Ablative Treatment of Fibroids! ACESSA, Sonata, and Uterine Artery Embolization! - TheFibroidDoc

Ablative Treatment of Fibroids! ACESSA, Sonata, and Uterine Artery Embolization! - TheFibroidDoc
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About Dr. Prabakar
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Dr. Cheruba Prabakar is a board certified OBGYN who specializes in treating women with heavy periods, abnormal bleeding, fibroids, polyps, endometriosis, and infertility.
She is passionate about helping women with fibroids live a life free of bleeding, and pain. She also treats many women who are undergoing IVF and need small polyps or fibroids removed from their uterus prior to their fertility treatments.
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[@lilianaramirez1620]

Dr. Prabakar. You mention on the video that most women go for a hysterectomy and you wonder why. I KNOW WHY, Doctors always position that as “the gold standard solution” - "you are sure all the fibroids are gone, you don’t risk getting any more, you don’t have any risk of cancer, etc.", why keep your uterus if it's giving you problems? you “don’t need it” or you don’t “need it anymore”. We can leave your ovaries so you can keep your hormones, everything is peachy. I have fibroids that are causing me a lot of discomfort. But unlike most other people, I have a mother and a sister that both have gone through hysterectomies, and things have been anything but peachy. So I am in the process of looking at options. Let’s start with the basic thing that this is a mayor trauma to the body. Just the surgery recuperation is brutal. You guys are so used to it, you forget to put yourselves in the shows of the individual. You are recommending a surgery where they cut you from one side to the other and take a mayor organ out. I have read that medically it’s described as “well tolerated”. And yes, women are used to tolerating discomfort, so there’s that. But also, there are things after that hugely affect the quality of life. In my mother’s case, there was movement of mayor organs that required a surgery to correct and some sort of mesh to be implanted. Because it turns out the uterus is one of the strongest organ in a woman's body - it's made to handle the weight of a child - so it actually prbvides a lot of stability to the rest of the organs. There is continued low level pain and discomfort even YEARS after the procedure. There’s sexual issues that I think many women just live with and don’t discuss with doctors. Doctors don’t adequately inform patients of the side effects of hysterectomies. Sometimes you wonder how aware they even are. And women, AFTER they already had it and have these issues, don’t really have much option than to “tolerate them.”
There’s estimates that maybe up to 80% of hysterectomies are unnecessary, and about half of the women were never given alternative options beyond hormonal treatments (and sometimes not even that). My OBGY didn’t. And after talking with 3 doctors, all seem perplexed that since I don’t want to have children “why don’t I just want to do the hysterectomy?” - like if it was something simple like coloring my hair. I found your video in my own search online for options. The reality is that women getting them, often in their late 40’s are not likely to get more and more fibroids as estrogen is beginning to decline. And only 2% of fibroids are likely to develop into cancer.
I’m frankly flabbergasted as how cavalier doctors can be with a surgery like this - to you guys is routine, to women is life changing.
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From Women’s Health Network:
The Harms of Hysterectomy
These days, it seems like everyone knows at least one woman who has undergone a hysterectomy, also known as surgical removal of our reproductive organs. In fact, more than ⅓ of all women in the US have had a hysterectomy by the age of 60 years old. Hysterectomies are one of the most common surgeries performed on women worldwide, second only to cesarean sections. Remarkably, 1 out of every 4 women enters menopause due to hysterectomy, which is why hysterectomies have become known as “surgical menopause”.
The single biggest reason for hysterectomy, or surgical removal of a woman’s reproductive organs? Uterine fibroids.
Only 10% of hysterectomies performed in the US are deemed “medically necessary” to treat cancer of the reproductive organs. The remaining 90% of hysterectomies can be attributed to non-life threatening reasons: heavy menstrual bleeding, uterine fibroids, endometriosis, and pelvic pain.
But more and more women, and a few enlightened doctors, are speaking out against the rising rate of what they believe to be “unnecessary” hysterectomies, which has become a $17-billion dollar/year industry. Why? For a woman without a life-threatening diagnosis, there are better alternatives.
Here’s what we know about the risks and adverse outcomes associated with conventional fibroid treatments, which include hysterectomies, uterine fibroid embolization, and endometrial ablation. In addition to surgical complications and death, hysterectomies and other unnecessary surgical removal of reproductive organs have been shown to cause the following outcomes:
• Increase risk of heart disease
• Osteoporosis, arthritis, and osteopenia
• Weight gain
• Increased risk of renal, thyroid, and brain cancers
• Increased risk of congestive heart failure and coronary artery disease
• Loss of libido, sensation, and ability to orgasm; pain during intercourse
• Sudden-onset menopause and hormonal imbalance symptoms, including mood swings, hair loss, anxiety, depression, skin changes, brain fog, and weight gain
• Incontinence and UTIs
• Digestive disorders, chronic constipation
• Anxiety, depression, suicidal thoughts
• Tinnitus and hearing loss
• Vertigo and dizziness
• Bladder and bowel dysfunction due to displacement
• Brain fog and chronic fatigue
• Memory and executive function issues
The good news? Emerging research shows that there are viable options for women who wish to address uterine fibroids without removing their ovaries or uterus, which continue to produce beneficial amounts of estrogen and progesterone long after menopause. These naturally-occurring reproductive hormones have nearly endless positive and protective biological benefits, especially for bone and heart health, that simply cannot be replicated by synthetic hormones.

[@TheFibroidDoc]

@lilianaramirez1620
Totally valid concerns, but I think you are assuming that hysterectomy means removing the ovaries. Hysterectomy is only removal of the uterus which should not lead to all those concerns that you mentioned, although removal of ovaries ALSO will!

[@CinderellaRaptured]

What if fibroids give me trouble but I cannot afford surgery of any kind? I applied for healthcare assistance, but wasn’t approved. I can not afford my deductible for my insurance. Am I just screwed? I fall between the cracks of every options out there.

[@TheFibroidDoc]

@CinderellaRaptured So sorry to hear this, please seek assistance from the state. Many federal programs are available.