
Had Fallopian Tube Removed. Had Ablation Due To Heavy Menstrual Cycles. Suffer Pain. Pain Affecting Bladder. Help?

Hello, I would be happy to help you!!
Detailed Answer:
It sounds to me like there might be two things going on:
1. The ablation is not working long term
2. There is pain at a specific location on the abdominal wall
I know that you feel that they are connected, and I agree. Let us address them separately, though.
First, it is not unusual for ablations to not work long term. It is not a bad alternative to hysterectomy, but in many cases, they will work for a while, and then slowly the cycles / pain / etc. returns. This can be related to the interval development of fibroids or other changes to the uterus.
Second, with regard to the specific abdominal pain. It was triggered by a blow to the abdomen, but related to the prior laparoscopy to remove your tube. It sounds to me like this might represent a problem related to a hernia at an incisional site OR related to adhesions.
I would recommend:
1. Talk to your doctor about an ultrasound or CT scan
2. Consider a laparoscopy and hysterectomy - at this time, the pain can be further assessed.
Does this help? Please let me know and we can work through it further!!


You are doing great
Detailed Answer:
A hernia is a defect in the abdominal wall within which bowel and fat can get trapped. Hernias are common around the diaphragm where the esophagus comes through, at the belly button, in the groin, and involving the pelvic floor with regard to the vagina. It also occurs at surgical sites, and specifically, at laparoscopic sites. The best Doctor to determine if this is the case is a General Surgeon.
The tennis ball is a way that you are able to "reduce" the hernia, or push whatever is stuck in the defect back into the belly. It really does fit and make sense based on what you are describing.
Finally, adhesion can occur with any type of surgery, and they are filmy bands of tissue that can trap abdominal contents in non-physiologic positions and cause pain.
I hope that this helps and I am sorry for the delay!


Thank you also
Detailed Answer:
XXXXX,
If you have a hernia related to the surgery, it is extremely uncommon. My guess is that if your doctor had told you it was a 1% chance or less, that most patients would likely go through with the surgery regardless. It is always easier to look back and second-guess things. In general, though, I would recommend that you go ahead with your plan, but if the pain is severe before Monday, you should go in to an ER setting to get checked out. Also, given that your doctor dismissed your original complaint, I would seek a different OB/GYN or Primary Doctor.
Thank you and good luck!

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