Thermal Balloon Ablation

 

What is "Thermal Balloon Ablation"?

"Thermal Balloon Ablation" - also known as "Uterine Balloon Therapy" - is a minor surgical procedure that destroys the lining of the uterus using a balloon that is inserted through the vagina, which is then filled with a fluid and then heated.  The heat - which isn't that hot, and never felt by the patient undergoing the therapy - then destroys the lining of the uterus. 

How is
is Thermal Balloon Ablation performed?

Thermal Balloon Ablation  requires light general anaesthesia, or local anaesthesia. 

Thermal Balloon Ablation involves inserting a balloon catheter through the vagina, then through the cervix and into the uterus. The balloon is then filled with sterile liquid so that it expands and fills the contours of the patient's uterus. The liquid inside the balloon is then heated and maintained at 87°C for 8 minutes which scalds the endometrial lining. 

After 8 minutes, the liquid in the balloon is then withdrawn and the balloon catheter is deflated and removed back out of the uterus and vagina. 

The lining of the uterus (endometrium) will gradually shed away (through the vagina - like a period) over a 2 to 3 week period.  The woman will experience a vaginal, bloodstained discharge over this 2-3 week period.

Almost all patients are discharged the same day after the
Thermal Balloon Ablation procedure and may experience uterine cramps - very similar to menstrual cramps, for a few hours to 1-2 days at most. 

Who are candidates for Thermal Balloon Ablation?

Women who have been suffering from Patients suffering from Menorrhagia, or excessive menstrual bleeding due to benign causes, are excellent candidates for Thermal Balloon Ablation. 

The overall success rate for women that undergo Thermal Balloon Ablation is around 80% and significantly reduces menstrual bleeding for these women.

However, Thermal Balloon Ablation is not a suitable therapy for patients with submucous fibroids or patients with large and irregular uterine cavities. 

In addition, this procedure is NOT for patients who have not completed their family planning and intend to have children as becoming pregnant after Thermal Balloon Ablation can be life-threatening.

Benefits of Thermal Balloon Ablation

Thermal Balloon Ablation has the distinct advantage of being handled on an outpatient basis and with a very low risk for complications. 

Additionally, there is no effect on a woman's hormonal functioning and she will not require hormone replacement therapy unlike in the case of a hysterectomy with removal of ovaries.

Finally, most women find that Thermal Balloon Ablation is their preferred treatment for menorrhagia as they get to keep their uterus, as opposed to a hysterectomy, which removes the uterus and may lead to other complications in the future, including Pelvic Organ Prolapse. 

 

Menorrhagia
www.Menorrhagia.net

Whatis menorrhagia?

Menorrhagia isthe medical term for women (and young girls first starting their menstrualcycles) that excessive menstrual bleeding. Excessive menstrual bleeding isdefined as having a period that lasts 7 or more days each menstrual cycle(period) or is so heavy that you saturate your menstrual pad and/or tampon andneed to change your feminine hygiene product(s) every one to two hours.  Itis very important to inform your doctor if you have excessive menstrualbleeding! 

Womenthat are suffering from menorrhagia may experience; anemia, fatigue,  embarrassingmenstrual accidents, and feel that you have to restrict your life and socialactivities to such an extent that you "miss out on life."  Manywomen prefer to stay close to home so as to avoid embarrassment due to theirneed to go to the restroom so often so that they can change their femininehygiene products before they become too saturated and cause even moreembarrassment..

How manywomen have menorrhagia?

Approximately 1 in 5 womenhave menorrhagia.

Arethere any treatments or therapies for menorrhagia?

Yes, there's hope and help for women with menorrhagia!

Hereare a few of the options and therapies you will want to discuss with yourdoctor.

Hormone therapy- also known as "both control pills," and/or other medications may beprescribed to treat hormone imbalance.Hormone therapy is effective about 50% of the time, and may be required for along period of time. 

UterineBalloon Therapy - Also known as Thermal Balloon Ablation) (see below for moreinformation)

Dilation and curettage - alsoreferred to as a "D & C" - is a surgical procedure whereby thedoctor scrape the inside of the woman's uterus to remove the lining. For most women withmenorrhagia, a D&C is temporary and reduces excessive bleeding for only afew periods.

