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Ablation or Hysterectomy????

I am 25, and I suffer from heavy bleeding, and severe pain in my left side. I recently was diagnosed with a uterine fibroid and an enlarged uterus. The doctor told me I could have an ablation, which there is an 85% chance it would work, or I could have a hysterectomy which would offer me a 100% result. I am needing advice on both of the surgeries. I have 3 kids, so I am done with that part. I just need advice as to the best choice to make. The doctor did tell me that if I had the ablation I would still need the hysterectomy eventually. Thanks!!!

Did the doc mention a myomectomy (removal of the fibroid itself)? Or why that wasn't possible in your particular case? Any suggestion of drug therapy to shrink or ? Ablation's a bit of a nonstandard therapy for fibroids.

In general, I'd be hesitant to go for a hysterectomy at such a young age. It tends to produce premature menopause (even if you keep the ovaries) and up your risks of cardiovascular disease and osteoporosis. While the increased risks can certainly be worth it, I incline to the conservative approach in situations like this. Then, too, the EA has a shorter recovery time than even a laparoscopic or vaginal hysterectomy.

Not knowing your case history I'd call up your doctor and ask to chat about your options and why they would suggest a given line of treatment. And maybe seek a second opinion, too.

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