ࡱ> 685 bjbj ."hh U t;;;;;$!k$p;; ^;;rT; &ft % 0U $~@$$$U $ : Ob/Gyn Associates of Southern Indiana 1919 State St. #340, New Albany, IN 47150 812-945-5233 In-Office Endometrial Ablation You have been scheduled for an endometrial ablation to be performed in the office under local anesthesia. This procedure is used to attempt to destroy the lining tissue (endometrium) of the uterus so it cannot re-grow. The procedure involves opening (dilation) of your cervix with a special device. A hysteroscope will be inserted through the vagina and cervix into the uterus. The physician will then use electrical or thermal energy to burn away the uterine lining. Most women are not able to become pregnant after an endometrial ablation. If you want to become pregnant, you should not have the endometrial ablation as serious risks and complications could occur should you become pregnant. Permanent sterilization should be used due to these possibilities. As with any surgical procedure, complications may occur. These may include but are not limited to: Complications from anesthesia Infection Damage to or perforation of internal organs such as the uterus, bowel, bladder and vagina Bleeding or hemorrhage possibly requiring transfusion and/or hysterectomy Postoperative complications and/or death Deep venous thrombosis or pulmonary embolus (blood clots) Instructions Two days before the procedure you should start taking Ibuprofen, either prescription or over the counter. Ibuprofen, 600-800 mg should be taken three times a day including the morning of the procedure. Having this in your system will decrease expected cramping. This should be taken with food, as it can upset the stomach. Do not drink alcoholic beverages, including beer for 24 hours prior to your procedure. Your physician may prescribe medication to be taken the night before the procedure. You may take your regular medications unless instructed otherwise by your physician. You will receive additional medications once you arrive at the office. It is OK if you are having your period on ablation day. You will need someone to drive you to and from the office and remain with you at home until the effect of these medications wears off (up to 24 hours). You may be drowsy, lightheaded or dizzy from the medications. Do not climb any ladders or stairs without assistance and do not make important decisions or sign legal documents for 24 hours. Prior to the procedure, your cervix will be numbed and your physician will look at the lining of the uterus using a hysteroscope. It is important that the office be notified of any allergies, especially an allergy to Lidocaine. The procedure will last from 5-10 minutes and you may experience uterine cramping similar to a menstrual cramp. After the procedure, you will be cleaned up, observed for about 15-60 minutes then allowed to leave. Again, you will need someone to drive you home. Although the procedure only takes 5-10 minutes, allow about 2 hours total time in the office for preparation, the procedure and after treatment observation. Please do not bring any children to the office. After the procedure, you can expect a vaginal discharge that can be watery, pink, red or brown in color for up to 2-3 weeks. You may pass small pieces of tissue the day after the procedure and lasting a few days. If you experience bright red heavy vaginal bleeding WORSE THAN A MENSTRUAL CYCLE, contact your physician. Uterine cramping is normal following this procedure. You may use moist heat, ibuprofen and any pain medicine prescribed by your physician for the discomfort. You can resume normal activities (driving/work) after taking it easy the rest of the day. Intercourse, douching and tampons should be avoided until the expected discharge stops in about 1-3 weeks. If any of the following signs of infection are noted, contact your physician at 812-945-5233. These signs and symptoms usually become apparent in 36-48 hours. 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