Endometrial Ablation

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Endometrial Ablation is an patient surgical policy that removes or destroys the lining of the uterus. This policy has become a less invasive alternative to hysterectomy for the treatment of immoderate menstrual bleeding. There are numerous methods ready to achieve endometrial ablation, such as burning away the lining with hot liquid or electrical current, or frozen the lining, or even using microwaves to destroy the lining of the uterus.

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The formula used is dependent upon the preference of the gynecologist performing the procedure, as well as the definite anatomy of the patient's uterus. However, regardless of the formula used, the results are very similar: 52% of women who are treated with this policy will never bleed again. Furthermore, 92% of women treated will report an correction in their menstrual bleeding patterns at three years post procedure. Of policy this still leaves almost 8% of women who will not rejoinder to this surgical treatment and may end up with a hysterectomy to treat her immoderate menstrual bleeding. This policy offers many advantages over hysterectomy. The main advantage is that it is minimally invasive and ordinarily will rarely want patient hospitalization; the majority of patients who undergo this policy are discharged within about an hour of the policy and although there might be some requisite uterine cramping, most have almost completely recovered by 48 hours after the procedure.

Alternatively, hysterectomy can want almost 4 days of patient hospitalization with up to a six week recovery. Most women are able to return to most normal activities in a day or two. Intercourse and very strenuous action is ordinarily restricted for 2 weeks. It is normal to have an increased discharge for 2 to 4 weeks afterward, as the lining is shedding. Both endometrial ablation and hysterectomy do carry the possible risks of anesthesia complications, bleeding, infection, and/or risk of injury to bowel, bladder, and other pelvic However, because an ablation is only a 10 little patient procedure, the risks stated above are significantly reduced compared to the much more lengthy and invasive hysterectomy.

Since an ablation destroys the lining of the uterus, endometrial ablation is not for anything who desires to keep her fertility. Women who have a malignancy or pre-malignant condition of the uterus are not candidates for ablation. Women who have severe pelvic pain may be better served by alternative treatments. Although reproduction is unlikely after ablation, serious complications could arise. Therefore, it is requisite to use reliable contraception after an endometrial ablation. Some women will elect to undergo a tubal ligation at the time of the policy and some of the types of endometrial ablations will allow these procedures to be performed at the same time.

Any woman who is having heavy menstrual bleeding that has impacted her capability of life should think endometrial ablation as a possible treatment. It is leading to find a gynecologist who has contact in diagnosing causes of heavy, irregular menstrual bleeding, and contact in performing endometrial ablations and can settle if the patient is an accepted candidate for this procedure. For many women, this minimally invasive policy will allow them to avoid a hysterectomy while providing a requisite correction in their capability of life.

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