Novasure Endometrial Ablation AFTER Perforation of Uterus 2-3 Years Ago

Topic Title: Novasure Endometrial Ablation AFTER Perforation of Uterus 2-3 Years Ago
Created On: 09/17/2009 07:26 AM

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 09/23/2009 10:50 PM

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Hi Anne, Wow, you've certainly had your share of gyn problems! But, it's good that you are getting educated, gaining knowledge, and taking control of your gyn health. At the time of your 3rd C-section, did you choose (and sign a consent) to have the tubal ligation? Your last paragraph seems to imply that the surgeon chose to perform this without your consent, taking away all your decisions to have any more children. The tubal ligation was not the cause of your heavy bleeding however. Having children can change monthly cycles, due to increased thickness of the uterine lining, hormonal changes, etc. I am not sure if an ablation can be done after a previous perforation, however, my first instinct says that it can. Did your doctor ever get an answer from the Novasure company? If not, ask him to try calling the Gynecare company and see if the Thermachoice ablation can be done after a previous perforation. Lastly, if the ablation cannot be performed, ask your surgeon about a laparoscopic hysterectomy instead of the old traditional big abdominal incision. You will have 3 bandaid incisions, much less blood loss, a shorter hospital stay (most of our patients go home the next day), and much less postoperative pain. If that particular surgeon doesn't perform laparoscopic hysterectomies, find one that does. You'll be much happier with that approach. Good luck and keep me posted. Kim, RN, Gyn Team Leader
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 09/17/2009 07:26 AM

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Hi.  I'm very new to this.....I'm 40 years old (41 in December).  I have had 3 children, all by lower section c-sections.  At the time of my third baby, they performed a tubal ligation, which subsequently lead to very heavy bleeding when my periods returned.  About 2-3 years ago, the Dr's in their infinite wisdom, decided to insert a Mirena to help with the excessive bleeding.  At the time of the surgery, while performing a D & C, they perforated my uterus, so were unable to go ahead with the mirena insertion.  I subsequently had to wait about 2 months (I think), before the put me under General Anaesthetic (again), and inserted the Mirena.  All seemed to work ok for the first few months, however, heavy periods soon returned - to the extent I'm now on iron tablets for anaemia.  Last week, at my yearly smear, they removed the Mirena (it was apparently in the wrong place) and put me on the public waiting list for a total abdominal hsyterectomy.  I have had problems with smears also - previous CIN1 with laser treatment, and no Doctor seems to be able to find my cervix without spending a great deal of time looking - took the Dr on Friday 15-20 minutes!!!!!


Anyway, since Friday, my husband and I have been talking, and we sought a 2nd opinion.  We saw a specialist, who believes that he can perform an endometrial ablation using NovaSure products, even though I have had a perforated uterus.  All other Doctors have said before, that an ablation is not possible with a previous perforation.  I'm now REALLY confused!  Basically, the Dr is going to talk to the manufacturers of NovaSure and see if they recommend doing the ablation after perforation, and if so, he wants to do that.  He is concerned though, as I have a stenosed cervix (as well as it hiding), so has said he will book theatre for a full hysterectomy, although, start with the intention of doing the ablation, but if unable to - or he perforates my uterus again - slicing me open and performing a total abdominal hysterectomy.    


Has anyone had an ablation after they have had a perforated uterus?  I don't know how safe this is, or if it can be done.  Can anyone recommend anything or share their experiences?  I really appreciate all the advice/suggestions you can give, as I have no idea what I'm doing, or really - if I'm doing the right thing.  I had real issues after the TL - resenting the fact that they had butchered me, taking away all decisions I could have, of ever having another child.  How will I feel if they take away my uterus, cervix and fallopian tubes???  Aaaarrrggghhh!!!!!  



Auckland, New Zealand
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