A patient is scheduled for an endometrial ablation for extreme uterine bleeding. Which patient statement indicates understanding of the long-term effects of this treatment?
1. "My future menstrual cycles will be normal."
2. "My menstrual cycles will be irregular from now on."
3. "I will stop menstruating and I can't get pregnant now."
4. "I will need hormone replacement therapy to regulate my menstrual cycles."
Correct Answer: 3
In an endometrial ablation, the endometrial layer of the uterus is permanently destroyed using laser surgery or electrosurgical resection. It is performed in women for whom childbearing has been completed and who do not respond to pharmacologic management or D&C. This procedure usually produces amenorrhea. This procedure ends menstruation. Hormone replacement is not needed after this procedure.
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