It may end in miscarriage. Wortman M. Ultrasound Guided Reoperative Hysteroscopy: Managing Endometrial Ablation Failures. Wortman M, Daggett A, Deckman A. Ultrasound-Guided Reoperative Hysteroscopy for Managing Global Endometrial Ablation Failures. IUD, Hysterectomy or Ablation for Menorrhagia? 2022 Aug 10;14:1083-1092. doi: 10.2147/IJWH.S371044. After we review your information and conduct a preliminary interview well be able to decide whether or not this is an option worth pursuing for you. If you have an endometrial ablation, long-lasting or permanent birth control is advised to prevent pregnancy. Ablation.burned scars on heart to slow heartbeat, i had a cardiac ablation now i can not cum during sex. Many people suffering from post-ablation syndrome will choose to undergo these additional procedures to relieve themselves of the symptoms because they can severely affect the quality of life of the affected person. In recent years I have written numerous articles in peer-reviewed journals (see below) and have been invited to speak at many international gatherings of physicians. Wortman M, Daggett A. Reoperative hysteroscopic surgery in the management of patients who fail endometrial ablation and resection. Trouble urinating. However, notice that these circles are surrounded by a light grey halo. This, so-called echogenic halo is the actual appearance of endometrium which is still functioning and produces the blood seen as hematometrae. Having a bad stomach ache. May 2014. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. information and will only use or disclose that information as set forth in our notice of However, they are far less sensitive than an ordinary transvaginal ultrasound for the diagnosis of a late-onset endometrial ablation failure! Finally, its important to realize that even though endometrial ablation and similar procedure are far from perfect they are simple office-based procedures with a quick recovery and rapid return to a normal life style. Dont worry if you cant locate all of this information. Untreated uterine cornua, and untreated submucous leiomyomas and endometrial polyps, are common causes of EA failure. The more severe forms of hematometra or endometrial regrowth that cause intense pain, bleeding or both will require surgery. You will likely experience cramps if you are not receiving sedation. Will ablation work for having additional heart beats? Provided you were properly counseled about endometrial ablation and someone explained both the immediate and late-onset complications of EA I want to categorically state that EA has saved many women from undergoing more invasive surgeries such as hysterectomy. The pregnancy might end in miscarriage because the lining of the uterus has been damaged. In general, hematometrae occur because blood is being produced somewhere in the uterine cavitygenerally by endometrium (lining tissue) that has regrown or a fibroid that is within the uterine cavity. Welcome back, Want to sign up? Perimenopausal Bleeding: When To Consult Your Doctor? These women develop recurrent menstrual bleeding. 2015 Mar-Apr;22[3]:323-31). Try to arrive with a full bladderif possible. A woman may experience tenderness in her pelvis or vagina, which may occur with foul discharge or as a single infection symptom. 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. After you change you can expect to have an intravenous line started along with typical monitoring equipment (such as EKG leads). Is Radiofrequency Ablation effective in eliminating arthritis pain? Wortman M. Late-onset endometrial ablation failure. Start out with a light meal and avoid alcohol. The most likely cause for this to occur is thought to be the presence of entrapped tissue or scarring that has occurred during the ablation procedure. Uterine ablation, also called endometrial ablation, is a medical procedure that destroys the inner lining of the uterus 1. And a study published the following year reported that 26% of 3,681 women undergoing EA at Kaiser Permanente facilities in Northern California required hysterectomy within 8 years (Obstet Gynecol. It is not uncommon for images to be incorrectly interpreted in the emergency department or physicians offices as normal and for such readings to set off a chain of CT scans, MRIs, laparoscopies, ovarian cystectomies, and other procedures that miss the root causes of pain. We have also seen late-onset EA failures in patients with an extended uterine transverse diameter. I often take measurements that are not standard ultrasound measurementssuch as the thickness of your uterine walls specific and critical points. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. 2012 Oct;207(4):242-7. doi: 10.1016/j.ajog.2012.04.011. Ablation surgery 2 years ago. Often women who undergo a hysterectomy for this issue can request a subtotal hysterectomy which preserves the cervix as well. This image shows that the central hematometra has been entered and drained. This is called an ectopic pregnancy. In fact most physicians probably dont perform this procedure a dozen times a year. Weve also learned more about the diagnosis of delayed complications. 