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Abnormal fluid collection in uterus
by eosrebelti, Jun 11, 2008 07:42PM
I am 48 y/o survivor of breast cancer diagnosed in 2004. S/P endometrial ablation in 2003 for menorrhagia unresponsive to OCs. FSH 10/2007 was 30. LMP prior to ablation. Transvaginal ultrasound 10/2007 demonstrated 0.3cm fluid collection in uterus. Repeat transvaginal ultrasound today demonstrated 1.5cm fluid collection. Is this worrisome and if so, what is the appropriate evaluation and management? My doctor does not seem concerned.
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Endometrial ablation is a medical procedure that is used to remove (ablate) or destroy the endometrial lining of a woman's uterus. This technique is most often employed for women who suffer from excessive or prolonged bleeding during their menstrual cycle but can not or do not wish to undergo a hysterectomy. The procedure is most commonly done on an outpatient basis.
After the procedure, the endometrium heals by scarring, reducing or removing the possibility of future uterine bleeding. The patient will develop amenorrhea, however hormonal functioning will remain unaffected. It is still possible to become pregnant after having this procedure. Some type of birth control method must be used after having endometrial ablation.
In the balloon method fluid is introduced which is heated up and burns the lining of the uterus.Following the procedure, patients note a brownish to slightly bloody discharge which occurs shortly after the procedure and can last up to 6 weeks.
This is probably what is showing up on the U/S.Patients are advised to refrain from any kind of exercise for at least 3-4 weeks because there has been brisk, bright red bleeding following strenuous exercises (i.e., moving furniture, cutting wood, jogging).
ref:http://www.drgalen.com/end.ablat.html
wikipedia