Endometrial Ablation

WHAT YOU SHOULD KNOW:

Endometrial ablation (EA) is a procedure to destroy the endometrium (lining of your uterus). You may need EA if you have heavy or abnormal vaginal bleeding.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • You may have nausea, vomiting, or abdominal cramps. You may have vaginal discharge and bleeding after the procedure. Your cervix, uterus, or nearby organs may be burned or damaged. A blockage may form that causes blood to pool inside your uterus.

  • You may develop an infection in your vagina, urinary tract, or uterus. The infection may spread to other parts of your body. You may get a blood clot in your leg or arm. Your body may absorb too much fluid that was used to widen your uterus. This may cause brain swelling and damage. These may become life-threatening.

WHILE YOU ARE HERE:

Before your procedure:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Antibiotics may be given before and during your procedure to prevent a bacterial infection.

  • Anesthesia is medicine to make you comfortable during the procedure. Your healthcare provider will work with you to decide which anesthesia is best for you.

    • General anesthesia will keep you asleep and free from pain during the procedure. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

    • Local anesthesia is a shot of medicine put into your cervix and uterus. It is used to numb the area and dull the pain. You may still feel pressure or pushing during the procedure.

During your procedure:

Your surgeon will widen the opening of your cervix with medicine or medical tools. He will use one of the following to destroy the lining of your uterus:

  • Extremely hot fluid flushed into your uterus or delivered through a balloon at the end of a catheter

  • Ice on the end of a probe to freeze the lining of your uterus

  • Electric, microwave, or radiofrequency energy given off through a heated roller ball, wire loop, probe, or mesh device

After your procedure:

You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will then be able to go home or be taken to your hospital room.

  • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

  • Antinausea medicine helps calm your stomach and prevents vomiting.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Endometrial Ablation (Inpatient Care)

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