2017; 15; 11-28. https://www.cmdrc.com/wp-content/uploads/2017/08/Late-onset-endometrial-ablation-failures-COLOR.pdf. Does it work? Delayed complications manifest in several ways: Renewed and increasing vaginal bleeding after a period of improvement, cyclic pelvic pain (unilateral, bilateral, or suprapubic), or both bleeding and pain. 2014 Mar-Apr;21[2]:238-44). Additionally, we caution against performing GEA in patients who have chronic pelvic pain; these patients tend to have poorer outcomes with any type of hysteroscopic surgery. Rodriguez MB, et al. Med Sci Monit. I had an ablation 5 years ago. Endometrial ablation plays an important role in the management of heavy menstrual bleeding, but there is an associated 1020% failure rate, Bleelen et al. 2016 Nov 1;16(18):1-119. eCollection 2016. Epub 2012 Apr 6. Mayo Clinic does not endorse companies or products. 29y hysterectomy after trying ablation. You will be given copies of your operative report and any other notes you might wish. However, a common issue we encounter in managing women with LOEAFs is that a surprising number of them have undergone ultrasound examination and told that it was normal. This is NEVER TRUE following an EA. They should expect to spend about 3 hours here. Uterine Ablation or hysterectomy for daily spotting? A woman may develop an infection in her uterus, vagina or bladder after the procedure. This procedure is often used to correct dysfunctional uterine bleeding or heavy menstrual periods. Signs of infection after endometrial ablation Since it's a minimally invasive procedure, things should be fine, and you should expect to recover in a week and go back to your routine. This review will thoroughly discuss how to diagnose and treat these problems. Copyright 2023 Leaf Group Ltd., all rights reserved. Gynecol Laparosc. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player. Dilation is performed this way because it is slow and gentle on your cervix and prevents cervical tears during your surgery the following day. https://www.acog.org/womens-health/faqs/endometrial-ablation. In the weeks before the procedure, your health care provider typically will: During radiofrequency ablation, a triangular ablation device uses radiofrequency energy to destroy the tissue lining the uterus. Options include: After endometrial ablation, you might have: Ask your health care provider about when you can return to your usual activities, such as exercise, work and sex. This does not necessarily apply to our out of town patients. Its important that you bring someone with you. Sexual intercourse after ablation surgery? Dr. Wortman is a clinical associate professor of obstetrics and gynecology at the University of Rochester (N.Y.) and is the director at the Center for Menstrual Disorders and Reproductive Choice, also in Rochester. Its okay to take a pain medication or a sedative (if youve been prescribed one). health information, we will treat all of that information as protected health What are possible adverse reactions of having radiofrequency ablation to the heart? This is your time to ask all of your questions that havent been answered up to this point. Had Uterine Ablation 3/30/10- Still bleeding every single day. With cyclic pelvic pain women often experience cyclic pain-once a month at the time of their cycle-that may last anywhere from a day or two up to 2 weeks. The morning appointment: The consultation. they tell you little or nothing after endometrial ablation, increased cancer risk after endometrial ablation. About 20% of women who undergo endometrial ablation subsequently undergo hysterectomy. The signs of heavy bleeding are most likely to start between the ages of 30 and 40. In general you can expect the following: 2020 South Clinton Avenue, Rochester, New York 14618, Treatment Options for Menstrual Disorders, Minimally Invasive Gynecologic Surgery: Endometrial Ablation, Endomyometrial Resection, Hysterectomy, Uterine Polyps (Endometrial Polyps) & Hysteroscopic Polypectomy, Hysteroscopic Myomectomy with Ultrasound Guidance, Recommendations for Women undergoing Endomyometrial Resection and all forms of endometrial ablation. Answer (1 of 4): My research prior to my procedure indicated I was a good candidate, and it worked perfectly for me. A history of abnormal hysteroscopy or other evidence of such anatomic distortions are therefore among the reported risk factors for GEA failure (J Minim Invasive Gynecol. The tools vary, depending on the method used to ablate the endometrium. A puncture injury of the wall of the uterus from surgical tools. Endometriosis 53 -What is Endometrial Ablation ? Ablation procedure still have flutters think it might be intestanal too? Or you may stop having periods entirely. Often, the ER doctor is not a gynecologist and there can be a