11/2023 16:02

An ablation removes the endometrium, but it eventually grows back. You could try mirena which is unlike other iuds, being hormones and plastic. Only suitable after giving birth previously for most people. Talk to your gp or gynae about sedation if you think it would help. An experienced practitioner eg at regular clinic also helps.

justwatchingtelly · 17/11/2023 19:19

Bigtitsbetty · 14/11/2023 22:50

I had a section and then an ablation about six years later. After years of heavy periods and flooding it was great because my periods stopped completely.

However about 8 years after that I got serious abdominal pains and it turned out I had very bad endometriosis and adenomyosis, serious enough that they had to do a hysterectomy and remove both ovaries/tubes and cervix.
TBH i wouldn’t change it because I stopped having periods but I think the endometriosis and adenomyosis were fuelled by the ablation.

Same here, except I still have my ovaries.

I'm 5months post hysterectomy and so happy that is all done and dusted.

I don't think the ablation aggravated the endometritis, I had 4 c-sections within 6 years and had always had heavy periods. The ablation was 2 years after last c-section.

The ablation was simple and bought me 6 years of lighter periods before the hysterectomy.

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