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Endometrial ablation is a surgical procedure that is used to remove or destroy the endometrial lining of the uterus. The goal of the procedure is to decrease the amount of blood loss during menstruation (periods). Endometrial ablation is most often employed in people with excessive menstrual bleeding following unsuccessful medical therapy. [1]
The endometrium is the innermost lining layer of the uterus, and functions to prevent adhesions between the opposed walls of the myometrium, thereby maintaining the patency of the uterine cavity. [12] During the menstrual cycle or estrous cycle, the endometrium grows to a thick, blood vessel-rich, glandular tissue layer.
Transvaginal ultrasonography is generally done before obtaining an endometrial biopsy as it may help in the gynecologic diagnosis, or even make the taking of a biopsy superfluous if the lining is thin. If the endometrial lining is less than 5 mm thick on sonography, it is highly unusual to encounter endometrial cancer. [1]
The Tao brush is a medical instrument used to perform an alternative method of endometrial biopsy, for the purpose of detecting endometrial cancer. The traditional method of endometrial biopsies uses a specialized catheter (the Pipelle) to suction away a portion of the uterine lining. The Tao brush method instead uses a small, flexible brush to ...
According to guidelines set by the American College of Obstetricians and Gynecologists, if a patient's endometrial stripe is 4 mm thick or less, endometrial cancer can usually be ruled out.
The decidua is the modified mucosal lining of the uterus (that is, modified endometrium) that forms every month, in preparation for pregnancy. It is shed off each month when there is no fertilized egg to support. [1] The decidua is under the influence of progesterone. Endometrial cells become highly characteristic.
Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablation, where scar tissue in the endometrium can "wall off" sections of endometrial glands and stroma causing blood to accumulate in the uterine cavity. [1] It can also develop after abortion, [4] as well as after childbirth.
You may notice a foul odor, thin white discharge, and pain (that doesn’t get worse with intercourse, necessarily), says Dr. Streicher. You can get an antibiotic from your doctor to treat BV.