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Title: Endometriosis following endometrial ablation: coincidence or association?
Authors: Wong, Ophelia.
Monga, Deepika
Issue Date: 2015
Conference Name: RCOG World Congress 2015: New endeavours in women's health.
Conference Date: April 12-15, 2015
Conference Place: Brisbane, Queensland
Abstract: Endometriosis, a condition associated with severe chronic pain, has been proposed to arise from retrograde menstruation, among other theories of pathogenesis. Endometrial ablation is a conservative surgical intervention to control menorrhagia, and usually leads to amenorrhoea resulting from ablation and scarring of endometrium. Whilst the appearance of endometriosis after endometrial ablation is likely, few studies have analysed this relationship. We present a case study of a patient who underwent successful endometrial ablation. She has no dysmenorrhoea or dyspareunia prior to ablation. One year later, she presented with severe pain, and laparoscopy confirmed endometriosis, both in pouch of Douglas and in ovary. There has only been one other report of endometriosis after endometrial ablation. This has been hypothesised to support the retrograde theory and immune suppression. Surgery may also increase adrenal androgen production and lead to conversion of estrogen in fat cells and reactivate endometrial cells. This article poses a question of whether scarring in endometrium post ablation increases the risk of retrograde menstruation, and hence development of endometriosis. Is endometrial ablation a causative factor in endometriosis, or is this merely coincidence. Therefore, we leave the question of causation or association open for discussion.
Internal ID Number: 00645
Type: Conference
Appears in Collections:Research Output

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