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Bleeding and Clotting Disorders

Endometrial Ablation (Novasure) on Coumadin

05/21/2009

Question:

I am 52. After one year without my period, I began bleeding again. My gynocologist has recommended endometrial ablation. However I am a 6 mg per day Coumadin patient (for a mechanical heart valve). The GYN has suggested I go off the Coumadin for a couple days before the procedure, and I am afraid to do this. I have heard several experiences where people have had strokes once they resumed their regular Coumadin dose. What is your opinion on this? Thanks.

Answer:

I think this a reasonable concern and would suggest that you talk to your cardiologist.

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Response by:

Eric H Kraut, MD Eric H Kraut, MD
Professor of Hematology
College of Medicine
The Ohio State University