Endometrial Ablation Instructions


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What is an endometrial ablation?

An endometrial ablation procedure is usually recommended to patients who have experienced heavy and/or prolonged periods of menstrual bleeding. This procedure is done by using a lighted viewing instrument (hysteroscope) and other instruments to destroy (ablate) the uterine lining, or endometrium.

Anesthesia:

You may feel somewhat dizzy or sleepy after surgery due to the side effects of the anesthesia. General or Intravenous anesthesia agents can remain in your body for up to 24 hours. It is advised not to operate heavy machinery, drive a motor vehicle, consume alcohol, or make any important business decisions for the next 24 hours. Try to rest for the remainder of the day.

Postoperative care:

The healing process will present itself as a profuse watery, occasionally bloody vaginal discharge for a few weeks. During this time of heavy discharge, wear a pad and refrain from having sexual intercourse and using either a tampon or douche. Reduction of the discharge will show that the healing process is complete.

The first couple of periods after this procedure may still be a little heavy. During the first year after surgery, periods should progressively diminish. If your periods do not get lighter, after two to three cycles, contact your physician. Some women will eventually get no periods at all.

Pain:

Cramping is a common side effect for the next few days. Often times, your physician will prescribe a mild narcotic analgesic, take as directed. You doctor may also recommend that you take non steroidal anti-inflammatory drugs (NSAID) such as Ibuprofen (ex: Advil, Motrin).

Activity:

Patients usually return to their normal activity within a day or two. Women should refrain from sexual intercourse or using a tampon for at least seven days or until your post-op visit with your doctor. Douches should also be avoided for at least two weeks after surgery to reduce likelihood of infection.

Bathing/Swimming:

You may shower when you feel comfortable. It is recommended that you not swim or soak in a hot tub or bathtub for two to four weeks. This is to prevent anything from entering the vagina, which may cause an infection.

Notify your doctor if any of the following occur:

• You have a fever greater than 101 degrees.

• You have severe pain or cramping.

• You have heavy vaginal bleeding.

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