Quick Answer: Which Is Better Endometrial Ablation Or Hysterectomy?

How successful is endometrial ablation?

With proper patient selection, endometrial ablation yields an 80%-90% success rate in reducing heavy menstrual flow and is associated with a 90% patient satisfaction rate (Cochrane Database Syst Rev..

Does ablation lead to hysterectomy?

Although many predictors have been reported, the most consistent is age. Research shows endometrial ablation gives predictable results for the first five to seven years following the procedure. … If a woman had all three risk factors, there was a 50 to 60 percent chance of hysterectomy within five years of ablation.

Which procedure is best for hysterectomy?

The American Congress of Obstetricians and Gynecologists (ACOG) says the safest, least invasive and most cost-effective way to remove a uterus for non-cancerous reasons is a vaginal hysterectomy, rather than laparoscopic or open surgery.

Can you have a second endometrial ablation?

Repeat hysteroscopic endometrial ablation is a feasible, safe, and long-term effective alternative to hysterectomy for abnormal uterine bleeding from benign causes when performed by experienced surgeons.

What is the difference between ablation and D&C?

A D&C (dilatation and curettage) is a procedure where the opening of the uterus (called the cervix) is widened and the lining of the uterus is scraped away. … An endometrial ablation is a procedure to remove the lining of the uterus to reduce bleeding.

Are you put to sleep for endometrial ablation?

Some methods of endometrial ablation require general anesthesia, so you’re asleep during the procedure. Other types of endometrial ablation might be performed with conscious sedation or with numbing shots into your cervix and uterus.

Do you still go through menopause after endometrial ablation?

If your uterus was surgically removed through a hysterectomy, you may not know you’re going through menopause unless you experience hot flashes. This can also happen if you’ve had an endometrial ablation and your ovaries weren’t removed.

Is an ablation painful?

As with any medical procedure, there’s a small chance of infection or bleeding. The tools your doctor uses for your ablation could also create a hole in your uterus, cause burns, or harm nearby organs. But these problems don’t happen very often. The chances that you’ll get hurt during an endometrial ablation are low.

What are the long term side effects of endometrial ablation?

Intrauterine contracture and scarring can occur after the procedure, which may obstruct bleeding from persistent viable or regenerating endometrial glands causing central hematometra, CH, PATSS, and retrograde bleeding and potentially delay the diagnosis of endometrial cancer.

Do you still have PMS after ablation?

(Remember: Even if your period stops after endometrial ablation, it doesn’t make you “menopausal.” Your body still goes through a natural hormonal cycle each month… there’s just no flow of blood at the end of it.) … Interestingly, there is evidence that endometrial ablation even improves symptoms of PMS.

Who is a good candidate for endometrial ablation?

The procedure is best for pre- or perimenopausal women who suffer from heavy periods. The ideal candidate is a woman with bothersome heavy menses who no longer desires fertility, doesn’t have a congenital uterine anomaly (that is, born with an abnormally shaped uterus), and isn’t at risk for endometrial cancer.

How long should you be off work after an ablation?

After a catheter ablation we advise you do not drive for 1 week. However, the DVLA allow driving 2 days after the procedure. We advise you to take a minimum of 1 week off work, but it is likely that it may be up to 2 weeks before you feel strong enough to do more physical tasks.