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Please remember that we offer Saturday hours and evening hours. If you have a difficult time getting time off of work, this is your answer. Ask the person who schedules your appointment for availability. Visit www.drwilsonobgyn.com to learn more about our services offered. |
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We are happy to accommodate you if you have an emergency, no matter what it is. Either a Nurse Practitioner or a Physician is always available to see you and evaluate the problem. Please do not hesitate to call if you have a problem that requires immediate attention. We are glad to handle these issues. |
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Endometrial Ablation vs. Hysterectomy - Which is best for heavy bleeding?
Endometrial ablation is a 90 second procedure that burns off the uterine lining and causes scarring inside the uterine cavity. In many cases, an ablation stops bleeding altogether. Generally if the bleeding does not stop, it is greatly reduced.
For appropriate patients, Novasure ablation is a perfect solution to a very annoying problem. Ablation is not for everyone, however. Patients who are good candidates for an endometrial ablation are women in their 30's and 40's who have a normal uterus, are bleeding heavily but not experiencing much pain. Patients with an enlarged uterus due to fibroids or adenomyosis are not good candidates. Endometrial ablations do not tend to be successful on these patients. Patients who experience significant cramping are also not good candidates. Ablation treats heavy bleeding, not pain. It is important to take into account the fact that sampling the uterine lining after an ablation is no longer a possibility. Ablation causes severe scarring and this prohibits any future endometrial biopsies or D&C's. Postmenopausal bleeding is a sign of uterine lining cancer (endometrial cancer) and the way we diagnose this type of cancer is through a biopsy or a D&C. If postmenopausal bleeding does occur in a woman who has had an ablation, the only way to detect cancer is to remove the uterus. For this reason, a significant number of patients who have had a prior ablation end up with hysterectomy. The other problem with ablation involves trapping of blood inside the uterus. An ablation causes scarring, but does not completely eliminate all of the endometrial cells that produce blood. Bleeding can occur in the uterine cavity but the blood does not have an exit and therefore collects inside the uterus. This can cause pain. If your bleeding is heavy, please make an appointment with your practitioner to discuss the options. Your practitioner will schedule an ultrasound to properly diagnose the cause of the bleeding and discuss the findings with you. For some women, endometrial ablation is a perfect solution to the problem of heavy bleeding. For others, however, removing the uterus laparoscopically is a better permanent solution. |
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HealthyYou MD is our medically-monitored program designed to help you lose weight quickly and safely. The program incorporates medical, nutritional and lifestyle components. Women on our program lose an average of 3-4 pounds per week. You'll be eating real food throughout the program – making your transition from weight loss to maintenance easier and more successful. We've scheduled an Information Seminar for you to learn more about the program:
To RSVP, please call us at 602-482-3405 or email info@healthyyoumd.com. (One-on-one consultations are also available for $75.) This program is about YOU ... we invite you to take the first step and contact us today. *Future dates include February 1 & 3. |
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Hysterectomy doesn't harm - and may help - sexual function The idea that hysterectomy adversely affects sexual function stems from research in the 60's by Masters and Johnson suggesting that the uterus plays a role in orgasm. No evidence for this exists, however.
Another, more recent study, concluded that women who underwent hysterectomy reported greater sexual satisfaction and fewer sexual problems after the hysterectomy than they had before the surgery. A woman's sexual desire and enjoyment depends on many factors, including the quality of her relationship with her partner. The results of this study offer reassurance that hysterectomy itself is unlikely to diminish sexual function and may in fact help improve it in women with abnormal uterine bleeding. |
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We are offering intimacy enhancement products to our patients because we know that sexuality is an important component of our full self expression in our lives and in our relationships. As women age, particularly when they enter into menopause, intimacy is not as effortless as it was before. But sexual expression is no less important. No matter what your age ~ we invite you to bring new joy to your life. Try new things, think new thoughts, open your mind. Your relationship will blossom. You will come alive again. Your body will thank you.
So log onto www.belleplaisir.com and enjoy! *10% off entire purchase offer good through January 31, 2012. For web orders, use code LOVE101. For boutique purchases, present this email. |
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Pelvic organ dysfunction after hysterectomy There is a myth floating out there that hysterectomy causes "dropped bladder" issues and urinary incontinence. A British article dispels this myth, stating "Based on current evidence, women can now be reassured that hysterectomy for benign conditions of the uterus generally results in improvement of pelvic organ function at least for the first 2 years after surgery." The fact is that age, gravity, history of vaginal deliveries, and conditions such as chronic cough cause issues such as bladder prolapse and incontinence. |
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Q & A: Hysterectomy for fibroids and bleeding
A: In 1983, an article by Kilkku reported that removing the cervix might be associated with decreased sexual function. Subsequent studies showed that sexual functioning and health-related quality of life after supracervical hysterectomy (leaving the cervix) or total hysterectomy (removing the cervix) are similar. In addition, another study demonstrated that cervical preservation does not affect the rate of subsequent pelvic organ prolapse. Sexual satisfaction was improved after either procedure and there was no difference in urinary or gastrointestinal symptoms. Most patients are thrilled with either type of hysterectomy, but patients who opted to retain their cervix often complain of cyclic bleeding after the procedure because the cervix contains cells from the uterine lining. If the patient had pain associated with endometriosis or adenomyosis, she often has pain after a supracervical hysterectomy, particularly with intercourse. Leaving the cervix also leaves the risk of cervical dysplasia (abnormal pap). If the patient has had a number of vaginal deliveries, she is at risk or prolapsing the cervix later after a supracervical hysterectomy, and in that case will need to have her cervix removed. In general, we strongly recommend that the patient considering a hysterectomy opt to have her cervix removed. The cervix is actually part of the uterus, it is not a separate organ. |
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Shop today to help Empower Congo Women Empower Congo Women (ECW) is a public charity dedicated to helping women of eastern Congo who are survivors of sexual violence heal, rebuild their lives and prosper. They accomplish their goals through the Ushindi Center, a vocational training center and safe haven for female victims of sexual, gender-based violence and at-risk girls in Bukavu, DRC. ECW also partners with community-based agencies to manifest locally conceived projects, such as the Mumosho Market. In addition, ECW sends over 100 children to school each year. Dr. Wilson's daughter, Ashley Nemiro, will be joining the women this summer to help make a difference. To learn more about the charity, visit: www.empowercongowomen.org. Shop today to support Empower Congo Women: www.etsy.com/shop/Ushindi.
Photo courtesy of http://healingtraumaindrcongo.blogspot.com/. |
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This is a question we are frequently asked. We see many patients who are suffering with heavy bleeding to the point that the bleeding is impacting their lives significantly. There are many advertisements about ablation ("stop the flow') and naturally patients are interested in this possibility.
We offer 
Do your 2012 goals include becoming a healthier you?
In 2000, a review of 18 studies of post-hysterectomy sexual function found that most women reported either no change or improved sexual functioning.
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Q: I need to have a hysterectomy for fibroids and bleeding. I have heard that leaving the cervix is better for sexual function and pelvic support. Is this true?
