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Treating adenomyosis

Enduring abnormal menstrual periods for seven years, Navita Longworth needed two endometrial ablations and a hysterectomy to finally cure her adenomyosis.

Navita Longworth, 49, of Port Washington, experienced severe bleeding for seven years. Instead of the typical menstrual period that lasted about a week, Ms. Longworth bled 25 days each month. Heavy periods caused her to feel incredibly tired. Socializing was difficult. After one of her doctors wanted to treat her with antidepressant medication, Ms. Longworth knew she needed to find a physician who understood her condition and its emotional effects.

She found her answer when she made an appointment with Helen Greco, MD, chief of gynecology at Glen Cove Hospital and chief of benign gynecology at Long Island Jewish Medical Center.

quotation mark Women in their late 30s and 40s who experience heavy bleeding that does not stop on its own should be evaluated by a physician. This will allow the physician to rule out any other ailments, such as a thyroid disease or cancer. There are many options that may allow a woman to keep her uterus, including a healthy diet and exercise, medication and/or hormone therapies, and surgeries that are less invasive than a hysterectomy.
Helen Greco, MD

Hysterectomy: A last resort

Dr. Greco diagnosed Ms. Longworth as having adenomyosis, or thickening of the uterus. Treatment included two endometrial ablations, procedures that involved destroying the uterine lining, or endometrium. The first ablation resolved the bleeding temporarily. The second procedure resulted in Ms. Longworth becoming severely anemic. At that point, Dr. Greco recommended the next-step solution, a hysterectomy, or surgical removal of the uterus, which stopped menstruation permanently.

"For women in their late 30s and 40s going through midlife transitions and hormone changes, heavy bleeding is very common," Dr. Greco explained. "I often try more conservative methods to help alleviate the amount of bleeding and other symptoms - including medications, hormones and exercise - with a hysterectomy as a last resort."

"I wish they would make more doctors like Dr. Greco, who is personable and kind in addition to knowing so much about these conditions," Ms. Longworth said. "She's the only doctor I know who would call on Sunday at 9 p.m. to see how I was doing."

Call for more information about benign gynecological services at Glen Cove Hospital:
(516) 674-1647
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