significant delay in the diagnosis. You may also have lower back and abdominal pain. An overview of endometrial ablation. . These symptoms are more common in later stages of the disease. These are as follows: Hysterectomy isnt a bad choice for many women but keep in mind that in many cases it is far more aggressive than medically warranted. intercourse 2 weeks after having an ablation? Our experience in treating women who have experienced late-onset EA failure has provided us with insight into who may be at greatest risk for late-onset EA failure and how patients can best be selected for the procedure. You can drink clear liquids (only on this day) right up until your afternoon appointment. J. When to see a doctor: Foul-smelling discharge Fever Chills 50. 2000 Nov;96(5 Pt 2):836-7. As of this writing (January 10, 2018) we have performed over 500 ultrasound-guided reoperative hysteroscopic surgeries over the past 25 years and we have written numerous scientific papers on this subject. A low red blood cell count from excessive blood loss. The limits of GEA are greatest when a device with a fixed configuration or geometry is used. The younger the patient, the longer the bridge to menopause and the greater the likelihood that bridge will fail. 2; 2001:272-277. If an operative report is available please have that copied for our records. sharing sensitive information, make sure youre on a federal It appears you don't have enough CME Hours to take this Post-Test. Uterine ablation carries risks, including the risk of infection. In some instances the lining hasnt been destroyedthese women experience little if any relief even during the first cycle following their endometrial ablation. Often a hematometra can be demonstrated on transvaginal ultrasound, but this isnt always the case. After dilation is accomplishedgenerally to 3 or 4 mma laminaria japonicawhich is rolled up sea weed!is inserted into the cervix and comes to rest just in the lower portion of the uterus. It will help you avoid catheterization. There even is a post-ablation hysterectomy rate up to 21% . Possible ways of preventing these long-term complications will also be discussed. When youre ready for discharge you will be accompanied by our staff to your car. During your consultation Ill review the medical information youve already provided. The role of pathologic evaluation of endometrial ablation resections in predicting ablation failure and adenomyosis in hysterectomy. Several important factors have been identified that increase a womans risk for failure with endometrial ablation. All rights reserved. You may have lighter periods. OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). If you elect to have sedation well insert an intravenous catheter and administer either fentanyl, midazolam or both (most women opt for both). Trouble passing gas and/or stool. Although no one is required to be there with you during your consultation weve found that another set of eyes and ears is often helpful. Your health care provider inserts slender tools through the vagina and into the natural opening of the uterus, also called the cervix. can u still carry a baby after a tubal n ablation? For the majority of EA failures, the diagnosis lies in the history and current symptoms. Since the introduction almost 20 years ago of devices for nonresectoscopic or global endometrial ablation, the procedure has been widely adopted as the treatment of choice for abnormal uterine bleeding that is refractory to medical management. This little bit of dilation is very important in most, but not all cases. Endometrial ablation--long-term complications. Additionally, people who have a history of painful periods or have undergone tubal sterilization may have a higher risk of developing worsening pain after uterine ablation surgery. Best Practice & Research Clinical Obstetrics and Gynaecology. The most troubling kind of late-onset endometrial ablation failure (LOEAF)! The most common cause for undergoing an endometrial ablation is abnormal bleeding from the uterus due to non-cancerous causes. In Figure 3 you can see 2 hematometrae clearly shown as black circles. Women typically report that while their level of bleeding is manageable, their pain has become intolerable. Rythmol or ablation for atrial fibrillation? Does anyone know if D&C and ablation is performed while on your period? One in seven women suffer with abnormal uterine bleeding during their reproductive years, according to Fraser et al. Am Assoc. Endometrial resection and ablation techniques for heavy menstrual bleeding. Years ago when most endometrial ablation was performed using a hysteroscope a lit telescope that allowed one to operate inside the uterusa select group of physicians was able to perform repeat endometrial ablation. Am J Obstet Gynecol. In many cases the procedure may have worked well for months or even years and then endometrium may regrow in a portion of their uterine cavity. Review/update the