Endometrial Ablation without Anesthesia by Promedical Inc.

[Laniemarie427]

A female Gyn. told me about this when I mentioned my period is heavier a few times a year. She made it sound like she could lie to the ins. co. to get it covered by saying I have heavy periods! I am 38, had my 3 kids, had stage3c colon cancer in '97. I just don't feel EA is a good fit for me. My periods are on time & shorter than they used to be, maybe pre-chemo. Chemo did not cause menopause for me. Warning about EA though from another site. Complaints of burnt odor & pain for years! Yikes!

[fastandeffective]

@Laniemarie427

A vaginal hysterectomy would be much better and safer for you.

Read the relative research statistics on the British Medical Journal.

[dgjlo]

in the comfort of your dr"s office ?? Ff"s i would rather go to the vets :/

[kropcia1122]

bolało?

[MissMoureen]

I am getting already sick at 1:09^^

[passsoap]

Uhhhh....go for the anesthesia! I had this done and was under and when I woke up the mild cramping was apparently not measured by a man! Felt like I was in major labor. But, a day later fine.

[fastandeffective]

@passsoap

You would have experienced less pain if you had a vaginal hysterectomy instead!

Read the relative research statistics on the British Medical Journal.

[pam1ji]

This women is much tougher than me, I nearly cried like a baby during the endometrial biopsy so when I had an endometrial ablation I was happily under anesthesia-I woke up feeling like they had taken my uterus and stomped on in it before putting it back

[fastandeffective]

@pam1ji

Perhaps they did not burn her endometrium deep enough...

So, for the cameras, she appears to feel no pain.

[thegeekdoc]

In response to LittleAllison1, we examine the uterine with a hysteroscope before performing the ablation on all patients in order to rule out any potential abnormalities of the uterine cavity, such as adhesions, septa or fibroids. This is done for completeness and patient safety. In addition, it may recognize rare cases of endometrial cancer, the diagnosis of which might be delayed by the ablation. Finally, our patients get the opportunity to see what has been their heavy bleeding.

[fastandeffective]

@thegeekdoc

Detailed histology after a quick vaginal hystererectomy permits a much safer diagnosis.

Instead, you are just guessing based on what you see through the hysteroscope!

[MrsBellyrose]

Wtf are those long needles?

[kittyfaerie]

@MrsBellyrose they're actually (1) a scope and (2) what is used to put the fluid in the uterus. Fortunately, they are not needles!

[LittleAllison1]

1. The ablation procedure is named Her Option which uses freezing temperatures for cell destruction. These temperatures numb the uterine cavity much like placing your hand in freezing ice water. Uterine cells aren't burned, they are dehydrated. This technique does not require hospitalization and can easily be performed in-office.

[fastandeffective]

@LittleAllison1

Cryosurgery ablates tissues down to 3mm deep.

If cancer is deeper, she just dies!

[Bartleby1701]

Oh... and note that the purveyor of this upload is a medical supply company. Probably happily selling in-office equipment to Doctors while assuring them it doesn't hurt at all. Absolute fuckers. This is a propaganda film!!!

[LittleAllison1]

The endometrial ablation procedure is being misrepresented in this video by Dr. Dorn.

3. Dorn, to probably line his pockets with cash, is using a scope which is not necessary for this procedure

4. The patient is drinking water b/c the procedure is performed under ultrasound guidance. She needs a full bladder.

[LittleAllison1]

The endometrial ablation procedure is being misrepresented in this video by Dr. Dorn

2. Her Option, unlike other ablation modalities, preserves the uterine cavity. In other words, in the event of endometrial regeneration, the doctor has the option to re-ablate or use a biopsy needle properly diagnose. With other modalities (ie Novasure) and sometimes Thermaballoon, HTA (all burning), the doctor is unable to diagnose the cavity due to scarring.

[fastandeffective]

@LittleAllison1

After a vaginal hysterectomy, all tissues pass through a microscope and diagnosis is exact!

[Bartleby1701]

She was lucky. This thing feels exactly like how it is described: having your uterine lining burned off! Without anesthetic. Worst pain of my life - completely uncontrolled. I know it's not true for everyone...but let me tell you - NOT worth the chance. Have it done in an OR!!!!!!

You have been warned!!!

[arvolina]

perhaps you went to an inexperienced, cheap, unqualified doctor? Lesson learned is ALWAYS do your homeowrk. Ask questions - how many procedures has the doc done? What problems were experienced? How are those problems handled? If doc starts getting defensive, find another one.

[Bartleby1701]

Perhaps I didn't. I went to a very well respected long practicing Ob-Gyn. He told me that none of his patients had any problem. No lesson learned here. I DID my homework. All of the literature on this claims hardly any pain. How many more questions could I have asked, dare say? I didn't do anything wrong. This thing causes unbearable pain for about one out of every ten patients. It should NOT be done in an office. NO ONE should have to go through pain like that.

