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Case 48 - A 38-Year-Old G3P2 Woman with Pelvic Pain following Endometrial Ablation

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 38-year-old gravida 3, para 2 female presents to the office with an eight-month history of severe recurrent cyclic pelvic pain. The patient had a long history of heavy menstrual cycles and dysmenorrhea for which she had undergone an uncomplicated endometrial ablation using radiofrequency device two years ago. As a result of the procedure, she has become amenorrheic. Eight months ago she began to experience severe bilateral lower pelvic cramping that occurs monthly and lasts for five to seven days. She has had minimal improvement with non-steroidal anti-inflammatory agents. She has no past medical history. Her past surgical history is significant for postpartum tubal sterilization five years ago. She is a non-smoker and has no significant family history. She is sexually active with one male partner and has no history of sexually transmitted infections. She is not taking any medications and has no drug allergies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 146 - 148
Publisher: Cambridge University Press
Print publication year: 2021

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References

Beelan, P, Reinders, IM, Scheepers, WF, et al. Prognostic factors for the failure of endometrial ablation. Obstet Gynecol 2019; 134: 1269–81.Google Scholar
Sharp, HT. Assessment of new technology in the treatment of idiopathic menorrhagia and uterine leiomyomata. Obstet Gynecol 2006; 108: 9901003.CrossRefGoogle ScholarPubMed
Turnbull, LW, Jumaa, A, Bowsley, SJ, et al. Magnetic resonance imaging of the uterus after endometrial resection. Br J Obstet Gynaecol 1997; 104: 934–8.CrossRefGoogle ScholarPubMed
Townsend, DE, McCausland, V, McCausland, A, Fields, G, Kauffman, K. Post-ablation-tubal sterilization syndrome. Obstet Gynecol 1993; 82: 422–4.Google ScholarPubMed
McCausland, AM, McCausland, VM. Frequency of symptomatic cornual hematometria and post ablation tubal sterilization after total rollerball endometrial ablation: a 10-year follow-up. Am J Obstet Gynecol 2002; 186: 1274–83.CrossRefGoogle Scholar
Wortman, M, Cholkeri, A, McCausland, AM, McCausland, VM. Late-onset endometrial ablation failure – etiology, treatment and prevention. J Minim Invasive Gynecol 2015; 22: 323–31.CrossRefGoogle ScholarPubMed
McCausland, AM, McCausland, VM. Long-term complications of endometrial ablation: cause, diagnosis, treatment, and prevention. J Minim Invasive Gynecol 2007; 14: 399406.CrossRefGoogle ScholarPubMed

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