Novasure ablation after RNY? anyone?
If you do choose to have an ablation, REGARDLESS OF TYPE... You should have a endometrial biopsy and a vaginal ultrasound done prior to the ablation... This is pretty much required to prevent bad outcomes any doc who does not perform these is not following practice standards so I would run!... If you have any cellular abnormalities (cancer?) or fibroids/cysts... that needs to be known before the ablation...Also they need to measure the size of your uterus, and the thickness... There may be reasons to explain your problems... Fibroids can interfere with the results of any ablation along with adding more complications to the procedure...
I would contact your insurance and find out what they require for you to have the hysterectomy... I found out after the fact that where i was, it was completely my choice to elect to have a hysterectomy or an ablation. My insurance considered them equally as treatment at my stage. If you can't get a doc to do a hyst...find another...
Novasure is attempting to get approved as a "cosmetic" procedure for women who wish to no longer have periods... it is scary because they are doing so great at keeping the later complications quiet... But since there are other causes to follow with a hyst...(my case fibroids and fluid) they are not "caused by novasure."
I had an endometrial ablation prior to my RNY. (One has nothing to do with the other, so whether or not a person has had RNY wouldn't matter.)
It was a piece of cake. You sleep through the outpatient procedure and can get up and walk around immediately (go shopping, anything really). I definately did experience cramping for the first few days (3 - 4 if memory serves) afterwards and discharge that looked like pink-tinted water.
My periods slowed to a complete stop after that. I had my first (VERY, VERY light period) that I'd had in years last month and I think the only reason I had that one is because I went off Lexapro.
I don't regret my ablation for a second.
Good luck.
Wen
NO. I would not do a novasure ablation or any ablation besides a balloon ablation. (All types OTHER than the balloon ablation use some sort of metal, mesh or hard plastic to perform the ablation. This can cause perforation of your insides. That's why many OBGYNs will ONLY do balloon ablations - or at least that was the case a few years ago when I got mine done.)
The balloon ablation is supposed to be the safest. They insert a balloon into your uterus and fill it with scalding water for so many minutes. You won't feel it because you're asleep. The heat kills the endometrial lining and your body expels it (that's the pink watery discharge).
Since the only thing that actually goes into your uterus is the balloon, you don't get that perforation risk.
I actually had the NovaSure done in combination with a procedure to reconstruct some damage that my daughter did on her way out. Frankly, I never would have known I even HAD The ablation. I didn't feel anything afterwards, but there was a yucky drip for a couple of days, which only required a panty liner. My periods stopped COMPLETELY (with a tiny spot here or there on very rare occasions), so I'm thrilled. I had no pain at all from the NovaSure.
I hope that helps!
BTW, you have to be sure you won't be having any more babies, since the procedure renders your uterus incapable of carrying a pregnancy to term. It does not serve as contraception, however, as you can GET pregnant after NovaSure - you just can't STAY pregnant. So my doc recommended getting my tubes tied at the same time OR using some very heavy duty birth control afterwards.
Amy