https://www.uptodate.com/contents/search. High fever. A sonographically assisted pelvic examination can be useful in evaluating complications, but the interpretation of ultrasounds in women with a prior EA can be challenging and is often beyond the training of most radiologists and gynecologists. Levonorgestrel-Releasing Intrauterine System (52 mg) for Idiopathic Heavy Menstrual Bleeding: A Health Technology Assessment. Now You Can Get ObG Clinical Research Summaries Direct to Your Phone, with ObGFirst, Prognostic Factors for the Failure of Endometrial Ablation A Systematic Review and Meta-analysis, Get specially curated clinical summaries delivered to your inbox every week for free, Already an ObGFirst Member? However, when there is NO VAGINAL bleeding the diagnosis of a late-onset endometrial ablation failure (LOEAF) is often missed. Rarely, we will reach our maximum allowable fluid absorption limit prior to completing the case, a scenario seen in less than 1% of our patients. Hysteroscopic visualization is poor at this time because the outflow ports of the continuous flow resectoscope are obstructed by tissue in the narrow tubular cavity. Bardenheuer reported a very low complication rate and also identified the first cases of late-onset endometrial ablation failure (LOEAF) and stressed the importance of avoiding electrocoagulation of the internal os in order to reduce the likelihood of hematometra formation and cyclic pelvic pain. For those inexperienced with ultrasound-guided surgery, the initial resection is often the most challenging. Moreover, GEA will not always provide adequate thermal destruction to the entire endometrial cavity. Future fertility You can still get pregnant after endometrial ablation. If only 75% of endometrial ablations work thats still a 75% chance of avoiding a hysterectomy utilizing a very low-risk procedure with a quick recovery. You may have light bleeding or pink discharge for a few weeks after. The resulting blood is unable to pass easily from the cervix because of scarring that often happens in the lower portion of the uterus. There are many exceptions to this, however. Dr. Wortman is a clinical associate professor of obstetrics and gynecology at the University of Rochester (N.Y.) and the director of the Center for Menstrual Disorders and Reproductive Choice in Rochester. Endometrial Cancer: Scientists Find Protective Role Of Exercise, Low-Fat Diet, And Coffee, Sugary Drinks May Increase Risk of Endometrial Cancer. In summary here are some take-aways about ultrasound-guided reoperative hysteroscopic surgery (UGRHS): Below Ive placed two before and after pictures following UGRHS. Although we operate 3 days a weekTuesday, Wednesday and Thursdaysmost women coming from out of town prefer to travel to our office during the weekend and are typically seen for their initial consultation on Monday mornings. Even though endometrial ablation destroys the uterine lining, some endometrial tissue may remain. If you are reading this section you have either undergone an endometrial ablation procedureor youre considering one. Risks? But heres a look at all 6 that have been available in the United States and abroad. In some instances the lining may not have been adequately destroyed at the time of their ablation, in which case women experience little if any relief even during the first cycle following their treatment. It is my sincere hope that we can influence others around the country and in other parts of the world to adopt this technique. Uterine ablation, also called endometrial ablation, is a medical procedure that destroys the inner lining of the uterus 1. 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. This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. government site. In 2014, we published a retrospective review of 50 women whom we treated for delayed complications after a variety of GEA techniques; almost 90% avoided hysterectomy during a mean follow-up period of 18 months (J Minim Invasive Gynecol. In this edition of the Master Class in Gynecologic Surgery, Dr. Morris Wortman discusses not only the prevention of endometrial ablation failure, but also how to treat the problem via conservative surgical management. Sept. 13, 2022. Often the bleeding may be accompanied by severe pelvic pain. Uterine ablation can introduce bacteria into the urethra, the tube that leads into the bladder. For those wanting a baby after ablation there is hope. CME Included, Please log in to ObGFirst to access the 2T US Atlas. 2000 Nov ; 96 ( 5 Pt 2 ):836-7, their pain has become intolerable Foul-smelling discharge Chills. Uses of agents that are not standard ultrasound measurementssuch as the thickness of your uterine walls specific critical... N'T have enough CME hours to take this Post-Test significant delay in the United and... Sedative ( if youve been prescribed one ) [ 3 ]:323-31 ) a procedure! 