Endometrial ablation

[OtokoSuki]

I am thinking about having endometrial ablation because periods are really making me suffer.  I simply cannot take it anymore...I have hemophobia because of it and I hate the color red...and it's like I am becoming someone else; every negativity you can imagine.  I can't concentrate at all...I mean I waited more than long enough...I don't know if anyone had it in here but I wanted to know more about it...such as will the insurance cover it, and what would I need to tell my gynecologist and would they take me more seriously if I told them I am f2m?

[Nero]

never heard of it. insurance would only cover it if there's a physical problem. if you live in th US, that is. they don't care that you're trans. i don't think telling the gyno is beneficial until you've had surgeries and/or hormones he/she needs to know about.
they don't care or understand the trauma induced by the menses for an ftm.

[OtokoSuki]

Thanks Nero, even though the truth really hurts :'(I wish the doctors were more open minded...

[Marlene]

The outcome you seek (no more bleeding) is not garunteed.  It works for many, but not all.  Many report less bleeding and/or spotting.  A better solution is a hysterectomy and bilateral salpingo-oopherectomy (tubes and ovaries), especially if you're on T.  Not to be morbid, but remember what happened to Robert Eads?

Posted on: December 19, 2007, 12:46:35 PMJust a disclaimer: I am not a doctor, but I am a medical professional (I won't say which).  In a recent article in a professional journal I get says:

Endometrial ablation and resection render a woman infertile.  Both procedures are indicated primarily as treatments for heavy bleeding, but unlike hysterectomy, they are somewhat temporary and might need to be repeated if bleeding returns.  Although ablation and resection are cheaper than hysterectomy and have a shorter recovery times, their benefits diminish if the procedures are repeated.  Ablation carries risks of infection, perforation of the uterus, cervical laceration and fluid overload, which can lead to death.

Hope this helps.

[OtokoSuki]

Hmmm...this is making me second think this...I just want my periods to stop nothing more, are there any other ways?  By the way what would happen if I had hysterectomy and bilateral salpingo oopherectomy but did not take testosterone?

[Nero]

Hmmm...this is making me second think this...I just want my periods to stop nothing more, are there any other ways?  By the way what would happen if I had hysterectomy and bilateral salpingo oopherectomy but did not take testosterone?

i'm assuming women who've had those procedures take estrogen replacement therapy. you've got to have hormones in your body.

[Marlene]

Hmmm...this is making me second think this...I just want my periods to stop nothing more, are there any other ways?  By the way what would happen if I had hysterectomy and bilateral salpingo oopherectomy but did not take testosterone?

i'm assuming women who've had those procedures take estrogen replacement therapy. you've got to have hormones in your body.

Ever since a controversial study on HRT back in 2001(?) many women do not take HRT.  The main problem for these women is osteoporosis.  That's why you've seen a bunch of new products, like Boniva, marketed in the last couple years.  OtokoSuki, being without HRT is not going to be a problem in the short term.  I assume you'll eventually be on T?

There is another alternative.  I think GnRH therapy will stop periods.  Unfortunately I think this therapy is very expensive.  And it also causes osteoporosis long term.

[OtokoSuki]

 :'(but what about before puberty, I didn't have estrogen in my body like I do now and back then I didn't need hormones right? Or am I wrong?  Anyways, this looks like I am out of options because there is always a side effect...I want to take T, but only for about a month...until my voice starts to change, then I want to stop.

[Patroklos]

You still have hormones in your body before puberty and without them you'll essentially be menopausal. Menopause normally includes the cessation of period but for some women (wait, men experience their own brand of menopause, too) also means weight gain, muscle mass loss, hair loss, osteoporosis, and unstable blood pressure. You'll age a lot faster, too.

Also, I'm surprised that no one mentioned Depo Provera. It's a form of birth control that (for most women) limits your number of periods to 3 or 4 per year. Some women even stop having periods all together while on it.
http://www.depoprovera.com/vc-prospect-user.asp

Hope that helps.

[OtokoSuki]

Thanks Milo, I checked it out but when I went to my gynecologist before he said birth control pills would cause weight gainage..I dont know but maybe the side effects differ from people to people...I also read about Mirena Coil while I was searching...but I don't know...What about you guys; how in the world do you ever get by from such disastrous days? like having the wrong body wasn't bad enough...now it has to bleed...........

[Nero]

Oh I know just how how you feel, Otoko. How did I get by? Well, I was prescribed birth control to regulate my irregular periods
(my periods lasted a total of 3 days - 2 days of spotting/discharge, with one day being a walking crime scene. just imagine 7 days worth in one), so of course I opted for the 3x a year kind. I'm off them now due to medical stuff. They don't really make you gain weight. To me, the relief of only having them thrice a year was worth it. Especially since before mine were so unpredictable. Sometimes it came, sometimes it didn't.

[OtokoSuki]

Hi Nero, Im glad you're off them now. Even though I hate talking about this, lately mine has become irregular as well...I heard its because of stress;which I have lot of...At this point I still don't know what to consider...If I took birth control pills, would I have to take them everyday?  And will the doctors prescribe them for me just like that?

[Nero]

Hi Nero, Im glad you're off them now. Even though I hate talking about this, lately mine has become irregular as well...I heard its because of stress;which I have lot of...At this point I still don't know what to consider...If I took birth control pills, would I have to take them everyday?  And will the doctors prescribe them for me just like that?

Yes, you'd have to take them daily. Not sure of the depo provera has a thrice a year option. I think they'll prescribe them. Just tell which kind you want.