Anyone Had an Endometrial Ablation? and Getting Tubes Tied?

Updated on November 16, 2016
R.. asks from San Antonio, TX
11 answers

I am being considered by my GYN as a possible candidate for an ablation.

Being 45 don't want more kids, horrendous periods that leave me house bound up to four days a month. etc etc. (BC pills did nothing to help and I don't want to take any more hormones anyways.)

He is suggesting permanent birth control if I do the ablation because you for sure don't want to get pregnant after one and you can if they miss some of the lining.

So I am thinking of getting my tubes tied and having the ablation at the same time. One out patient procedure and if I am under anesthesia he can probably do a better job of the ablation than working blind in the office.

My husband will not do a vasectomy. He has a medical phobia and I can't bring myself to try and force him into doing something that he is so fearful of...I love him and honestly I have had several out patient procedures when dealing with infertility issues....I figure this will be about the same. And it doesn't scare me to have it done.

I have a saline ultrasound scheduled this week to look for polyps/fibroids and figure out a time for the procedure if we go from there...

Anyone else had either procedure done and how was it for you? Was recovery difficult? How many days in bed to recover? When were you back to "normal"? And did it effect your sex life?

Thanks in advance for sharing any personal info!!

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B.C.

answers from Norfolk on

I think I'd consider doing a hysterectomy instead of an ablation.
I'd rather have it out and done with - because if the ablation doesn't work or heals up - you'd end up doing a hysterectomy anyway.

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W.W.

answers from Washington DC on

ETA: I apologize, I forgot to tell you the recovery time. For the ablation? I had the procedure done on Thursday afternoon, home that day, back to work on Monday. No heavy lifting for 2 weeks.

The hysterectomy - I was in the hospital for 23 hours, home and in bed for 2 days. I was out shopping on Thursday. I couldn't drive for 2 weeks.
_________________________

I had the ablation and tubes tied when i was 38. At 40 I had a full hysterectomy.

If you are done having kids and want a permanent solution? Ask about a hysterectomy. My insurance wouldn't allow the hysterectomy without doing the ablation first. When the ablation failed after 18 months? They approved. BEST THING I DID!!

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D.D.

answers from Boston on

My issue turned out to be polyps but before I had the ultrasound with biopsy my gyn had talked about possible medical things and treatments. I was told that he wouldn't do an ablation without having my tubes tied at the same time.

A friend had the procedure done. She had a lot of cramping for a few days after and was recovered for the most part within a week. Her physician told her the usual recovery timer in 10 to 14 days and to plan on taking it easy for a couple days.

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T.P.

answers from Indianapolis on

I was offered the ablation but told my fibroids could still come back so I opted for a partial hysterectomy. I didn't see the point of the ablation if I had to in turn have a hysterectomy later. Good luck with your decision..

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L.H.

answers from Abilene on

I had both procedures. The tubal was done after the birth of my son. I recovered easily.

Ablation I had for the same symptoms you are talking about. Back to normal activities in 2 days. It took 3 months before I was period free so at first I was really disappointed. Just wanted you to know that happens sometimes. When my doc told me to give it a few months I thought fine, it didn't work like I hoped. She was right though and my period went away completely.

2 years later I had a partial hysterectomy. It was out patient and besides being really tired, it was an easy recovery. No driving for 2 weeks, no lifting for 6. The hardest part was remembering that although I didn't have a massive scar, my body had been through the same surgery.

I lost my brother in law 3 weeks into my recovery and had to travel several hundred miles to go be with family. That set me back a lot, but I wouldn't have worked it differently.

I don't regret any of the procedures I had done. Good luck in your decisions. I hope you have a complication free recovery and feel so much better.

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S.T.

answers from Washington DC on

the vasectomy wouldn't do anything for your periods anyway, would it?
getting your tubes tied and the ablation done all in one fell swoop seems very sensible.
haven't any of it done myself, but have had friends who've recovered easily from the outpatient procedure of tube tying. the after effects were along the lines of menopause.
good luck!
khairete
S.

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M.C.

answers from Chicago on

I'm 49 and had the ablation in January, along with a d&c. I was home within a few hours and no need for pain relievers whatsoever. Recovery was nothing and I was back to normal right away. I had been having severe periods with 2 week bleeding, heavy cramping, extreme clots that made me almost pass out when I passed them, gigantic fibroids, and enlarged uterus. I felt half dead for half the month and was housebound several days each month. The ablation, unfortunately, never took my periods away. I had a light period the first month, then went back to normal except for now I had longer periods. In June I had reached my breaking point and called the doctor again. She agreed to a hysterectomy after I told her I would be refusing birth control pills or hormones to reduce my periods. Since the ablation failed, the insurance covered it. Since my uterus was so big, she had to do the abdominal incision and took everything except one ovary. The recovery from that was brutal (I hear the vaginal or laparoscopic versions are much easier to recover from), but now I cannot believe the difference! I feel like a human being again and keep feeling better and better. I have no more symptoms, no more bleeding, no more cramping. I still "cycle" because of the ovary left and can tell when I ovulate, but the doctor says that will end within a couple of years. If I were you, and at your age, I would definitely consider the hysterectomy and be done with it. I wish I had done this 10 years ago! Whatever your decision, good luck and good health to you.

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C.N.

answers from Baton Rouge on

I had an ablation, but not a tubal ligation.
Recovery from the ablation was a breeze. I had some cramping the first couple of days after, but it was nowhere near as bad as the cramps I had with my periods from hell before. They gave me Lortab 5's with instructions to take one three to four times a day as needed, and I took a half of one twice a day, and that was plenty. After a couple of days, I didn't need them at all.
I had it done on a Friday, and was back at work the next Monday.
The effect on my sex life was positive. No more worries about getting pregnant, and no more "Not tonight, I feel awful" because of period issues.
My only regret is that I didn't know about the procedure sooner.

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J.K.

answers from Wausau on

Sympathies, R.! I am 40 and my periods also keep me housebound. I have not sought medical solutions for it at this point. My husband did get a vasectomy so the birth control part is not something I will have to consider. I know women who had ablations for various reasons with good results.

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L.E.

answers from Muncie on

I was about your age when I decided to get an ablation. I was having frequent periods, sometimes lasting for weeks. I had bleeding every time I had sex. I had tried several different kinds of birth control and nothing helped. My ablation was the burning kind and I had a D & C with it. My dr said done that way it is more effective. He did NOT do a tubal ligation despite it being his office policy that it be done. I didn't know about the policy or even the option to have a ligation done until I went with a friend to her appointment to have an ablation done. She had hers done by a different doctor and I about flipped when I heard that I should have had the ligation done at the same time. Anyway, I have no regrets and it worked. I did have an infection of my uterus after the surgery which was painful but a round of antibiotics got rid of it. Some women need 2 ablations to stop the bleeding but that's rare with what I had done. I do not agree that this is even close to a man having a vasectomy. Men can get theirs done in office or in surgery. My BIL had his in a hospital and was knocked out for it. Every other man I know has had it done outpatient with just a local. I have never stayed in bed after a surgery and I've had 10 different ones. As for my sex life, this procedure was a godsend in most ways but since I still have to worry about birth control it sucks.I am 49 now.

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N.D.

answers from Portland on

I had an ablation for heavy periods but it didn't work :(. The procedure wasn't very painful and I hardly took anything for the pain afterwards. I can't remember having much downtime either. Fwiw, I had a freezing ablation, not a burning one.

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