Back to Healthy Driven Blog Home. View All Healthy Driven Blogs. Categories: Healthy Driven Moms. New drug for stroke speeds up treatment, offers improved outcomes Tenecteplase drastically decreases the time it takes to administer the initial dose for stroke patients.
There's nothing in that section about the risk that the procedure simply won't work. Elsewhere in the document, in a section titled "clinical observations," a table shows a 6. When asked about potential financial incentives to perform endometrial ablation, Louie said she hopes that most providers "offer what they believe are the right options for this patient. If this were my mom, my sister, my best friend, what would I advise?
You know this is generally safe, and that there's a backup if it fails," she mused. Reimbursement for endometrial ablation -- which is touted as a quick fix that can be done right in a doctor's office -- is high. In the case of NovaSure, there can be additional financial incentive from Hologic. Basinski told MedPage Today the money was for a campaign with actress Aisha Tyler about heavy menstrual bleeding, as well as for physician education about heavy menstrual bleeding, including speaking on panels and at national meetings.
Basinski said that she focuses on gynecologic surgery and doesn't deliver babies or do other routine gynecologic work. Basinski said she discusses the risks and benefits of all options when a patient comes to see her for heavy menstrual bleeding, whether it's oral contraception, having an IUD inserted, endometrial ablation, or hysterectomy. She notes that hormonal therapy may fail for half of women, and an IUD can also carry complications like perforation, she said. She and the patient also take into account insurance coverage and costs.
But for 8 of 10, I've solved their problem. Unfortunately, no post-marketing data have been published for NovaSure the FDA required a post-marketing study for one competing device focusing on an issue specific to that product.
Hologic sponsored a study comparing NovaSure with a competitor called Minerva for success rates, adverse events, and patient satisfaction. NovaSure ended up the winner, but the paper stirred controversy in April when Minerva Surgical demanded unsuccessfully that it be retracted because of "material misleading statements" about the nature of the study, according to a report by STAT.
Hologic also funded a year literature review that looked at publicly available data on safety and efficacy: a mix of prospective studies, single-arm NovaSure trials, and trials comparing NovaSure with other second-generation devices.
It found NovaSure generally superior for short-term outcomes such as amenorrhea in the first year, but didn't address longer-term durability or safety. Notably, although Hologic provided "editorial and indirect financial support" for the study, the company didn't share its internal data with the author. But we don't have that for lots of things in our lives. Basinski had a NovaSure endometrial ablation herself when she was 37, and hasn't had a period in the 13 years since; nor has she experienced endometrial ablation failure.
Uterus : A muscular organ located in the female pelvis that contains and nourishes the developing fetus during pregnancy. Copyright by the American College of Obstetricians and Gynecologists. All rights reserved. Read copyright and permissions information.
This information is designed as an educational aid for the public. It offers current information and opinions related to women's health. It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. It is not recommended for women with certain medical conditions, including the following: Disorders of the uterus or endometrium Endometrial hyperplasia Cancer of the uterus Recent pregnancy Current or recent infection of the uterus.
The following methods are those most commonly used to perform endometrial ablation: Radiofrequency—A probe is inserted into the uterus through the cervix. Some minor side effects are common after endometrial ablation: Cramping, like menstrual cramps, for 1—2 days Thin, watery discharge mixed with blood, which can last a few weeks.
Frequent urination for 24 hours Nausea. Cervix : The lower, narrow end of the uterus at the top of the vagina. Sterilization : A permanent method of birth control. Vulva : The external female genital area. Article continues below Advertisement. If you have further questions, contact your ob-gyn. Some types of sterilization procedures can be done at the time of endometrial ablation. If you are having endometrial ablation, long-lasting contraception or sterilization is recommended to prevent pregnancy.
One type of endometrial ablation uses a thermal balloon filled with heated fluid to destroy the lining of the uterus endometrium. During radiofrequency ablation, your doctor uses a triangular ablation device which transmits radiofrequency energy and destroys the tissue lining the uterus endometrium. The ablation device is then removed from the uterus. Endometrial ablation can be performed in your doctor's office. But some types of endometrial ablation are performed in a hospital, especially if you will need general anesthesia.
The opening in your cervix needs to be widened dilated to allow for the passage of the instruments used in endometrial ablation. Dilation of your cervix can happen with medication or the insertion of a series of rods that gradually increase in diameter.
Endometrial ablation procedures vary by the method used to remove or destroy the endometrium. Options include:. It might take a few months to see the final results, but endometrial ablation usually reduces the amount of blood lost during menstruation. Most women will have lighter periods, and some will stop having periods entirely.
Endometrial ablation isn't a sterilization procedure, so you should continue to use contraception. Pregnancy might still be possible, but it will likely be hazardous and end in miscarriage.
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