Taylor, an OB-GYN at Lafayette General Medical Center, says the mother of four suffered from menorrhagia, the medical term for excessive menstrual bleeding. "It really impaired her life to have to go to the restroom every two hours," notes Taylor.
The woman was certainly not alone in her very private matter that at times can cause public embarrassment and lead to other health problems like anemia and fatigue. The National Women's Health Resource Center, a nonprofit women's health group, estimates that one in five women suffers from menorrhagia ' a non-life threatening condition that historically has led to about 30 percent of the more than 600,000 hysterectomies (surgical removal of the uterus) performed in the United States each year.
But those stats on hysterectomies, invasive procedures requiring weeks of recovery, are changing ' thanks to technological advancements in treating heavy menstrual bleeding. For the past two decades, endometrial ablation, a minimally invasive procedure that involves the removal of the uterine lining, has proven an effective alternative to heavy or prolonged bleeding.
Taylor's recommendation for her patient was a newer form of endometrial ablation called NovaSure, a procedure introduced about four years ago and utilized by Taylor and other local doctors for the past couple of years.
Such ablation is only for pre-menopausal women who have completed their childbearing. And while most women will not be able to conceive after the procedure, there is a slight risk of pregnancy, so they should continue to use contraception until menopause. "You should be absolutely certain you don't want to have any more children," Taylor says.
And heavy bleeding does not necessarily make a woman a good candidate for the procedure. "There are lots of reasons and causes of heavy bleeding," she adds. The main cause is hormonal changes, which can also be addressed with oral contraceptives for women who may want to become pregnant down the road. "Many people respond to oral contraceptives to control their bleeding, but many do not," Taylor says. Oral contraceptives, however, are typically not prescribed for smokers and women over 35 with a family history of breast cancer. For this population, ablation may be an option.
Heavy bleeding, however, can also be caused by cancer. Before recommending ablation, local physicians review their patient's medical history and perform a physical exam that includes a biopsy of the uterine lining.
About six different types of ablation technologies are available, and the results, a 75-85 percent success rate in controlling heavy bleeding or eliminating bleeding altogether, are typically the same. The technology is getting better and better.
NovaSure, for example, is a 90-second treatment performed using IV sedation, so the patient quickly resumes daily activity ' typically moderating her behavior for just a couple of days.
Technological advances like NovaSure have cut the entire process for the procedure back to about five minutes, compared with longer times for similar procedures, which can be more cumbersome for the physician and support staff. In fact, Taylor hopes to eventually offer endometrial ablation in her office. "The goal is to do it in the office without IV sedation, with a little bit of Valium a little bit of Toradol (a nonsteroidal anti-inflammatory drug like ibuprofin).
With newer technology like NovaSure, no medications or other preparation of the uterus is necessary before the procedure. The doctor slightly dilates the cervix and inserts a slender wand through the cervix into the uterus. A triangular mesh device is then extended through the wand where it expands to conform to the dimensions of the uterine cavity, and electrical energy is delivered into the uterus on average for 90 seconds. The mesh device is retracted into the wand and removed. This new generation of devices was designed with a safeguard that searches for a breach in the wall of the uterus before delivering the energy.
The cost of the ablation treatment ranges from $8,000 to $10,000, which includes the outpatient surgery, obstetrician/gynecologist physician charge and the cost of the device. What the patient pays varies based on a number of factors, including her insurance plan and deductible and co-insurance amounts; according to NovaSure's literature, the risks include thermal injury to adjacent tissue, perforation of the uterine wall, and infection or sepsis. If successful, the patient's menstrual bleeding will be reduced to normal or light levels or eliminated altogether.
Though ablation treatment is not for everyone with heavy bleeding, Taylor hopes women suffering with menorrhagia talk to their doctor about this option. "Sometimes the complaint is, 'I bleed most days of the month,'" Taylor says, noting the endometrial ablation was like a new lease on life for the 36-year-old mother of four. "I think she was the happiest patient I've ever had."
We can safely assume incumbent Chief K.P. Gibson isn’t too worried about this challenger.
Nationally, Republicans must gain six seats to win Senate control. The most competitive races, many in states where Obama lost in 2012, remain too close to call.
The Baton Rouge Republican has repeatedly battled a perception within his own party that he perhaps wasn't the best choice to carry the GOP banner.
Hot style for fans (and beyond)
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Prestigious honor annually recognizes a single attorney for excellence in public interest/pro bono work.
Acadiana's nightlife guide.
"I have never seen anyone who worked harder for our people than Sen. Mary Landrieu, so I would like to share a synopsis of a few of the many things she has done to help Louisiana."
Even if Jimmy Graham's production dips while the star tight end recovers from a shoulder injury, it looks like Drew Brees won't have much trouble finding other targets.
A former campaign manager for Senate candidate Rob Maness is striking at the Republican contender's tea party support, saying Maness only sought to appeal to conservative organizations because he needed money for his campaign.
Ninety-two percent of public school teachers were rated either effective or highly effective in a report the state issued marking the second year of a new statewide evaluation process.
Corporations spending in state elections; Kenny G and Hong Kong; states resist gay marriage and more national and international news for Thursday, October 23, 2014.
Thursday's Blogs from the Bog!
School board members Mark Babineaux, Hunter Beasley and Tehmi Chassion can vote to fire Cooper — because we all know that’s exactly what they’ll do.
District 2 school board candidate Simon Mahan is hoping to unseat first-term incumbent and former Carencro Mayor Tommy Angelle in the Nov. 4 election.
District Attorney Mike Harson is showing his desperation by falsely attributing quotes to his opponent and blocking journalists from his social media.
Three bedroom Acadian or a two bedroom town home
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The governor is traveling the country laying the groundwork for a possible 2016 presidential campaign, but his approval ratings at home hover well below 50 percent.
State District Judge Bob Downing extended the order and delayed a planned Wednesday hearing about a permanent injunction while negotiations continue between Attorney General Buddy Caldwell and the waste disposal site operator.
New Louisiana higher education commissioner Joseph Rallo will be paid more than his predecessor.
The recently established Downtown Lafayette Restaurant & Bar Association will host a special viewing of the upcoming New Orleans Saints taking on the Carolina Panthers in the open air of Parc Sans Souci on Thursday, Oct. 30.
Belief in a national outbreak of the Ebola zombie virus is becoming more of a threat every day, and The Hayride — Louisiana’s one true bastion for unrelentingly conservative political commentaries — thought it wise to share a certain special someone's “important message” with readers Tuesday on what to do when, not if, it comes.
Acadiana's nightlife guide.
Elijah McGuire and Alonzo Harris each had four rushing touchdowns, and Louisiana-Lafayette rolled to 419 yards on the ground in a 55-40 victory over Arkansas State on Tuesday night.
Bill and Hillary Clinton are the validators-in-chief for Democrats struggling through a bleak campaign season in states where President Barack Obama is deeply unpopular.
JPMorgan Chase is giving $1 million to Louisiana's community and technical colleges, to help with workforce training efforts to match students to available jobs.
President Barack Obama is turning to black radio listeners to plead for midterm votes, a targeted approach to drum up Democratic support at a time when many candidates don't want him around in person.
Law firm unveils newly renovated 200-year-old building.
UL grad named web developer at BBR Creative