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Endometrial AblationFrom: ENDODOK@aol.comTue Jul 16 17:01:03 1996
A list member responded to a query about risks (long term) of endometrial ablation, and suggested cancer as a possibility. If anything, the risk for endomerial carcinoma developing should be almost zero, because if EVERY endometrial cell was actually destroyed, theoretically endometrial carcinoma would not be possible. A reduction of the cell population to almost zero would thus make this conversion almost impossible. Post operative hematometra do happen, and are characterized by a history of increasing cramps, dyspareunia, a tender uterus to palpation, and confirmation of blood in the cavity by UTZ. Usually, gentle probing of the canal (with a tiny lacrimal duct probe) will enter the cavity, and establish a route of drainage, and alleviate the problem. Because of the possibility that post ablation patients may still have some viable endometrial cells , HRT should include a progestin. I also would concur with Mark Perloe's comments re: a reduction in associated PMS ( think this study was reported several years ago by Hunt)
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