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Return of Periods or Pain After Endometrial Ablation

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At Women's Health Practice we have offered endometrial ablations since the 1980s when the technology was invented. We have successfully performed thousands of endometrial ablation procedures, using many technologies and have a vast experience in the decisions, the treatment protocols, and the follow up of our patients. Most women are happily and successfully treated after an ablation, but ablations don't solve all gyno problems and we welcome second opinions regarding any symptoms you are having post an endometrial ablation.

An endometrial ablation can be an effective treatment specifically for heavy menstrual bleeding (HMB), but they are not necessarily protective against all gynecologic pain or bleeding and careful follow up monitoring may be necessary.

 Pain long after a endometrial ablation was performed could be infection. Infections can often be the cause of any gynecologic pain. The blood entrapped may become infected, and this could produce symptoms as well. If you do have pain, first is to try to get an accurate diagnosis. Make sure there is no infection, or ovarian condition both of which can produce pelvic pain. Rare causes of the symptoms might be due to conditions such as tracks between the uterus and the bladder known as fistulas that have been seen after a woman has had prior c-sections and an endometrial ablation. Some gynecologists can tell based on examining the uterus with a device called a uterine sound that the scaring has occurred. Other signs of the scar tissue can be see on ultrasound. Ultrasound done once, when you are not bleeding might miss hematometra, so you may want to do this again. MRI examinations may help diagnoses either hematometra (blood within the uterus) or adenomyosis (glands within the wall of the uterus). Once the diagnosis is made, then you and your gyno can establish a planned solution. For some women the solution is repeat ablation, for some the removal of the fallopian tubes, for others a hysterectomy, for some treatment with antibiotics. Please see other posts on endometrial ablation, or review some of the GynoFile comments, questions, and answers that follow for more information.
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