What Is Post Endometrial Ablation Syndrome?

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..

What are periods like after ablation?

Will endometrial ablation make my periods lighter? About 9 of 10 women have lighter periods or no period after endometrial ablation. These improvements may not last forever, though. Your periods may get heavier and longer after several years.

Is an ablation painful?

As with any medical procedure, there’s a small chance of infection or bleeding. The tools your doctor uses for your ablation could also create a hole in your uterus, cause burns, or harm nearby organs. But these problems don’t happen very often. The chances that you’ll get hurt during an endometrial ablation are low.

What percentage of uterine ablations are successful?

With proper patient selection, endometrial ablation yields an 80%-90% success rate in reducing heavy menstrual flow and is associated with a 90% patient satisfaction rate (Cochrane Database Syst Rev. 2009 Oct 7;[4]:CD001501). Over time however, the rate of failure increases.

Can periods return after endometrial ablation?

Most women will have lighter or no periods after an ablation. In some cases, your period may come back after a few years, and you may wish to explore another treatment option for your heavy bleeding if needed.

How do you know if endometrial ablation failed?

To summarize, the most troubling endometrial ablation failure is pelvic pain which is not accompanied by bleeding. The pain can be disabling and the diagnosis is often delayed or missed.

When should I call the doctor after an endometrial ablation?

After you leave the hospital, call your doctor if any of the following occurs: Heavy vaginal bleeding. Severe abdominal cramping and pelvic pain. Severe pain during sex.

What is the recovery time for endometrial ablation?

Your Recovery The scarring reduces or prevents bleeding. You may have cramps and vaginal bleeding for several days. You may also have watery vaginal discharge mixed with blood for a few days. It may take a few days to 2 weeks to recover.

Why am I still having periods after ablation?

After endometrial ablation, many women still have periods, but they are much lighter. One consequence of endometrial ablation is that scar tissue forms within the uterus after the procedure, changing the structure of the uterine cavity. … The scar tissue also can obstruct menstrual flow. In some cases, that causes pain.

Which is better ablation or hysterectomy?

Hysterectomy is effective but has more complications than endometrial ablation, which is less invasive but ultimately leads to hysterectomy in 20% of women. We compared laparoscopic supracervical hysterectomy with endometrial ablation in women seeking surgical treatment for heavy menstrual bleeding.

Can you have a second endometrial ablation?

Repeat hysteroscopic endometrial ablation is a feasible, safe, and long-term effective alternative to hysterectomy for abnormal uterine bleeding from benign causes when performed by experienced surgeons.

What are the long term side effects of endometrial ablation?

Intrauterine contracture and scarring can occur after the procedure, which may obstruct bleeding from persistent viable or regenerating endometrial glands causing central hematometra, CH, PATSS, and retrograde bleeding and potentially delay the diagnosis of endometrial cancer.

What can I expect after an endometrial ablation?

It is normal to have vaginal bleeding for a few days after the procedure. You may also have a watery-bloody discharge for several weeks. 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.

Does having an endometrial ablation affect hormones?

Ablation scars the lining impeding its ability to shed. But ovaries continue to send the hormonal signals necessary for menstruation and the uterus attempts to function normally by becoming engorged with blood. … Some data suggest that about 10% of the women who have had endometrial ablation suffer from hematometra.

How long should you be off work after an ablation?

After a catheter ablation we advise you do not drive for 1 week. However, the DVLA allow driving 2 days after the procedure. We advise you to take a minimum of 1 week off work, but it is likely that it may be up to 2 weeks before you feel strong enough to do more physical tasks.

Do you still go through menopause after endometrial ablation?

If your uterus was surgically removed through a hysterectomy, you may not know you’re going through menopause unless you experience hot flashes. This can also happen if you’ve had an endometrial ablation and your ovaries weren’t removed.

Do you still ovulate after an ablation?

Do you ovulate when you have had an ablation? This procedure does not affect your ovaries or ovulation. … Endometrial ablation is not a surgical procedure. The doctor does not make any surgical cuts but will insert very thin tools through the patient’s vagina to reach the uterus.