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Michael East

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Level 2, Suite 3
Ascot Hospital
90 Greenlane Rd East
Auckland 1051
New Zealand
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Endometrial Resection

Endometrial Resection is a surgical procedure used in the management of heavy periods (menorrhagia) and can be an alternative to a Hysterectomy.

It is a minimally invasive procedure where the lining of the uterus is removed with the aid of a Hysteroscope (a telescope which is inserted into the uterus through the vagina). 

This procedure aims to reduce heavy periods to a light, more manageable bleeding pattern. It is ideal for women who: 

  • Have heavy regular periods without too much associated pain
  • Have finished their families
  • Accept lighter periods as an end point rather than no periods
  • Have a relatively normal sized uterus on ultrasound scan

Following Endometrial Resection: 

  • 50 to 75 % of women have no further periods
  • The remainder have light manageable periods

The quoted failure rate is 15% over ten years, however in Michael's experience this is less, at 10% in carefully selected cases.

After your initial consultation the following would normally occur:

  • Michael would arrange an ultrasound scan to confirm the size of the uterus
  • Prescribe medication to thin the lining of the uterus for one month prior to the procedure

On the day of surgery you have a light general anaesthetic (be put to sleep).  The procedure takes approximately 30-45 minutes. At the conclusion of surgery an intrauterine device (IUD) is inserted into your uterus. This stays in place for six weeks and you will not be able to feel it. The IUD encourages the walls of the uterus to heal without sticking together (which could cause discomfort with future periods). If a Mirena IUCD is used it can be left for 5 years and increase the chance of the surgery being successful.

After surgery you are transferred to the recovery area where Michael will see you and discuss the procedure. You can have a sandwich and a cup of tea prior to leaving hospital.

  • There is some initial abdominal discomfort, which settles within 30-60 minutes of surgery
  • There will be bloodstained discharge for 2-4 weeks
  • You will need someone to drive you to the hospital in the morning and to pick you up after your operation
  • You are in hospital between 3-4 hours

For follow up, Michael will see you 6 weeks after your surgery and remove the IUD. This is not uncomfortable.  Michael is always more than happy for you to phone his rooms should you have any concerns or worries in the post-operative period.

Click here - to better understand the advantages and disadvantages of an Endometrial Resection.