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The "No-Hysterectomy Option" is an
approach to women's health that takes into
account the whole person: her stage in life, her
aspirations, and her health care needs.
I
have been practicing the no-hysterectomy option
for over twenty years. If you are a woman facing
a decision about your reproductive health, this
site can help you understand the choices
available to you and help you make the right
decisions.
MAJOR
OPTIONS For most women with Uterine Fibroids who
happen to also have abnormal bleeding the first
medical response is often dilatation and
curettage and if that does not solve the problem
then Hysterectomy is advised. Often the bleeding
may have nothing to do with the uterine
fibroids.
My approach is to determine the
exact cause of the problem. Physical exam,
history, Ultrasound examination and often
Nuclear Magnetic resonance scanning give me
significant insight. Depending on the patient’s reproductive
status I determine the appropriate modalities to
be employed. These include minimally invasive
approaches to Myomectomy, Endometrial Ablation,
Myolysis and Uterine Artery Embolization.
Patients are counseled concerning the advantages
and disadvantages of each method. It is your
body so you should have input into the best
methods to solve your problem. Hysterectomy is
the last resort not the first choice. All
techniques are performed using minimally
invasive laparoscopic approaches whenever
possible. |