[fastandeffective]

@Bartleby1701

They say NO PAIN to lure you into this type of procedure.

Long anaesthesia is always needed.

Read the relative articles on the British Medical Journal!

[Bartleby1701]

@fastandeffective Yep. Wish I had known. I'll check out the journal articles. However, I WILL say that despite that, this was a great decision for me (just do it with sedation). No problems ever since. Very happy results.

[steppedonalego]

Hmm, I had a hysterectomy at age 26. My dr said that the majority of the time, patients who've had the ablation end up with a hysterectomy anyway. And the thought of having "cooked" tissue hanging around inside me, grosses me out! LOL. I already had a cardiac ablation that lasted 6 hours, so I would rather not go through that again!

[fastandeffective]

@steppedonalego

Your doctor was honest and told you the truth.

Others are just going for the money.

Repeat and repeat and repeat and repeat again this procedure means cash!

A vaginal hysterectomy is cheaper, safer and final.

Read the relative articles on the British Medical Journal.

[satxdc99]

Does this procedure help with the hormonal mood swings associated with PMDD? It's obvious it will help with physical but will patient still go through "periods" as far as hormones are concerned?

[fastandeffective]

@satxdc99

It does NOT help with hormonal mood swings because you still have the ovaries!

After this operation, the woman has no more periods.

If she sees any blood, she should visit her gynaecologist immediatelly.

[Daisy72762]

screw that!!!! i want pain medicine!!!!

[systat]

Negative, ahhahaah.

[mauromastromarino71]

What kind of mechanism have you used for this surgery ?

[U2RoxMyWorld]

This is for 'thesource1981': who are you aiming your comment at? This procedure is an ABLATION,NOT an abortion; they're two COMPLETELY different procedures.

[U2RoxMyWorld]

I just had Thermachoice ablation last Friday (June 5th) under general anesthesia. Had severe uterine cramping/upper abdominal pain when I woke up in the recovery room; took several doses of Dilaudid for my pain to calm down. I ended up being admitted to the hospital for a cardiac arrythmia (may have been from the anesthesia). I am home now w/ little to no pain; very tired though. I'm just glad the procedure is over. I'm anxious to see how effective it is.

[U2RoxMyWorld]

YOU have no morals you G**dam troll! I WILL report you and have your account removed if you do not leave me alone, LOSER...

[MetaKittie]

Its not an abortion. Its removing the uterus lining. You fail at life.

[arvolina]

That is a completely uneducated statement. Most women are older and have had children. even if they have not, they are not seeking to end their reproductive abilities; they are seeking treatment options to a debilitating life status. Daring to make a sweeping comment re: failing at life is immature at best, uneducated and stupid at worst. Go back to your trailer.

[sugerkat]

@thesource1981 i am 38 i had this done today & i was NOT pregnant.i don't have kids never did..but it turned out i couldnt have them. NOW, the past 6-8 months of my life have been HELL in 2 1/2 days, i went through 14 pr of underwear & even managed to bleed on my freshly washed bathmat...my husband has thought twice he would have to take me to the ER. find god? i went to private christian schools, from k-5 - 12th grade...the god i learned about doesnt want people needlessly suffering.

[Jasmine171819]

@thesource1981 ABLATION, not abortion you dumb ass. second of all, it's a woman's own choice if she wants/needs to have an abortion or not. what about victims of sexual assault? women who are physically incapable of carrying and/or delivering a baby for medical reasons? women who are medically incapable of carrying a HEALTHY baby at the time? stop spitting crap into other people's faces, and mind your own business.

[fastandeffective]

@U2RoxMyWorld

After a vaginal hysterectomy you would not have experienced so much pain.

Why didn't you opt for that?

Why keep your sick uterus anyway?

It only serves for having children.

You must have had yours, and still cannot have any after your Thermachoice ablation, anyway!

[sammyd66]

I have fibroids within the uterine wall, I am booked to have this procedure along with a keyhole sterilisation.  Will the fibroids cause problems? I am half expecting to come round from the anethesia to be told I had to have an emergency hysterectomy which I am avoiding because of the early menopause threat. Advise me regarding the fibroids please!!!

[fastandeffective]

@sammyd66

Fibroids are situated much deeper.

This procedure won't even touch them!

Fibroids can independently cause bleeding which will NOT go away after this procedure!

I would suggest a vaginal hysterectomy.

You also avoid the "keyhole" surgery this way, and you will NOT go into menopause if you leave at least one ovary intact!

[LexaRican]

Is it possible for a 25 year to have DUB????

[thegeekdoc]

absolutely, but this procedure would only be appropriate for women who are finished with childbearing.

There are reversible medical options (often less effective) available for those women until they no longer wish to conceive.

Dr Dorn

[LexaRican]

Yeah, but I'm already done with childbearing. I had my tube cut after the second child. I can't bare another cesarean. I'm freakin' traumatized by operating room. I don't ever wanna see another scalpel again.

