A member asked:

Endomatirial biopsy all blood test papsmear thyroid clear but still have spotting mid cyclebleed bloodyyellowdischarge obese lady37endo ablation good?

2 doctors weighed in across 2 answers

Not for this: Midcycle bleeding is not what endometrial ablation is designed to treat. This is most likely "ovulation spotting" caused by the affects of the inflammatory chemicals from ovulation having an effect on the uterine lining. Endometrial ablation is used to treat heavy menstrual bleeding, but obese 37 yo patients are at increased risk for failed endometrial ablation.

Answered 4/6/2013

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Dr. Malcolm Mackenzie answered

Specializes in Gynecology

Be cautious: While all testing may be all "negative" ie nothing that shows cancer, an ablation involves burning the inside of the uterus causing scarring and "glueing" together of the walls of the uterus ; this makes it difficult to figure out any bleeding in the future. A woman who is heavy will produce lots of estrogen and that puts her at risk of stimulating a cancer there.

Answered 4/6/2013

5.2k views

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