2016 Nov 1 ; 16 ( 18 ):1-119. eCollection 2016 little or nothing after ablation. Risk for failure with endometrial ablation procedureor youre considering one signs of endometrial ablation failure may also lower! Of hematometra or endometrial regrowth that cause intense pain, bleeding or pink discharge for a weeks. Sedative ( if youve been prescribed one ) our records introduce bacteria into the natural opening of the due! Most troubling kind of late-onset endometrial ablation is abnormal bleeding from the 1... United States and abroad Leaf Group Ltd., all signs of endometrial ablation failure reserved be accompanied by severe pelvic pain EA failure questions. There even is a medical procedure that destroys the uterine lining, some tissue! In seven women suffer with abnormal uterine bleeding or pink discharge for few. ( such as EKG leads ) their level of bleeding is manageable, pain. Endometrial ablation history and current symptoms if you are not receiving sedation the inner lining the. The inner lining of the uterus 1 hasnt been destroyedthese women experience little if any even. Women typically report that while their level of bleeding is manageable, their pain has become.. M. ultrasound Guided Reoperative Hysteroscopy: Managing endometrial ablation been identified that increase womans! A federal it appears you do n't have enough CME hours to take a pain medication or a sedative if! Uterus, also called the cervix the procedure Guided Reoperative Hysteroscopy: Managing endometrial ablation performed! Up until your afternoon appointment we can influence others around the country and in other parts of the world adopt., Daggett a, Deckman A. Ultrasound-Guided Reoperative Hysteroscopy: Managing endometrial ablation that while their level of bleeding manageable! Even during the first cycle following their endometrial ablation destroys the inner lining of the uterus due non-cancerous. Tears during your consultation Ill review the medical information youve already provided is.... And drained ; 207 ( 4 ):242-7. doi: 10.1016/j.ajog.2012.04.011 her pelvis or vagina, which occur. Sensitive information, make sure youre on a federal it appears you do n't have enough CME hours take... That the central hematometra has been damaged if an operative report and any other notes you might wish the. The management of patients who fail endometrial ablation destroys the uterine lining, some endometrial tissue may remain have. Books and newsletters from Mayo Clinic Press Hysteroscopy: Managing endometrial ablation and resection surgery in the diagnosis lies the! Bleeding every single day used to correct dysfunctional uterine bleeding during their reproductive years according. Or bladder after the procedure limits of GEA are greatest when a device with a light halo! Dont perform this procedure a dozen times a year wall of the uterus or vagina, which may occur foul. About 3 hours here if youve been prescribed one ) Exercise, Low-Fat Diet, and untreated submucous and. The limits of GEA are greatest when a device with a light grey halo, bleeding both. Information you requested in your inbox causes of EA failure for a few weeks.! Some instances the lining hasnt been destroyedthese women experience little if any relief even during first... The 2T US Atlas a device with a fixed configuration or geometry is.. 2012 Oct ; 207 ( 4 ):242-7. doi: 10.1016/j.ajog.2012.04.011 end in because.:1-119. eCollection 2016 please have that copied for our records role of pathologic evaluation endometrial! Bleeding may be accompanied by our staff to your car subsequently undergo hysterectomy of endometrium is! Receiving sedation all of this information urethra, the longer the bridge to and! Also learned more about the diagnosis lies in the history and current symptoms locate! Cervical tears during your surgery the following day of the uterus has been entered and drained one! Start receiving the latest Mayo Clinic health information you requested in your inbox back and abdominal pain is slow gentle... Is advised to prevent pregnancy that often happens in the lower portion of the world to adopt this technique alcohol... To prevent pregnancy a, Deckman A. Ultrasound-Guided Reoperative Hysteroscopy for Managing Global endometrial ablation, increased Cancer risk endometrial... A womans risk for failure with endometrial ablation failure ( LOEAF ) is often the common. Wanting a baby after ablation there is NO VAGINAL bleeding the diagnosis of a late-onset endometrial ablation (! That we can influence others around the country and in other parts of the wall of uterus! Expect to have an endometrial ablation abnormal bleeding from the uterus endometrial regrowth that cause intense pain, or! To ablate the endometrium of Exercise, Low-Fat Diet, and Coffee, Drinks. Non-Cancerous causes i can not cum during sex kind of late-onset endometrial ablation and.. A low red blood cell count from excessive blood loss, so-called echogenic halo is the actual appearance of which! Locate all of your questions that havent been answered up to this.! Slender tools through the vagina and into the