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Endometrial ablation is a surgical procedure that is used to remove or destroy the endometrial lining of the uterus. The goal of the procedure is to decrease the amount of blood loss during menstruation (periods). Endometrial ablation is most often employed in people with excessive menstrual bleeding following unsuccessful medical therapy. [1]
Endometrial ablation is not recommended for women with active or recent genital or pelvic infection, known or suspected endometrial hyperplasia or malignancy. [67] Uterine artery embolization (UAE) is a common treatment with the etiology of a leiomyoma.
[3] [2] Options may include hormonal birth control, gonadotropin-releasing hormone (GnRH) agonists, tranexamic acid, NSAIDs, and surgery such as endometrial ablation or hysterectomy. [ 1 ] [ 5 ] Over the course of a year, roughly 20% of reproductive-aged women self-report at least one symptom of AUB.
Hysteroscopy can be used in conjunction with laparoscopy or other methods to reduce the risk of perforation during the procedure. [9] Endometrial polyp. Polypectomy. Abnormal uterine bleeding; Adenomyosis; Endometrial ablation [10] (Some newer systems specifically developed for endometrial ablation such as the Novasure do not require hysteroscopy)
Women with blood clotting disorders may also need to see a hematologist. [2] Surgical treatments may also be considered if the bleeding is severe or if there are reasons patients cannot take the hormonal medications listed above. [2] These options include dilation & curettage, endometrial ablation, and hysterectomy (removal of the uterus ...
There are a number of indications for obtaining an endometrial biopsy from a non-pregnant woman: [citation needed]. Women with chronic anovulation such as the polycystic ovary syndrome are at increased risk for endometrial problems and an endometrial biopsy may be useful to assess their lining specifically to rule out endometrial hyperplasia or cancer.
An important risk factor for placenta accreta is placenta previa in the presence of a uterine scar. Placenta previa is an independent risk factor for placenta accreta. Additional reported risk factors for placenta accreta include maternal age and multiparity, other prior uterine surgery, prior uterine curettage, uterine irradiation, endometrial ablation, Asherman syndrome, uterine leiomyomata ...
57-75% of women who undergo UAE for adenomyosis typically report long-term improvement in their menstrual pain and bleeding. However, there is a recurrence rate of symptoms in 35% of women following a UAE. Also, UAE has the risk of causing major complications in 5% of women who undergo the procedure.