When Is Endometrial Ablation A Good Choice?
Endometrial ablation is unlikely to be your doctor’s first suggestion if you’re suffering from heavy and extended vaginal bleeding. The procedure is usually an option for women who haven’t had luck with other treatments, are finished having babies, do not wish to have a hysterectomy, or cannot have a hysterectomy for medical reasons.
The procedure is also more appropriate for older women. Younger woman are less likely to respond as expected, and may continue to have periods and possibly require a repeat of the procedure. Studies have found that younger women wishing to undergo endometrial ablation who are treated with gonadotropin-releasing hormone analogues in the 1-3 months prior to the procedure tend to have higher success rates long term. These hormones help decrease the production of oestrogen, and therefore, thinning the lining of the uterus.
Associated Risks
Of course, there are some risks associated with endometrial ablation. If you’re considering the procedure, your doctor will talk these through with you as well, so we’re just going to mention them here so you’re informed.
Potential risks include:
- Accidental perforation (puncture) of the uterus
- Burns, a.k.a. thermal injury, to the uterus or surface of the bowel,\
- Build up of fluid in the lungs (pulmonary edema)
- Sudden block of arterial bloodflow in the lung (pulmonary embolism)
- Tearing of the opening of the uterus, or cervical laceration
It’s important to remember that, while these problems are pretty uncommon, there’s always a chance they will occur. You should be entirely informed before undergoing the procedure about what is in store for you.
Also Remember
Just because you’ve had an endometrial ablation doesn’t mean you’re done forever. Endometrium can regrow after the procedure, and it’s not recommended for women with a higher risk of endometrial cancer.
You should of course not consider this procedure if you plan to become pregnant in the future. While the surgery usually causes sterility by destroying the uterus’ lining, pregnancy can still be possible if a small part of the endometrium is left undamaged. This can result in severe pregnancy problems, and birth control is still recommended for women who are not yet finished with menopause.
Is this something you’d consider?
If you become concerned about any symptoms, please seek immediate medical attention we have some hotlines and suggested websites for further information and advice https://www.stayathomemum.com.au/my-kids/babies/important-hotlines-websites/
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