Problems from Endometrial Ablation

Problems from Endometrial Ablation

Problems from Endometrial Ablation lead to chronic pain and radical treatment. Is it worth the risk?

Suffering with heavy menstrual bleeding is a common problem. Often the cause is not investigated. Women are routinely offered treatment for the bleeding without identifying the cause.

 

One treatment is endometrial ablation or Transcervical Resection of the Endometrium (TCRE/TCRF) to control the periods. This is often done even though the uterus and ovaries are normal on scan.

The destruction of the uterine lining can often remove muscle or take the lining to the muscle wall. Scar tissue then develops which causes significant pelvic pains.

Recommendations for hysterectomy for the adhesions following the ablation often include removal of the cervix, Fallopian tubes and ovaries.

If a woman (even in her late 40s) can retain her ovaries then try to leave them in. Death from all causes is less if the ovaries are left in place. Leaving the cervix in place helps reduce sexual dysfunction.

Problems from Endometrial Ablation can be avoided if the right treatment for heavy menstrual bleeding is offered in the first place. Conservative treatment, scans, hormone testing and diet can all play a part.

Patients suspected of having a uterine perforation following ablation need a diagnostic laparoscopy and treatment to repair the uterus. Prophylactic antibiotics are given to prevent infection. Post operative pyrexia was diagnosed when the temperature exceeded 100.4°F