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."