Laser And Resectoscopic Endometrial Ablation

WHAT YOU SHOULD KNOW:

  • Laser and resectoscopic endometrial ablation (EA) is a procedure to destroy the lining of your uterus (womb). Your uterine lining is also called the endometrium. During your monthly period, your uterus sheds its lining along with blood and mucus. You may need EA if you have very heavy vaginal bleeding during your monthly period. An EA also may help stop heavy vaginal bleeding caused by a uterine polyp or myoma (lump).

  • During an EA procedure, your caregiver uses a tool called a resectoscope to help see inside your uterus. Your caregiver will put a heating device through the scope to destroy your uterine lining. This device may be a loop or metal rollerball that can be heated using an electric current. A laser also may be used to destroy the lining of your uterus. Having this procedure may decrease abdominal (stomach) pain and cramping during your period. The amount you bleed during your period may be decreased. In some cases, after your procedure, you may not have a period at all.

INSTRUCTIONS:

Medicines:

  • Keep a written list of the medicines you take, the amounts, and when and why you take them. Bring the list of your medicines or the pill bottles when you see your caregivers. Learn why you take each medicine. Ask your caregiver for information about your medicine. Do not use any medicines, over-the-counter drugs, vitamins, herbs, or food supplements without first talking to caregivers.

  • Always take your medicine as directed by caregivers. Call your caregiver if you think your medicines are not helping or if you feel you are having side effects. Do not quit taking your medicines until you discuss it with your caregiver. If you are taking medicine that makes you drowsy, do not drive or use heavy equipment.

  • Pain medicine: You may be given medicine to take at home to take away or decrease pain. Your caregiver will tell you how much to take and how often to take it. Take the medicine exactly as directed by your caregiver. Do not wait until the pain is too bad before taking your medicine. The medicine may not work as well at controlling your pain if you wait too long to take it. Tell caregivers if the pain medicine does not help, or if your pain comes back too soon.

  • Antinausea medicine: This medicine may be given to calm your stomach and control vomiting (throwing up).

Follow-up visit:

Ask your caregiver when to return for a follow-up visit. Keep all appointments. Write down any questions you may have. This way you will remember to ask these questions during your next visit.

Activity:

Talk to your caregiver about when it is okay for you to return to your normal activities. You may need to avoid having sex for two weeks after your procedure.

Birth control:

You may need to use a form of birth control after your procedure to prevent pregnancy. Getting pregnant after an EA procedure increases your risk for pregnancy problems such as a miscarriage. Talk to your caregiver about what type of birth control is best for you. If you have questions or concerns about having children after EA, talk to your caregiver.

CONTACT A CAREGIVER IF:

  • The bleeding during your monthly periods has not decreased.

  • You feel pain when you urinate.

  • You have nausea that does not get better with rest or medicine.

  • You have vaginal discharge.

  • You have questions about your procedure, condition, or care.

SEEK CARE IMMEDIATELY IF:

  • You have blood coming from your vagina and it is not time for your monthly period.

  • You have a fever (high body temperature).

  • You feel dizzy, weak, and confused.

  • You cannot stop throwing up.

  • You have pain in your abdomen that does not get better with rest or medicine.

  • You have chest pain or trouble breathing that is getting worse over time.

  • You suddenly feel lightheaded and have trouble breathing.

  • You have new and sudden chest pain. You may have more pain when you take deep breaths or cough. You may cough up blood.

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

© 2013 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 Laser And Resectoscopic Endometrial Ablation (Aftercare Instructions)

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