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Dr. Jeff Arrington breaks down the differences between uterine ablation and hysterectomy while offering candid advice about advocating for yourself with dismissive doctors. His expert insights challenge conventional approaches to endometriosis and adenomyosis treatment, emphasizing the importance of evidence-based care and patient autonomy.
• Uterine ablation uses heat to destroy the uterine lining and primarily treats heavy bleeding, not painful periods
• Adenomyosis is one of the top reasons patients need hysterectomy after endometrial ablation
• For heavy bleeding with painful periods, a progesterone IUD may be better than ablation as it addresses both symptoms
• Post-ablation syndrome can occur when scarring traps active endometrial tissue, causing pain over time
• When doctors don’t listen to your concerns, asking for supporting research studies may help
• If providers consistently dismiss you, finding a new doctor may be your only viable option
• Many physicians remain fixed in outdated residency training and fail to offer referrals to specialists
Have more questions? Send them in using the link in the episode description, email contact@endobattery.com, or visit the endobattery.com contact page.
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Introducing Quick Connect Format
Speaker 1
0:00
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alana
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and
it's
time
to
Dr. Jeff Arrington Introduction
Speaker 1
0:37
connect
.
Today
I
have
an
incredible
expert
joining
us
Dr
Jeff
Arrington
.
If
you've
spent
any
time
in
the
endometriosis
community
,
you've
probably
heard
his
name
.
Dr
Arrington
isn't
just
an
excision
specialist
.
He's
a
fierce
advocate
for
informed
consent
and
breaking
down
the
barriers
that
keep
so
many
from
accessing
proper
endometriosis
care
.
His
passion
goes
beyond
the
operating
room
.
He's
fighting
for
real
change
,
pushing
back
against
misinformation
and
making
sure
that
patients
have
the
knowledge
and
options
they
deserve
.
Let's
dive
in
Uterine Ablation vs. Hysterectomy
Speaker 1
1:11
.
Is
a
uterine
ablation
an
adequate
replacement
for
a
hysterectomy
?
Speaker 2
1:14
It
depends
on
what
they're
trying
to
treat
.
As
far
as
I
know
,
uterine
ablation
is
basically
using
heat
to
destroy
the
lining
of
the
uterus
.
It
is
a
treatment
for
heavy
bleeding
.
I
don't
know
if
it's
a
treat
for
painful
periods
.
I
haven't
really
dealt
with
that
for
years
after
focusing
on
the
endo
,
but
back
when
I
was
doing
a
lot
of
that
,
to
my
knowledge
,
back
then
it
was
a
treatment
for
heavy
bleeding
,
not
painful
periods
.
Interestingly
,
adenomyosis
is
one
of
the
top
two
reasons
why
patients
go
on
to
have
hysterectomy
after
an
endometrial
ablation
,
and
so
,
in
my
view
,
if
there's
heavy
bleeding
and
very
painful
periods
,
that
really
raises
the
suspicion
of
adenomyosis
,
and
if
patients
don't
want
a
hysterectomy
,
my
opinion
of
progesterone
IUD
is
a
better
option
than
a
uterine
ablation
,
because
you
still
have
a
chance
of
decreasing
bleeding
,
which
is
the
role
of
the
ablation
,
but
you
also
have
it's
a
proven
treatment
for
period
cramping
as
well
.
Speaker 1
2:09
What
are
the
risks
of
doing
a
uterine
ablation
?
Speaker 2
2:12
I
mean
patients
that
have
had
multiple
prior
C-sections
.
There's
worry
about
burning
too
deep
Advocating When Doctors Don't Listen
Speaker 2
2:16
and
going
into
the
bladder
.
I
think
that's
pretty
rare
.
Risks
continued
bleeding
and
spotting
.
There
is
something
called
post-ablation
syndrome
,
where
the
ablation
is
meant
to
burn
the
lining
of
the
uterus
but
it's
never
100%
and
it
causes
a
lot
of
scarring
.
The
lining
inside
the
uterus
is
scarred
down
and
there's
still
active
endometrium
higher
up
.
It
can
get
trapped
and
over
time
can
become
painful
and
problematic
Again
,
if
there's
adenomyosis
they're
kind
of
the
same
thing
it
traps
those
glands
in
the
muscle
.
So
the
post-ablation
syndrome
is
probably
the
most
common
.
I
think
they're
pretty
well
tolerated
as
a
procedure
itself
.
I
think
the
major
complication
rate
is
pretty
low
.
It's
more
outcomes-driven
than
true
complications
.
Speaker 1
2:56
How
does
someone
advocate
for
themselves
when
their
doctor
doesn't
take
them
seriously
?
Speaker 2
3:01
I
mean
,
all
you
can
do
is
try
and
say
hey
,
this
is
what
I'm
concerned
about
.
If
they
don't
listen
,
you
can't
make
them
listen
,
and
the
only
thing
I
can
think
of
is
to
find
somebody
else
.
I
don't
know
.
Speaker 1
3:13
Yeah
,
and
that's
something
that
I
feel
like
,
as
advocates
,
we
kind
of
see
a
lot
more
of
is
just
ways
of
communicating
that
the
approach
that
this
provider
is
taking
is
not
helpful
.
And
I
think
it's
okay
to
be
honest
with
a
provider
and
say
this
is
not
helpful
.
I
need
either
a
referral
to
a
new
provider
or
you
let
them
know
post
seeing
another
provider
what
the
findings
are
.
Speaker 2
3:36
Yeah
,
yeah
,
you
know
,
and
if
the
response
is
always
I
mean
the
heart
most
likely
the
response
is
,
well
,
let's
just
try
this
hormone
,
or
let's
try
this
hormone
,
or
,
you
know
,
there's
nothing
more
I
can
do
,
where
you
just
need
to
get
pregnant
or
you
need
to
have
a
hysterectomy
.
You
know
,
if
a
patient
really
wants
to
be
I
mean
,
I'm
probably
super
passive-aggressive
by
nature
,
but
if
a
patient
wants
to
be
passive-aggressive
,
I
mean
they
could
just
ask
the
doctor
,
say
,
okay
,
you
know
,
I'm
interested
in
that
.
Can
you
show
me
some
studies
that
support
that
?
You
know
the
hard
part
most
are
just
kind
of
ingrained
in
what
they
learned
in
residency
and
really
haven't
learned
anything
beyond
that
.
You
know
,
and
even
,
and
they
may
even
know
,
doctors
that
do
excision
and
do
complex
endometriosis
surgery
and
for
some
reason
they
just
stick
to
their
guns
and
they
don't
offer
that
as
an
option
.
But
you
know
,
if
you're
not
being
heard
and
you
try
to
,
you
try
to
advocate
and
you're
still
not
being
heard
,
in
my
mind
you
only
,
the
only
option
left
is
to
find
somebody
else
.
Speaker 1
4:31
That's
a
wrap
for
this
Quick
Connect
.
Find
somebody
Episode Closing & Contact Info
Speaker 1
4:35
else
.
That's
a
wrap
for
this
quick
connect
.
I
hope
today's
insights
helped
you
move
forward
with
more
clarity
and
confidence
.
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have
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questions
?
Keep
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