Risks of Endometrial Ablation

Risks of Endometrial Ablation

Risks of Endometrial Ablation are well documented. It is used as a treatment for heavy bleeding when conservative treatments may not have worked.

Conservative treatments are not always fully explored. The use of Cerazette is often overlooked. That stops your periods and in turn stops bleeding. It is an option to avoid surgery.

Many women have severe pain with heavy bleeding. It is a breach of duty to fail to inform of the risk that an endometrial ablation can lead to increased cyclical pain. It is very often a risk which is not included on the consent form.

The Novasure instructions for use, does 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. 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. 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).

Deep adenomyosis after failed NovaSure endometrial ablation was present in a significant number of patients. It is not clear whether adenomyosis is induced by endometrial ablation or whether it causes endometrial ablation failure.