A 44-year-old woman presents to the GP requesting endometrial ablation for heavy menstrual bleeding. She has completed her family. She is currently us...

Question

A 44-year-old woman presents to the GP requesting endometrial ablation for heavy menstrual bleeding. She has completed her family. She is currently using the LNG-IUS which has been partially effective. She asks whether ablation provides permanent contraception. Which is the single most important point to counsel?

Accepted Answer

Endometrial ablation does NOT provide reliable contraception - pregnancy can still occur and carries serious risks after ablation, so she must continue effective contraception

Answer

Endometrial ablation provides reliable permanent contraception

Answer

Endometrial ablation always leads to amenorrhoea

Answer

Endometrial ablation is equivalent to hysterectomy

Answer

Ablation eliminates the need for cervical screening

uk-drcog MCQ (SBA): Endometrial Ablation - Not Contraception