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Nonresectoscopic Endometrial Ablation

WHAT YOU SHOULD KNOW:

  • Nonresectoscopic endometrial ablation (EA) is a procedure done to destroy the endometrium. The endometrium is the lining of your uterus (womb). During your menstrual cycle (monthly period), your uterus sheds its lining, along with blood and mucus. You may need an EA procedure if you have very heavy vaginal bleeding during your monthly period. Endometrial ablation also may help stop abnormal vaginal bleeding caused by a uterine polyp or myoma (lump).
  • There are many different procedures that can be done for a nonresectoscopic EA. You and your caregiver will decide which procedure will work best for you. During the procedure, a catheter (thin tube) or device is inserted into your uterus through your vagina and cervix. Your cervix is the lower end of your uterus. Heat, ice, or electrical energy will then 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 EA you may not have a period at all.

INSTRUCTIONS:

Take your medicine as directed.

Call your primary healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

  • Pain medicine: You may need medicine to take away or decrease pain.
    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.
    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.
    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.
  • Antinausea medicine: This medicine may be given to calm your stomach and control vomiting (throwing up).

Ask for information about where and when to go for follow-up visits:

For continuing care, treatments, or home services, ask for more information.

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

© 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.

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