Is endometrial ablation worth it?

For many women, endometrial ablation is a good option because it is minimally invasive and avoids chronic medication use. Endometrial ablation can reduce abnormal bleeding

abnormal bleeding

Exsanguination is death caused by loss of blood. Depending upon the health of the individual, people usually die from losing half to two-thirds of their blood; a loss of roughly one-third of the blood volume is considered very serious.

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Exsanguination - Wikipedia

or stop bleeding completely by destroying the lining of the uterus, or the endometrium, through high levels of heat.

What are the long term effects of endometrial ablation?

Any bleeding from persistent or regenerating endometrium behind the scar may be obstructed and cause problems such as central hematometra, cornual hematometra, postablation tubal sterilization syndrome, retrograde menstruation, and potential delay in the diagnosis of endometrial cancer.

What is the success rate of endometrial ablation?

Background and Objectives: Endometrial ablation is a minimally invasive procedure for menorrhagia. High success rates are documented with >90% of patients experiencing satisfaction.

How many years does endometrial ablation last?

The effects are believed to be permanent but in some women especially those who had this procedure under age of 40years, menstruation may return. If that happens, your gynaecologist may consider a second procedure or will advise you about other alternative treatment including hysterectomy.

Do you lose weight after endometrial ablation?

After the procedure, will I see weight loss? Endometrial ablation does not affect a patient's weight.

Dr. Edmunds on How Effective is an Endometrial Ablation

Is ablation better than hysterectomy?

Laparoscopic supracervical hysterectomy is superior to endometrial ablation in terms of clinical effectiveness and has a similar proportion of complications, but takes longer to perform and is associated with a longer recovery.

Does ablation mess with hormones?

It will not affect your own hormones in any way and will not resolve hormonal symptoms like mood swings, bloating, and breast tenderness. Ablation does not provide contraception and you should not get pregnant after an ablation, so consider how you wish to prevent pregnancy following your procedure.

Can periods return after endometrial ablation?

There is always the slight possibility that your heavy periods may return after having endometrial ablation. An Endometrial Ablation removes the lining of your womb. In some cases post-operation, patients have reported continuance of a period. However, this is rare, and they typically are lighter.

Which is better IUD or ablation?

In randomized trials comparing an IUD with endometrial ablation and hysterectomy, "the procedure that always wins is IUD insertion," Ghomi said. "It's reversible, it can be removed without difficulty," he said.

Can uterine lining grow back after ablation?

Can the uterine lining grow back following an endometrial ablation? Yes. It's possible that the endometrial lining will grow back after an endometrial ablation. However, it usually takes a long time.

What can go wrong with endometrial ablation?

Complications of endometrial ablation are rare and can include: Pain, bleeding or infection. Heat or cold damage to nearby organs. A puncture injury of the uterine wall from surgical instruments.

Do you still have menstrual cramps after ablation?

You may have strong cramping, nausea, vomiting, or the need to urinate often for the first few days after the procedure. Cramping may continue for a longer time. Do not to douche, use tampons, or have sex for 2 to 3 days after an endometrial ablation, or as advised by your health care provider.

What happens if endometrial ablation doesn't work?

The results of endometrial ablation don't always last. After a few years, your periods may start to get heavier and longer again. If so, let your doctor know. You may need a different treatment.

Is an ablation a serious surgery?

This is major surgery. You'll spend a day or two in intensive care, and you may be in the hospital for up to a week. At first, you'll feel very tired and have some chest pain. You can probably go back to work in about 3 months, but it may take 6 months to get back to normal.

Is endometrial ablation major surgery?

Endometrial ablation is a treatment for menorrhagia (abnormally heavy menstrual bleeding). Endometrial ablation is a common but major surgery with significant risks and potential complications. You may have less invasive treatment options.

What is your first period like after a uterine ablation?

Most patients have a pinkish and watery discharge for up to a month or so. In rare cases, the first period after the ablation is heavy, but this will begin to improve thereafter. You should seek medical help if you develop a fever, pelvic pain not relieved by ibuprofen, vomiting, or a greenish discharge.

What age can you get endometrial ablation?

Endometrial ablation, rapidly becoming a standard operation for the management of abnormal uterine bleeding, is usually performed for patients between ages 35 and 45.

Do they put you to sleep for endometrial ablation?

There are 3 options for anesthesia during ablation, and your doctor will help you decide which one is right for you: General anesthesia —blocks pain and keeps you asleep through the procedure. Regional anesthesia —blocks pain in the area, but you stay awake through the procedure; given as an injection.

Is an endometrial ablation painful?

Depending on the type of endometrial ablation, your provider may numb your pelvic area and give you sedatives so that you don't feel any pain or discomfort during the procedure.

Can endometrial ablation cause mood swings?

A neuroactive peptide emitted by the degenerating endometrium causes changes to the vasculature of the Limbic System, which affects mood. Mood swings are nearly always perceived as being negative and burdensome, and they stop after Advanced Endometrial Ablation at The Ashford Center.

Does ablation bring on menopause?

Can endometrial ablation cause early menopause? No, endometrial ablation affects only the endometrial lining preventing it to bleed. Your ovaries continue to function normally so your hormonal status is not changing and you won't go into menopause early due to that.

Does endometrial ablation stop bloating?

Advanced Endometrial Ablation at The Ashford Center stops premenstrual bloating by gently removing the lining of the uterus, which means no more periods or bloating!

Do I need progesterone after endometrial ablation?

Taking HRT after endometrial ablation

As you still have your uterus (even if you've had an ablation and no longer have periods), you will also need to take a progesterone or progestogen, alongside the estrogen. This is known as 'combined HRT.

Can you still get fibroids after an ablation?

Considerations. Radiofrequency ablation reduces the size of fibroids but does not eliminate them. Fibroids can regrow, and new fibroids can develop after the procedure. As a minimally invasive surgery, however, the complications and recovery time are minimal.

Is a D&C the same as endometrial ablation?

An Endometrial Ablation is the 21st century evolution of the D&C (Dilation and Curettage) D&C is one of the most common surgical procedures performed. It is usually done to stop abnormal heavy uterine bleeding in women in their 40's.