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."
Lafayette Police have had a busy day.
Gov. Bobby Jindal's administration will use $130 million in patchwork financing from a tax amnesty program, insurance settlement, uninsured motorist penalties and other excess funds to close most of the state's midyear budget deficit.
Democratic U.S. Sen. Mary Landrieu said she disagrees with President Barack Obama's actions on immigration, hoping the latest controversy doesn't worsen her campaign difficulties.
Two bedroom in Lafayette or two bedroom in Kaplan
Sennond trunk show at kiki
Gay-rights advocates challenging Louisiana's same-sex marriage ban announced Thursday that they have asked the U.S. Supreme Court to review their case before it is heard by a federal appeals court.
Thursday’s explosion aboard an oil production platform in the Gulf of Mexico is now under investigation by the Bureau of Safety and Environmental Enforcement.
Acadiana's nightlife guide.
Thinking himself the “son of God,” the man charged with the 2013 killing of an officer of the Chitimacha Tribal Police will not stand trial following a ruling Thursday on his mental competency.
Four hours after inviting supporters to a rally with Sen. Marco Rubio, Bill Cassidy claimed that Mary Landrieu “voted against stopping executive amnesty.”
Either Saints coach Sean Payton doesn't want to tip Baltimore off as to who'll start in New Orleans' secondary on Monday night, or he really doesn't know yet.
Money from the first and only settlement so far in a Louisiana flood board's lawsuit against dozens of energy companies will be placed in a special account dedicated to coastal restoration.
Friday's Blogs from the Bog!
Ten departing CEOs rake in $430 million; profile of FSU gunman emerges; Buffalo's weather woes and more national and international news for Friday, November 21, 2014.
The Ethics Board gives the lame duck Youngsville mayor permission to offer a sweet parting gift to the community he’s presided over for three terms.
Carencro ranch style home or three bedroom traditional in St. Martinville
The money came through a general obligation bond sale Thursday.
A legend in the Acadiana Oil Patch, Comeaux died Monday, Nov. 17.
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With a growing number of alleged sexual assault victims coming out against Bill Cosby in recent weeks, upcoming projects have been canned by NBC and Netflix, but that won’t affect the once-loved comedian and actor’s scheduled performance in Lafayette.
The Baltimore Ravens' retooled secondary had no trouble against a rookie quarterback at home. This week, however, their task is far more challenging: stopping Drew Brees on the road in New Orleans.
Add Texas Gov. Rick Perry's name to the list of possible Republican presidential candidates flooding the campaign trail for GOP Senate candidate Bill Cassidy.
Gov. Bobby Jindal is in Florida this week with his fellow Republican governors for another gripe session aimed at their favorite target, the president, this time taking aim at his immigration plans.
Early voting for the runoff is shortened by two days because of the Thanksgiving holiday.
“Coach Don” Gagnard is running for school board. Today he offers his critique of the socioeconomic relationship between government subsidies and obesity.
BP is heading to a federal appeals court in its effort to oust the administrator of damage settlement claims arising from the 2010 Gulf of Mexico oil spill.
Former Le Rosier chef who cooked at the James Beard House and was named one of the “Best New Chefs in America” by Food & Wine magazine in 1995 was 48.
It was only a few months ago when the LPSB held the school system’s purse strings with a death grip, but oh how board President Hunter Beasley's demeanor seems to be changing with the ouster of Superintendent Pat Cooper.
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