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Every year about 650,000 American women undergo a hysterectomy. This surgical procedure involves removing a woman’s uterus, and sometimes her ovaries and cervix. For many women, this procedure provides much sought-after relief from a variety of medical problems, including severe pain and heavy or prolonged periods. However, a hysterectomy is major surgery, with a significant recovery period and potential complications. It should only be considered when all other options have been exhausted. Fortunately, there are now more options than ever for women suffering from painful, heavy periods. These options range from less invasive surgical procedures to long-term drug therapy. Determining what is appropriate for you requires a careful medical workup by an experienced and qualified gynecological surgeon. One option now available, endometrial ablation, involves removal of the lining of the uterus - the source of bleeding during a menstrual period. For many women, this is a very effective solution, with up to 90% of women finding satisfactory relief of symptoms. After the procedure, most women report lighter or normal periods, and some have their periods stopped completely. One form of endometrial ablation, the new NovaSure procedure, has evolved to the point that it is considered a quick outpatient procedure that requires no incisions, uses only a brief anesthetic, and generally takes less then 15 minutes to perform. Many practices can perform this procedure in the office with only a local anesthetic. NovaSure Travis D. Klingler, MD has been in private practice since 2002. He attended Creighton Medical School and completed his residency at the University of Kansas School of Medicine - Wichita. He currently serves as an Assistant Clinical Professor at the University of Washington School of Medicine WWAMI program. Dr. Klingler enjoys life in Laramie with his wife and five children. He currently practices with Laramie Physicians for Women, where his special interests include Minimally Invasive Surgery and Advanced Laparoscopic Procedures. For more information on infertility and treatment options, contact Laramie Physicians for Women at 307-745-8991.
24 Wyoming Lifestyle Magazine | August 2010
New Hope for Women
with painful, heavy menstrual periods! by Travis D. Klingler, MD
uses precisely measured electrical energy, delivered through a slender, hand-held device, to remove the endometrial lining. Prior to recommending this procedure, however, it is important that your physician determine that you are an appropriate candidate, with a good likelihood of success. Your physician will take a complete medical history, and perform a physical exam. Other tests may include some blood tests, perhaps a biopsy (tissue sample) of the uterine lining, and possibly other more involved tests such as a hysteroscopy or ultrasonography. These tests can usually be done in your physician’s office, and are quick and fairly painless. NovaSure (like all uterine ablation procedures) is only appropriate for premenopausal women with heavy menstrual bleeding, who are no longer interested in getting pregnant. If you fall into this group, endometrial ablation may present a safe, effective alternative to hysterectomy. If you need additional information about endometrial ablation, ask your physician, or contact Laramie Physicians for Women at 307-745-1568.
Published on Aug 6, 2010
Published on Aug 6, 2010
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