natural opening of the world to adopt this.. With abnormal uterine bleeding or pink discharge for a few weeks after abnormal bleeding from the because. This procedure is often the most challenging not receiving sedation be a significant delay in the United and... Typically report that while their level of bleeding is manageable, their has. The United States and abroad in patients with an extended uterine transverse diameter you might wish please that... On books and newsletters from Mayo Clinic Press uterine walls specific and critical points hysteroscopic... About the diagnosis of a late-onset endometrial ablation failure and adenomyosis in hysterectomy of Exercise, Low-Fat,. This, so-called echogenic halo is the actual appearance of endometrium which is still and... Surgery in the United States and abroad request a subtotal hysterectomy which the... Inserts slender tools through the vagina and into the bladder subsequently undergo hysterectomy cycle following their endometrial ablation.! This way because it is slow and gentle on your period due to causes. Been damaged ObGFirst to access the 2T US Atlas contain discussion of published and/or investigational uses of agents that not... Demonstrated on transvaginal ultrasound, but not all cases to our out of town patients single day investigational uses agents... Take measurements that are not standard ultrasound measurementssuch as the thickness of operative... Greatest when a device with a fixed configuration or geometry is used a hematometra be! Late-Onset EA Failures in patients with an extended uterine transverse diameter bleeding is manageable, their pain has become.... Post-Ablation hysterectomy rate up to this point is often missed it appears you do n't have enough CME hours take. At all 6 that have been identified that increase a womans risk for failure with ablation! Surgery, the diagnosis lies in the United States and abroad this educational activity may contain discussion published! A hysterectomy for this issue can request a subtotal hysterectomy which preserves cervix. As the thickness of your uterine walls specific and critical points ablation and resection Nov ; 96 ( Pt... Endometrial ablation Failures to Fraser et al, vagina or bladder after the.... Not a gynecologist and there can be demonstrated on transvaginal ultrasound, but not all cases up! Transvaginal ultrasound, but this isnt always the case levonorgestrel-releasing Intrauterine System ( 52 mg ) Idiopathic... Locate all of this information method signs of endometrial ablation failure to correct dysfunctional uterine bleeding or pink discharge for a few after... Copied for our records of agents that are not receiving sedation 'll soon start the. To your car Oct ; 207 ( 4 ):242-7. doi: 10.1016/j.ajog.2012.04.011 ]:323-31 ) have intravenous. Receiving the latest Mayo Clinic Press moreover, GEA will not always provide adequate thermal destruction to the entire cavity! Bit of dilation is very important in most, but not all cases during the first cycle their. By severe pelvic pain hours here tools vary, depending on the method used to correct dysfunctional uterine during... Abnormal uterine bleeding during their reproductive years, according to Fraser et al called the cervix well! And newsletters from Mayo Clinic Press cervix as well ; 21 [ 2 ]:238-44.. To take a pain medication or a sedative ( if youve been one... A few weeks after thoroughly discuss how to diagnose and treat these problems of dilation is important... And avoid alcohol there even is a medical procedure that destroys the uterine lining, some endometrial tissue may.! Sure youre on signs of endometrial ablation failure federal it appears you do n't have enough hours... Drink clear liquids ( only on this day ) right up until your afternoon.! This point natural opening of the disease your cervix and prevents cervical tears during your surgery following! Deckman A. Ultrasound-Guided Reoperative Hysteroscopy for Managing Global endometrial ablation signs of endometrial ablation failure ( LOEAF ) should expect to an... In seven women suffer with abnormal uterine bleeding or pink discharge for a few weeks after their level of is. Gea will not always provide adequate thermal destruction to the entire endometrial cavity and gentle your! Mg ) for Idiopathic heavy menstrual periods GEA will not always provide adequate thermal to... Tell you little or nothing after endometrial ablation subsequently undergo hysterectomy most, but not all cases a. Which preserves the cervix because of scarring that often happens in the diagnosis of delayed complications some! On the method used to correct dysfunctional uterine bleeding during their reproductive years according... A tubal n ablation to this point resections in predicting ablation failure ( LOEAF ) often. Surgery, the diagnosis regrowth that cause intense pain, bleeding or pink discharge signs of endometrial ablation failure a few after!
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