Endometrial Ablation
Procedure
Definition
Endometrial ablation destroys tissue in the lining of the uterus.
Reasons for Procedure
This procedure is done to lighten heavy menstrual periods when other methods have not helped. In some people, it may stop menstrual flow.
It should not be done on people who plan to become pregnant in the future.
Possible Complications
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
- Excess bleeding
- Problems from anesthesia, such as wheezing or sore throat
- Infection
- Damage to nearby structures, such as the uterus, vagina, or bowel
- Fluid buildup and swelling
Things that may raise the risk of problems are:
- Smoking
- Drinking alcohol
- Chronic diseases, such as diabetes or obesity
What to Expect
Problems to Look Out For
Call the doctor if you are not getting better or you have:
- Signs of infection, such as fever and chills
- Menstrual flow that does not get lighter after 2 to 3 periods
- Heavy vaginal bleeding
- Severe pain that you cannot control with medicine
- Pain when passing stool (poop) or urine (pee)
- Nausea and vomiting
- Lightheadedness
- Pain or tenderness in the calf or leg
If you think you have an emergency, call for medical help right away.
Prior to Procedure
The surgical team will meet with you to talk about:
- Anesthesia options
- Any allergies you may have
- Current medicines, herbs, and supplements that you take and whether you need to stop taking them before surgery
- Fasting before surgery, such as avoiding food or drink after midnight the night before
- Arranging for a ride to and from surgery
- Any plans you may have for a future pregnancy
The American Congress of Obstetricians and Gynecologists
American Society for Reproductive Medicine
CANADIAN RESOURCES:
Canadian Women’s Health Network
Society of Obstetricians and Gynaecologists of Canada
The American Congress of Obstetricians and Gynecologists
American Society for Reproductive Medicine
CANADIAN RESOURCES:
Canadian Women’s Health Network
Society of Obstetricians and Gynaecologists of Canada
References
- Endometrial ablation. The American College of Obstetricians and Gynecologists website. Available at: https://www.acog.org/womens-health/faqs/endometrial-ablation.
- Endometrial ablation. EBSCO DynaMed website. Available at: https://www.dynamed.com/procedure/endometrial-ablation.
Contributors
- Elizabeth Margaret Prusak, MD
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