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General enquiries:
+44 (0)207 935 4444
Book an appointment:
+44 (0)207 616 7693
Self-pay enquiry:
+44 (0)203 219 3315

What is an endometrial resection?

An endometrial resection is an operation to remove the lining (endometrium) of your uterus (womb).

What are the benefits of surgery?

The most common reason for having an endometrial resection is to relieve the symptoms of heavy periods (abnormal uterine bleeding).

About a third of women who have the operation will not have periods anymore.

Are there any alternatives to surgery?

Heavy periods can be treated using a variety of non-hormonal and hormonal oral (by mouth) medications.

Other alternatives include an IUS (intra-uterine system - an implant containing a synthetic form of the hormone progesterone that fits in your womb) but these are usually tried before surgery is recommended.

What does the operation involve?

The operation is usually performed under a general anaesthetic but various anaesthetic techniques are possible.

The operation usually takes about 30 minutes.

Your gynaecologist will examine your vagina. They will pass a small telescope (operating hysteroscope or resectoscope) through your vagina, across your cervix (neck of your womb) into your womb.

Figure showing a hysteroscopy

Your gynaecologist will pass fluid through the telescope to distend (swell) your womb. They will use a diathermy resecting loop (a loop of wire heated by electricity) to remove the lining of your womb and any polyps or small fibroids they find.

What complications can happen?

Some of these can be serious and can even cause death.

General complications of any operation

  • Pain
  • Feeling or being sick
  • Bleeding or discharge
  • Infection
  • Blood clot in your leg
  • Blood clot in your lung

Specific early complications

  • Making a hole in your womb with possible damage to a nearby structure
  • Bleeding during the operation
  • Fluid overload
  • Failed procedure

Specific late complications

  • Haematometra, where blood and other menstrual fluid collect in pockets in your womb
  • Blood and fluid collecting in your fallopian tubes
  • Continued bleeding or pain

How soon will I recover?

You should be able to go home the same day.

You should be able to return to normal activities after 2 to 4 days. Most women are fit for work after about a week.

You should expect to have some bleeding or discharge for up to 4 weeks.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

The operation is not recommended for women who still want children.

Even if your periods stop, there is still a risk of becoming pregnant.

Why choose The London Clinic?

The London Clinic is dedicated to providing the best, personalised healthcare with over 600 world-renowned consultants available to offer informed health advice and treatment.

Spanning Harley Street and Devonshire Place, The London Clinic is situated in the heart of London’s internationally-known medical district. This central location, together with state-of-the art technologies and facilities that are not widely available in other hospitals, makes The London Clinic the hospital of choice for around 120,000 patients every year.

The London Clinic is an HTA licensed and JACIE accredited cancer centre with an ‘Excellent’ MacMillan Quality Environment Mark and with access to a Level 3 intensive care unit.

Offering affordable and competitive self-pay packages and expert support from Clinical Nurse Specialists and our specialised multidisciplinary team, over 98% of our patients said they would recommend The London Clinic to their friends and families.

Summary

An endometrial resection is a common gynaecological operation. It helps relieve the symptoms of heavy periods. You should get less bleeding and pain.

Disclaimer

The operation and treatment information on this website is published under license by The London Clinic from EIDO Healthcare UK and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. The information should not replace advice that your relevant health professional would give you.

Treatment cost

The London Clinic offers affordable, competitive self-pay packages for certain treatments.

Patients have the option to spread the cost of treatment with Chrysalis Finance.

Please call +44 (0)20 3613 7502 to speak to our helpful team to find out more and to book an appointment.

Main numbers

General enquiries: 020 7935 4444 Appointments: 020 7616 7693 Self-Pay: 020 3219 3315

Contact numbers for service departments

Other numbers

Concierge service: 020 3219 3323International office: 020 3219 3266Invoice and payment enquiries: 020 7616 7708Press office 020 7616 7676

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