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Endometrial Ablation

An endometrial ablation occurs when a doctor medically removes or destroys a woman's endometrial lining of the uterus. Generally, the procedure is used for those who suffer from excessive bleeding during a period as an alternative to a hysterectomy. In most cases, this procedure is performed on an outpatient basis. To learn more about an endometrial ablation, take a look below at the questions that have been answered by the Experts.

What is a failed endometrial ablation?

Case details: Increased bleeding, fluid in the uterus accompanied by sharp pain.

An endometrial ablation is a medical procedure used to correct excessive bleeding that occurs during a woman's period. If the bleeding has increased, it is possible that the procedure has failed. Generally, a doctor may schedule an ultrasound to determine if there is an excess of fluid buildup in the uterus. This fluid is typically blood that is unable to flow out of the uterus caused by scar tissue from the ablation blocking the lower area of the uterus or the top part of the woman's cervix. While the fluid can be drained, it is very possible for it to just come back. Progesterone is sometimes given when this happens to regulate the bleeding so that it recurs on a monthly basis.

Many women prefer to have a D&C performed in order to remove any scar tissue and drain fluids that may be trapped in the uterus. Another option is using Mirena IUD to slow the bleeding which may help the periods to stop completely. A last resort could be to have a hysterectomy which should cause the bleeding to cease completely. However, many doctors usually prefer to explore other options before resorting to a hysterectomy.

Is it safe to have an essure and an endometrial ablation at the same time?

Generally, the two procedures are not performed at the same time. This is because metal coils are inserted into the tube during the essure which then hang inside the uterus. When heat is used to perform the ablation, it could very easily heat the coils which, in turn, can create tissue damage as well as burn the tubes. Many doctors prefer to perform the ablation prior to the essure even though this could make for a more difficult procedure. In certain cases, a blue dye is injected into the tubes at the time of the ablation. This makes the tubes easier to locate to do the essure.

Is it possible to get pregnant after having an endometrial ablation?

It is possible to conceive after this procedure since female reproductive organs are still present in the body. This is the reason why many doctors who perform the surgery also tie a woman’s tubes at this time. However, while it is possible for a woman to become pregnant after an ablation, it is extremely hazardous as well. If a woman thinks there is a possibility of a pregnancy, she would need to consult with her OB/GYN to ensure that the pregnancy has occurred in the right location. There are also several dangerous risks involved for a woman who chooses to continue with a pregnancy after an ablation. Preeclampsia, issues with removing the placenta after delivery and postpartum hemorrhage along with an emergency hysterectomy are some of these risks.

Is it possible for stress to cause a period after an endometrial ablation?

Generally , an endometrial ablation is never 100% successful in removing all of the lining of the uterus. Some of the tissue can still remain after the procedure. For this reason, there typically isn't much cause for alarm if a woman bleeds afterwards. However, it is important that the woman continues with routine pap smears to detect possible issues that could develop. Many times an ultrasound can determine the cause of post endometrial ablation bleeding as well. In some cases, women who continue to have periods following this procedure will have to have another procedure to correct the bleeding. However, before going through another ablation, a doctor may also want to perform an endometrial biopsy to rule out the possibility of having a tumor.

Many women have an endometrial ablation performed to prevent excessive bleeding. In certain cases, this could have a few side effects that need to be treated. If you have any questions or concerns regarding an endometrial ablation, ask an Expert now for medical information and suggestions for proper treatment based on your case history.
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