Quick Answer: Can I Have A Second Endometrial Ablation?

Is ablation better than hysterectomy?

Hysterectomy is effective but has more complications than endometrial ablation, which is less invasive but ultimately leads to hysterectomy in 20% of women.

We compared laparoscopic supracervical hysterectomy with endometrial ablation in women seeking surgical treatment for heavy menstrual bleeding..

What are the long term side effects of endometrial ablation?

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.

What can you not do after endometrial ablation?

Do not to douche, use tampons, or have sex for 2 to 3 days after an endometrial ablation, or as advised by your health care provider. You may also have other limits on your activity. These may include no strenuous activity or heavy lifting.

What are the chances of pregnancy after ablation?

The overall pregnancy rate after endometrial ablation has been estimated at approximately 0.7% however the rate may be significantly higher in younger ovulatory patients. There are approximately 70 cases of post ablation pregnancy in the literature so far.

Why would an endometrial ablation not work?

Another reason that endometrial ablations fail is that they may have been performed despite the presence of fibroids or large polyps—which should be removed before an ablation can be successfully performed.

Which is better endometrial ablation or hysterectomy?

Hysterectomy was more effective than endometrial ablation in resolving bleeding but was associated with more adverse effects. By 60 months after initial treatment, 34 of the 110 women originally treated with endometrial ablation underwent a reoperation.

How long does endometrial ablation surgery last?

The heat destroys the uterine lining. This procedure typically lasts from 2 to 12 minutes. Heated free-flowing fluid: Heated saline liquid is allowed to flow freely throughout your uterus for around 10 minutes, destroying the uterine tissue. This procedure is used in women with irregularly shaped uterine cavities.

What is the success rate of endometrial ablation?

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.

What are periods like after ablation?

Will endometrial ablation make my periods lighter? About 9 of 10 women have lighter periods or no period after endometrial ablation. These improvements may not last forever, though. Your periods may get heavier and longer after several years.

How do you know if endometrial ablation failed?

To summarize, the most troubling endometrial ablation failure is pelvic pain which is not accompanied by bleeding. The pain can be disabling and the diagnosis is often delayed or missed.

Is an ablation painful?

As with any medical procedure, there’s a small chance of infection or bleeding. The tools your doctor uses for your ablation could also create a hole in your uterus, cause burns, or harm nearby organs. But these problems don’t happen very often. The chances that you’ll get hurt during an endometrial ablation are low.

Why am I bleeding after an ablation?

Ablation invariably leads to scarring of the uterus, but sometimes endometrium can regrow underneath that scarring, McCausland said. Pools of blood can then build up, unable to escape, resulting in hematometra that can cause pain, usually to the pattern of a monthly cycle.

Does an endometrial ablation affect hormones?

Ablation scars the lining impeding its ability to shed. But ovaries continue to send the hormonal signals necessary for menstruation and the uterus attempts to function normally by becoming engorged with blood. … Some data suggest that about 10% of the women who have had endometrial ablation suffer from hematometra.

Can periods return after endometrial ablation?

Most women will have lighter or no periods after an ablation. In some cases, your period may come back after a few years, and you may wish to explore another treatment option for your heavy bleeding if needed.

Do you still ovulate after an ablation?

Do you ovulate when you have had an ablation? This procedure does not affect your ovaries or ovulation. Endometrial ablation it is a medical procedure recommended for women with excessive menstrual blood loss, the result of unusually heavy or long periods. … Endometrial ablation is not a surgical procedure.

Do you still go through menopause after endometrial ablation?

If your uterus was surgically removed through a hysterectomy, you may not know you’re going through menopause unless you experience hot flashes. This can also happen if you’ve had an endometrial ablation and your ovaries weren’t removed.

Can you get pregnant years after an ablation?

Pregnancy is not likely after ablation, but it can happen. If it does, the risks of miscarriage and other problems are greatly increased. If a woman still wants to become pregnant, she should not have this procedure. … Sterilization may be a good option to prevent pregnancy after ablation.

What happens to your eggs after an ablation?

The egg is still being released, the hormonal signal is still going out, but the uterine lining simply does not grow, so we don’t see bleeding. The egg is still being produced and is dissolving every month without coming out, as it usually does.

How long do you have to be off work after an ablation?

After a catheter ablation we advise you do not drive for 1 week. However, the DVLA allow driving 2 days after the procedure. We advise you to take a minimum of 1 week off work, but it is likely that it may be up to 2 weeks before you feel strong enough to do more physical tasks.