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Endometrial Abalation

Endometrial ablation is a procedure that uses a lighted viewing instrument (hysteroscope) and other instruments to destroy (ablate) the uterine lining, or endometrium. Endometrial ablation can be done by:
  • Laser beam (laser thermal ablation).
  • Heat (thermal ablation), using: Radiofrequency. A balloon filled with saline solution that has been heated to 85°C (185°F) (thermal balloon ablation).
  • Electricity, using a resectoscope with a loop or rolling ball electrode.
Outcome

The endometrium heals by scarring, which usually reduces or prevents uterine bleeding.

What To Expect After Surgery

Endometrial ablation is usually done in an outpatient facility or hospital. The procedure may be done using spinal anesthesia, although general anesthesia is sometimes used.

Recovery requires from a few days to 2 weeks.

Why It Is Done

Endometrial ablation is used to control heavy, prolonged menstrual bleeding when:
  • Bleeding has not responded to other treatments.
  • Child-bearing is completed.
  • You prefer not to have a hysterectomy to control bleeding.
  • Other medical problems prevent a hysterectomy.


How Well It Works

Approximately 90% of women will have reduced menstrual flow following endometrial ablation, but only 40% to 50% will stop having periods. Hysterectomy or repeat ablation is required in approximately 22% of women following endometrial ablation.

Younger women are less likely than older women to respond to endometrial ablation. After an endometrial ablation, younger women are more likely to continue to have periods and need a repeat procedure.

Young women may be treated with either gonadotropin-releasing hormone analogues (GnRH-As) or danazol for 1 to 3 months before the procedure. This will decrease their production of estrogen and help thin the lining of the uterus (endometrium). GnRH-As is more effective than danazol for this purpose.

Risks

Complications of endometrial ablation are uncommon but can be quite severe. They can include:
  • Accidental puncture (perforation) of the uterus.
  • Burns (thermal injury) to the uterus or the surface of the bowel.
  • Buildup of fluid in the lungs (pulmonary edema).
  • Sudden blockage of arterial blood flow within the lung (pulmonary embolism).
  • Tearing of the opening of the uterus (cervical laceration).

What To Think About

Endometrial ablation is not recommended if you have a high risk for endometrial cancer. Regrowth of the endometrium may occur.

Do not consider this procedure if you plan to become pregnant in the future.

Although this surgery usually causes sterility by destroying the lining of the uterus, pregnancy may still be possible if a small part of the endometrium is left in place. Birth control of some form is required if you have not completed menopause and do not wish to become pregnant.

Natural Alternatives to Dysfunctional Uterine Bleeding

Bioidentical progesterone cream (Progensa 20)

Bioidentical progesterone cream increases progesterone levels. You need adequate and sustain levels of progesterone to induce ovulation. Dysfunctional uterine bleeding is due to too little progesterone being produced by the body.

Herbal Formula (ProSoothe)

ProSoothe is an all natural herbal formula that significantly improves uterine fibroids and pelvic pain/cramps, irritability, tension, mood swings, acne, headaches, breast pain, bloating and weight gain.

Also found in this synergistic herbal formula is dandelion and vitex,(chaste tree) that helps the body remove exogenous,(external excess estrogen)from hormone therapy or contaminated food,(xenosteroids).

Milk Thistle (Silymarin)

Beyond the treatment of liver disorders, everyday care of the liver lays a cornerstone for total body health. Naturopaths and others who look beneath the symptoms of an illness to its underlying cause, often discover that the liver has had a role to play. This is true across a vast range of different ailments from headaches to PMS.

More Information-Dysfunctional Bleeding

Dysfunctional Uterine Bleeding-F.A.Q.

Dysfunctional Uterine Bleeding

Recommended Herbs

Dysfunctional Uterine Bleeding-Condition Treatments

Links

Understanding Women, PC

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