Ablated endometrium

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Ablated endometrium, also endometrium post-ablation procedure, is endometrium that has been destroyed to render it nonfunctional.

Endometrial ablation is done to treat menorrhagia and metromenorrhagia in women that are done with their childbearing.

General

  • Alternative to hysterectomy.
  • Thermal injury - delivered via balloon.
  • High prevalence of endometriosis in individuals with hysterectomy post-ablation procedure.[1]

Notes:

  • NovaSure is a commonly used ablation system.[2]

Microscopic

Features:

  • Endometrium completely or partially replaced by:
    • Hyaline material, fibrosis.

Images

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UTERUS, UTERINE CERVIX, TOTAL HYSTERECTOMY:
- SUPERFICIAL FIBROSIS AND HYALINE CHANGE OF THE UTERINE LINING -- COMPATIBLE
  WITH PRIOR ABLATION.
- UTERUS WITH LEIOMYOMAS.
- UTERINE CERVIX WITHIN NORMAL LIMITS.

See also

References

  1. Riley, KA.; Davies, MF.; Harkins, GJ.. "Characteristics of patients undergoing hysterectomy for failed endometrial ablation.". JSLS 17 (4): 503-7. doi:10.4293/108680813X13693422520602. PMID 24398189.
  2. Gimpelson, RJ. (2014). "Ten-year literature review of global endometrial ablation with the NovaSure® device.". Int J Womens Health 6: 269-280. doi:10.2147/IJWH.S56364. PMID 24648771.