[justino4567]

I had the same procedure done in 2004 under general anesthesia. I had NO pain whatsoever afterwards. I would recommend any women experiencing heavy menstrual bleeding have this procedure done.

[MyGr8DaneGuinness]

Just *looking* at all those instruments makes my uterus hurt! I'm considering this procedure and it will be a cold day in hell before I go w/out general anesthesia!

[thegeekdoc]

In response to MyGr8Dane, we can certainly do this under general, but the expense and risk is greater. Bear in mind, the largest instrument we use is about 1/4 inch in diameter, passing thru a cervix designed to accomodate a baby's head!

Rest assured, we would not be doing these in the office if patients were very uncomfortable, nor would we be getting so much word of mouth advertising from happy patients who had the procedure done.

Hope this helps!

[U2RoxMyWorld]

In all due respect doctor, I will be having my ablation done under GA 2 weeks from today. It was a decision that was made by myself and my ob-gyn (for reasons I wish to not discuss here).

I have been under GA several times and have no issues w/ it. As far as cost is concerned, that's why I have private insurance; my co-pay is only $50 for out-patient surgical procedues. But I do appreciate your concern and taking the time to explain the procedure to me:)

[RenagadeGirl]

That may help the pain but it does nothing to get rid of Ovarian Cysts or possible Cancer. I'm confused as to why this is being used in place of Hysterectomy.

[thegeekdoc]

Ovarian cysts are a separate issue, which would not be helped by hysterectomy either, since the ovaries and uterus are separate structures.

We do a thorough look inside the uterus and collect tissue for pathological analysis to rule out cancer prior to the ablation. For premenopausal women with abnormal bleeding, the diagnosis is not cancer 99% of the time, and this procedure can be life changing , without resorting to major surgery.

Hope this helps

Dr Dorn

[fastandeffective]

@RenagadeGirl

Me too.

They are obviously going just for the money!

[traumahawk1973]

Yes, why not!!! burn it, scar it, rip it, tear it, dilate it, prod it, poke it, remove it, inject it, drug it, go on, have a great time! fucking butchers.

[sammyd66]

I have a terrible time with heavy menstrual bleeding, it stops me getting on with my life. I am now constantly bleeding and on meds to prevent it. What do you suggest I do? You are obviously against abalation.  I would welcome your advice.... without the obscenities.

[fastandeffective]

@sammyd66

I strongly suggest a vaginal hysterectomy.

Research results from the British Medical Journal do the same...

[thegeekdoc]

I have found that after using the right combination of meds beforehand, my patients have so little pain for the first 4-6 hours afterwards that they need to be reminded to continue to take their ibuprofen (and possibly a mild narcotic), to avoid crampiness later in the day.

[thegeekdoc]

In contrast, when the ablation is done under general anesthesia, some physicians may neglect to use a long acting local anesthetic, and patients typically experience greater post operative discomfort. I learned this years ago by talking with nurses in the recovery room and by calling to check on patients after they went home.

[thegeekdoc]

I have found that with preoperative medication (primarily NSAIDS like ibuprofen or toradol) and a proper paracervical block using a long acting local anesthetic, women report minimal to no discomfort during the procedure. When discomfort is reported, patients tell me the feeling is typically like a moderate menstrual cramp or sensation of needing to urinate. (You can see how relaxed the patient in the video is during the procedure.)

[thegeekdoc]

I feel a need to respond to some of the above comments about the procedure I performed in the video.

I have done endometrial ablations for women with heavy menstrual bleeding since 1998 and have learned many techniques in that time which make it a very comfortable and safe office procedure. Hysterectomies for bleeding have become fairly rare due to this marvelous advance in gynecology!

[etobjc]

I have worked for a gyn office for over 7 years, we no longer recommend OR perform this in office procedure, too many risks, complications and patient discomfort (PAIN!)

[fastandeffective]

@etobjc

How very true.

[readingrymer]

I had anethesia...it was terrible! It was at the gyno doctor office...when I woke up I was in a wheel chair in a room alone. my head and upper torso was flopping all over the place...my husband came in and had to hold my head up so I wouldnt fall out of the da** chair! No...if I had had the option...no anesthesia for me...just give me the stuff that makes you forget...lol

[jamajessie]

hell no!!!!! I had this doe and the put me to sleep plus I woke up and needed a shot of bemeral...sorry no way in hell ...that woman must have a vagina of steel!!!!

[U2RoxMyWorld]

...and a cervix and uterus of steel !!!

[HoosierRN]

No freaking way would I have this done without anethesia. Plus what is up with her drinking that water before her procedure? If she had to instantly anethesized, things would not be good.

[FrankIeroiscute]

at least if I ever have to have that done at least I know I won't have to be put to sleep

[sidonie0]

pretty awsome and cool what is he doing can he do that to me but not as a doc