Endometrial Ablation Increases Cyclical Pain 

Endometrial Ablation Increases Cyclical Pain

Endometrial ablation increases cyclical pain but it is not a risk which women are warned about. Many women seek help for heavy bleeding and pain. Ablation is used as a treatment for heavy bleeding when conservative treatments may not have worked.

It is a breach of duty to fail to inform women of the risk that an endometrial ablation can lead to increased cyclical pain. The risk is rarely included on the consent form.

It is a breach of duty to fail to address any significant history of pelvic pain when discussing treatment options for heavy menstrual bleeding. Whilst the Novasure would more likely than not reduce the amount of bleeding, it is less effective at pain reduction and indeed, as stated above, any pain might increase.

The Novasure instructions for use, do state that pain can be a side-effect of ablation although with a much lower incidence.

It is a breach of duty to fail to address any significant history of pelvic pain when discussing treatment options. This is key to not increasing the burden of pain already suffered.

Endometriosis and adenomyosis are contra indicators to endometrial ablation unless very mild cases (which is often unknown).