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Complications of Endometrial Ablation

Endometrial ablation is a procedure used to treat menorrhagia, which is a condition that causes severe and prolonged menstrual bleeding. While hysterectomy (removal of a woman's uterus) was previously the only treatment method available to heal this condition, endometrial ablation now offers women an alternative choice that helps them preserve their reproductive organs.

  1. The Procedure

    • Endometrial ablation utilizes extreme heat, extreme cold or radiofrequency waves to reduce the lining of the uterus. The thinning of the uterus do not cause all menstruation to cease; however, this action makes blood flow considerably lighter. The procedure does not involve any incisions, which helps to reduce some complications typically associated with surgery, such as infections to the surgical incision.

    Burns to the Reproductive Glands

    • When burning is used in order to thin the uterine lining, the device must be threaded through areas such as the vagina, vulva or bowel. In rare occasions, passing this instrumentation through can cause burns to the aforementioned areas. While these will heal with time, the injury may cause pain and discomfort for several weeks, according to the American College of Obstetricians and Gynecologists.

    Fluid Leakage

    • If radiofrequency is the method used to destroy tissues during ablation, fluid is used in order to dilate the cervix for better access to the uterus lining. In very rare cases, this fluid may enter the bloodstream, which can cause shock. The fluid is regularly monitored during surgery; however, this occurrence can cause serious complications.

    Bleeding

    • Endometrial ablation can cause irritation to the uterus, which can cause bloody or water-like discharge for several weeks following surgery. The discharge may be most heavy during the three days after surgery, according to the American College of Obstetricians and Gynecologists.

    Cramping/Pelvic Pain

    • This complication is most commonly associated with the first few days following surgery, according to novasure.com. Many patients experience mild to severe cramping or some pelvic discomfort. However, if these symptoms do not cease or improve in the days following surgery, seek further medical attention to ensure organ, blood vessel or nerve damage has not occurred.

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