About Ablation, Uterus (Endometrial Ablation)
Learn about the disease, illness and/or condition Ablation, Uterus (Endometrial Ablation) including: symptoms, causes, treatments, contraindications and conditions at ClusterMed.info.
Ablation, Uterus (Endometrial Ablation)
Ablation, Uterus (Endometrial Ablation) |
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Ablation, Uterus (Endometrial Ablation) InformationEndometrial ablation facts
How is endometrial ablation performed?Prior to the procedure, a woman needs to have an endometrial sampling (biopsy) performed to exclude the presence of cancer. Imaging studies and/or direct visualization with a hysteroscope (a lighted viewing instrument that is inserted to visualize the inside of the uterus) are necessary to exclude the presence of uterine polyps or benign tumors (fibroids) beneath the lining tissues of the uterus. Polyps and fibroids are possible causes of heavy bleeding that can be simply removed without ablation of the entire endometrium. Obviously, the possibility of pregnancy must be excluded, and intrauterine contraceptive devices (IUDs) must be removed prior to endometrial ablation.Hormonal therapy may be given in the weeks prior to the procedure (particularly in younger women), in order to shrink the endometrium to an extent where ablation therapy has the greatest likelihood for success. The belief is the thinner the endometrium, the greater the chances for successful ablation.To begin the procedure, the cervical opening is dilated to allow passage of the instruments into the uterine cavity. Different procedures have been used and are all similarly effective for destroying the uterine lining tissue. These include laser beam, electricity, freezing, and heating.The choice of procedure depends upon a number of factors, including
What are the risks and complications of endometrial ablation?Complications of the procedure are not common but may include:
What is endometrial ablation?Endometrial ablation is the surgical destruction of the lining tissues of the uterus, known as the endometrium. Endometrial ablation is one type of treatment for abnormal uterine bleeding. What is the outlook after endometrial ablation?The majority of women who undergo endometrial ablation report a successful reduction in abnormal bleeding. Up to half of women will stop having periods after the procedure. Yet, studies indicate the rate of failure (defined as bleeding or pain after endometrial ablation that required hysterectomy or reablation) was 16% to 30% at 5 years. Failure was most likely to occur in women younger than 45 years and in women with 5 or more children, prior tubal ligation, and a history of painful menstrual cramps. After endometrial ablation, 11% to 36% of women had a repeat ablation or other uterine-sparing procedure. Although the procedure removes the uterine lining and typically results in infertility, it should not be considered as a birth control measure, because pregnancy can still occur in a small portion of the endometrium which remains or has regrown. In this case there may be severe problems with the pregnancy, and the procedure should never be performed if the woman may desire pregnancy in the future. Why is endometrial ablation done?Endometrial ablation is a treatment for abnormal bleeding of the uterus that is due to a benign (non-cancerous) condition. It is not a sufficient treatment when bleeding is caused by cancer of the uterus, since cancer cells may have grown into the deeper tissues of the uterus and can't often be removed by the procedure. Endometrial ablation is only performed on a nonpregnant woman who does not plan to become pregnant in the future. It should not be performed if the woman has an active infection of the genital tract. This treatment is not a first-line therapy for heavy bleeding and should only be considered only when medical and hormonal therapies have not been sufficient to control the bleeding. |
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