You are 100% correct
Whenever I see a bulky uterus this is usually Adenomyosis
but he said he couldn't see that and it was basically normal
NOW if the ablation takes care of the bleeding which is why I think you had the ablation - then you really do Not need to do anything more
But if the Ablation does NOT work, then usually the best option to deal with adenomyosis is a hysterectomy- BUT I see you are 48 which means you are close to menopause - so usually women who have problems with bleeding due to Adenomoysis - this goes away with menopause since the estrogen level decreases
why would he tell me it was normal?
Well it is 'normal' in that many women have this and it is Not a cancer - so that is what your doctor means
he said he saw no sign of adenmyosis
We as ob/gyn's see a LOT of women with adnenomyosis - and most of the time we do nothing about this
why would he have suggested this procedure if it was adenmysosis?
Also the ONLY way to see adenomyosis is with a microscope from a biopsy or from a hysterectomy speciman
I have read that abalation doesn't work well for this condition?
Because ablation is easier and LESS invasive and if this works to control the bleeding - then you were saved from a major operation
but does it work in cases of adenomysosis?
Yes it can work - in some cases and so it is worth a try - especially when it saves you from a major surgery such as a hysterectomy
how fast growing is this condition I only had symptoms for 6 months prior to the abalation?
It is not that fast growing - this has nothing to do with how fast growing - so bleeding for this is something that you have or you do not have - so if the Ablation stops the bleeding then that is a GREAT thing and you should be absolutely good to go
but I only had problems with bleeding for 6 months prior to surgery which was put down to a polyp- no mention of adenomyosis I also don't get terrible pain
women all the time use the terms "this has never happened before", etc...well you as a human being change every day - you can't assume your body is standing still and not getting older - your body changes.
so, as long as the problem of bleeding is controlled - that is all you need to worry about
Adenomyosis if you have it is NOT a concern - as this is NOT a cancer and never will be -
So the point here is that IF you control the bleeding - then you have been properly treated whether or not you have an ablation, hysterectomy or some other procedure or medication to control it.
And, the ONLY way to 100% diagnose adenomyosis is with a biopsy or to look at the uterus under a microscope once you have had a hysterectomy- there is no other way - it is otherwise ASSUMED without tissue to look at
I'm nor worried about cancer- I'm worried that I paid alot on money for this procedure because he told me I was a suitable candiddate. Now I read that abalation isn't very successful of adenomysis
I understand - but it is Very appropropriate to Try an ablation first especially for an uterus that is Less than 14cm in size -
and MORE than likely you did not waste your money - you have to also realize I am not your doctor - I do NOT have all your medical records, I do not have access to your ultrasound pictures, etc
So again as long as the bleeding has stopped then the ablation is successful and that an ablation is very appropriate -
but he never even mentioned the possibility of adenmyosis- I'd never even heard of it until I searched bulky uterus on the internet
I am sorry about what he did not mention- I can only tell you that I am not your doctor so I can only tell you what I do as an ob/gyn
but the BOTTOM LINE - if you have your bleeding controlled - the ablation has worked and nothing to worry about
so what else can cause bulky uterus?
so you're saying I have adenomyosis then?
Also the other thing- your doctor might have used the WRONG words
Please read what I am writing
YOU can ONLY diagnose Adenomyosis with TISSUE
he's a trained gyn- why would he use the wrong word??!!!!
And hence you ASSUME adenomosys with the word bulky
YOUR doctor might NOT have meant bulky - I was NOT there
but if he suspected it he should have said before suggesting the procedure surely???
Well no matter the Profession you are in PEOPLE use the wrong words all the time
YOU are asking me to tell you what you have - HOW CAN I DO THAT WITHOUT YOUR MEDICAL RECORDS
you are asking me to do the Impossible
You are also asking me to put words in someone elses mouth
If you feel you have been wronged - ask for your money back or sue your doctor
you were the one who told me bulky could only mean adenomyosis
Yes but also I said the bulky could have been the WRONG word by your doctor
I was NOT there
it was written in a letter to my local gp
so I can not describe what YOUR doctor saw
Well I can only tell you what I do as an ob/gyn for 20 years
and I have told you what to do
why are you so worried about this
Your doctor really did nothing wrong
bottom line - I don't want to argue with you - you are trying to argue with me
I'm not here to argue
I am here to help you
he let me pay out £3000 for a treatment without letting me know that IF I had adenomyosis the treatment might not be successful
so SUE your doctor if you are not satisfied - you have the right to do that
whatever- that's not helpful
but your doctor did absolutely nothing wrong
it is Perfectly acceptable to do an ablation for this
You are not bleeding any more - so I don't see a problem any more
all you want to do is argue over a word -
your doctor treated you appropriately
yes if you explain to the patient what the odds are- he told me everything was normal until I saw a copy of the letter
and so there is nothing wrong with that
he sent you a letter with his findings - that is acceptable and nothing wrong
and you are not bleeding
If i'd had known the possibility of adenmyosis I might have agreed to the procedure so readily
so you got appropriately treated and that is all
I WILL SAY THIS AGAIN
it was only done 6 weeks ago- too early to tell if it's worked
YOU can NOT tell if you have Adenomyosis unless there is a biopsy or have a hysterectomy allready done and the tissue is on the microscope
Okay I have been saying the same thing over and over for 45 minutes
IF you are not happen then demand a hysterectomy- but your doctor SAVED YOU from having a hysterectomy
it is NOT needed all the time
and that is why ablations are a good thing
You want to argue
and I don't understand why
I have told you that your doctor did the right thing
If you are not satisfied with your doctor's care - then question your doctor - I can't tell you why your own doctor did something - THAT is YOUR responsibility to know before you ever have any procedure
so please don't make it my responsibility - I am not your doctor -
I wish you well
Please click on EXCeLLENT for the 60 minutes of time I have given you
i would like this opened up to other doctors as I am not happy with your answer.
have a great day
I want it opened up to other doctors. I don't like your attitude and won't rate you.
it's open for any other doctor to answer.