Hysteroscopy with Endometrial Ablation
A hysteroscopy is a procedure in which the physician places a camera or Hysteroscope into your uterus and is able to visualize anatomical problems. After the uterus has been deemed normal an endometrial ablation device (either Novasure or microwave ablation) is then placed into the endometrial cavity. A burning procedure is then preformed in order to kill the lining of your uterus. These techniques are used to help stop your menstral cycles all together or make them much lighter.
Recovery after an endometrial ablation is usually painless. Some people have a small degree of cramping, which can be relieved with ibuprofen or pain medications. You may notice a slight vaginal discharge with tissue in it for 1-2 weeks afterward .
If you have any severe pain or fever or malodorous discharge, call immediately.
Risks
Risks includes but are not limited to the following:
- Infection
- Bleeding
- Transfusion (with risk of HIV and hepatitis.)
- Uterine perforation with possibility of laparoscopy or open incision
- Damage to bowel, bladder, ureters and major blood vessels
- Open incision with hospital stay
- Hysterectomy if needed to control life threatening bleeding
- Prolonged use of foley catheters
- Possible colostomy if bowel injury occurs
- Wound breakdown with prolonged wound packing
- Anesthesia risk
- Death
An endometrial ablation does have a failure rate especially if you have a large fibroid uterus, but is a good first option technique for people who are at high risk for complications from an hysterectomy. You are at risk for continuing to have regular menstrual cycles!
This procedure is not for someone who will desire future pregnancies. It will throw you into an IRREVERSIBLE infertility state.