What makes Endometrial Ablation better than a D&C?
My ob/gyn actually said the opposite that the d&c would be a better procedure for me. I am age 50 with no uterine cancer with heavy bleeding with huge clots for 9 weeks so since I am not yet menopausal this is much better. The d&c will ensure after the hysteroscopy that any abnormalities are removed, While I pushed for the doctor to do the ablation instead I feel he made the right choice for my medical condition. I think it is the doctor’s call so at first I insisted for the ablation since it supposedly takes just 90 seconds for Novasure then he explained it is much longer. I know my doctor does the Novasure so this it’s not that he is not trained for this procedure. I think in the end the doctor must take in account the woman’s age her medical condition to make the right medical decision. Maybe the d&c in hindsight sounds primitive especially compared to the ablation so maybe that’s why even I preferred the ablation instead.
A D&C (dilation and curettage) is a blind procedure that scrapes some the surface of the lining of the endometrium. While it can be effective in stopping acute bleeding, it rarely has any lasting effect. In fact, there is not a single study published in the medical literature showing any long-term benefits. You can think of a D&C as similar to mowing a lawn it will grow back as long as you leave the roots. Endometrial ablation treats deeper to prevent regrowth of the lining. What is the latest generation of Endometrial Ablation technique and how does it vary with the first generation ablation? The first successful endometrial ablation used a Nd:YAG laser. Most of us switched to using a resectoscope, as it is faster and safer. Both of these methods require extensive training and skill to perform safely and effectively. Because of this, we worked on developing simpler methods that treat the entire uterine lining at one time. The first of these methods, the Thermachoice, used a balloon pl