Endometrial ablation is another possible therapy but only if you and yourhusband don't plan to have children in the future. Typical endometrial ablation removes the lining of the uterus with an electrosurgical tool or laser.Like any surgical procedure, there are risks, which include perforation of the uterus, bleeding, infection, or even heart failure due to fluids used to open up or distend the uterus.

Hysterectomy is the surgical removal of theuterus.  As a hysterectomy involves the removal of the woman's uterus, menorrhagiawill no longer be a problem. Hysterectomy is also a surgical procedure and alsoinvolves risks. The recovery period after hysterectomy is 3 to 6 weeks. 

MenstrualDisorders
www.MenstrualDisorders.com

Whatare Menstrual Disorders?

Menstrual disorders can be either a temporary or permanent condition.  Bothmenstrual disorders can interfere with a woman's ability to become pregnant. 

A woman with menstrual disorders needs to see her ob/gyn or family doctor asmenstrual disorders may be signs or symptoms of  more serious medicalconditions. 

Menstrual disorders can be caused by a number of differing problems orreasons.  For normal menstruation to occur, a woman's hormonal glands must function normally for menstrual periods to occur. 

Menstrualdisorders can result from conditions that affect a woman's hormone-producingglands and organs that may include her cervix, hypothalamus, ovaries, pituitary gland, uterus,or vagina.

Themost common menstrual disorders are:

Amenorrhea- which is the absence of of a woman's menstrual periods.

Dysmenorrhea- also known as painful periods with severe menstrual cramping.

Menorrhagia- excessive menstrual bleeding.

Oligomenorrhea - which is infrequent (less than 8 periods/menstrualcycles per year) menstruation.

Toxic Shock Syndrome - starting out with flu-like symptoms, Toxic ShockSyndrome is related to tampon use and the 

Amenorrheais the absence of menstruation or a woman's monthly menstrual periods. Amenorrheais classified as either "primary" Amenorrhea,which is the absence of "menarche" a girl's first menstrual period by age16, or "secondary" Amenorrhea,which is the absence of menstrual periods for more than three to six months in a woman who previously hadmonthly menstrual periods.

Causes of primary amenorrheawhich are normally present at the birth of a baby girl, but are not known untilshe reaches the age of puberty, and when she should be experiencingmenarche.  Conditions causing primary amenorrhea may include genetic or chromosomal abnormalities, and structural abnormalities of the reproductive tract. All of the conditions that lead to secondary amenorrhea can also cause primary amenorrhea.Pregnancy is the leading cause of secondary amenorrhea. 

Amongnon-pregnant women, ovarian conditions are the most common cause of secondary amenorrhea; these conditions include polycystic ovary syndrome andpremature ovarian failure also known as early premature menopause.

Themost common reasons for Amenorrhea,skipped menstrual periods or missingmenstrual periods include:

*  Emotional stress
*  Excessive exercise or physical stress
*  Poor nutrition
*  Pregnancy
*  Illness

Dysmenorrhea or painful periods is the medical term for severe menstrualcramping. "Primary dysmenorrhea" is not usually associated with othermore serious medical conditions. Dysmenorrhea  usually begins when a girlstarts having her menstrual periods, and can start as soon as her first periodor menarche. 

Menorrhagia- or excessive menstrual bleeding, is normally indicated when a woman's menstruationlasts more than seven to eight days each monthly menstrual period, or if sheloses more than 80 milliliters or about 1/3 of a cup of menstrual blood eachmonthly cycle. A woman's doctor may classify or diagnose her as having dysfunctionaluterine bleeding (DUB), which often leads to an iron deficiency or anemiaunless she begins taking iron supplements, as prescribed by her doctor. Iron deficiency, as caused by the excessive menstrual bleeding, may lead to increasedfatigue, dizziness, shortness of breath, and in severe cases - angina.

Menorrhagia'smost likely causes include:

Abortion-related problems
*  Cervical or endometrial polyps

*  Cervical cancer

*  Endometrialcancer.
*  Hormoneimbalance
*  Intrauterine Devices (IUDs)

*  Menopause
*  Pelvic inflammatory disease (PID)
*  Perimenopause
*  Premature Ovarian Failure
*  Uterine fibroids or tumors (benign or cancerous)

Oligomenorrhea is another menstrual disorder that refers to infrequent orsporadic menstrual periods which are generally defined to mean fewer than six to eight periods peryear.

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