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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 AgreementYou 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.
- 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.
The week before your procedure:
- Write down the correct date, time, and location of your procedure.
- Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.
- Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
- Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.
- You may need to have a transvaginal ultrasound to check the thickness of your uterine lining. You may need a hysteroscopy or other imaging tests to check the size and shape of your uterus and cervix. Talk to your healthcare provider about these or other tests you may need. Write down the date, time, and location for each test.
The night before your procedure:
Ask caregivers about directions for eating and drinking.
The day of your procedure:
- Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.
- You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
- Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
- An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.
What will happen:
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.
Contact a caregiver if
- You cannot make it to your procedure.
- You have a fever.
- You think you might be pregnant.
- You get a cold or the flu.
- You have questions or concerns about your procedure.
Seek Care Immediately if
- You have increased blood loss during your monthly period.
- You have new weakness or dizziness.
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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.