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."
Hello Kitty turns 40; police ambush suspect caught; Knicks surprise Cavs and more national and international news for Friday, October 31, 2014.
Friday's Blogs from the Bog!
The Lafayette City-Parish Council will consider on Tuesday a revised plan to the transform a block in Downtown Lafayette into a mixed-use residential-retail-commercial development that doesn’t include giving title to the property to the Lafayette Public Trust Finance Authority, an arrangement the council rejected earlier this month.
Trying to combat the national undertones of Louisiana's U.S. Senate race, Democratic incumbent Mary Landrieu is traveling the state this week on a sort of pork celebration tour, telling voters about the projects and aid she's delivered to Louisiana.
Ever thought that big, pink Gulf coast shrimp you ordered at the restaurant or bought from the store didn't taste juicy or salty enough? Maybe it wasn't from the Gulf.
The state treasurer won't sign financial documents needed for $200 million in borrowing or for a refinancing of existing debt until he believes they accurately explain the surplus disagreement.
Homecoming outfits with ease
Acadian style home in St. Martinville or traditional Breaux Bridge home
Acadiana's nightlife guide.
Bill Cassidy voted for 97 percent of the bills signed by Barack Obama.
Louisiana Gov. Bobby Jindal is joining South Carolina Gov. Nikki Haley on her campaign bus tour.
A New Iberia man has been sentenced to life in prison for killing a 4-year-old girl and scalding her 3-year-old brother.
A district judge decided Wednesday against sanctioning attorney/school board candidate Dawn Morris for her behind-the-scenes role in a lawsuit against Mark Cockerham.
Secretary of State Tom Schedler says Gov. Bobby Jindal's administration may have improperly destroyed records in the state employee health insurance program, in the middle of a heavily-criticized rewrite of benefit plans.
Paper cites the former ADA's "experience as a prosecutor, his demonstrated integrity, and his ideas for reshaping the [DA's] office" in urging voters to support Keith Stutes Nov. 4.
Louisiana officials have sent a letter to the American Society of Tropical Medicine and Hygiene un-inviting members of the group who have recently been to ebola-affected West African countries from attending the group’s annual conference in New Orleans next week.
Drew Brees and the New Orleans Saints have to find a way to win on the road if they plan to take over first place in the NFC South.
"It is obvious that Louisiana economic performance has not outperformed the South or the United States as a whole and, in fact, has substantially underperformed..."
A state district judge said he will rule Friday on a preliminary injunction to keep some charter schools from receiving $60 million through Louisiana's public school financing formula.
Saints fans were to gather, make merry, eat/drink compliments of a new Downtown group and watch the Saints beat Carolina and claim 1st place in the NFC South. But...
Three bedroom traditional or four bedroom traditional in Lafayette
Our fav dress for all seasons
Acadiana's nightlife guide.
New Orleans Saints running back Mark Ingram doesn't see his dramatic spike in production as any sort of validation.
U.S. Sen. Mary Landrieu is facing off one last time with her two main Republican challengers before next week's election.
Shoppers familiar with Louisiana-based Rouses Market might be surprised when they walk into the new third location set to open at the Corner of Johnston Street and Duhon Road south the Acadiana Mall on Wednesday.
Noted architect and co-founder/principal of Architects Southwest receives highest honor given to former student.
Know an innovator, job creator and visionary with a penchant for hard work? We want to know that person.
He’s pulling for Knezek and Hidalgo on his end of the parish but issued endorsements in three other districts as well.