I have had the lining of my womb removed by laser surgery. do i need to take progestogen as part of my hrt?


        I HAVE HAD THE LINING OF MY WOMB REMOVED BY LASER SURGERY. DO I NEED TO TAKE PROGESTOGEN AS PART OF MY HRT?
The technique you describe, endometrial ablation, has been introduced recently into many Australian hospitals. It involves the use of a laser or diathermy (heat) to remove as much of the womb lining - the endometrium - as possible, and is usually considered for women with heavy menstrual bleeding.
Unfortunately there is a misconception that this surgical technique is much the same as a hysterectomy. It isn't. Studies of the uterus after these operations show that some endometrial tissue always remains. This may explain why some patients continue to bleed on and off after an endometrial ablation. It also reinforces the need for future care to protect women from an increased risk of endometrial cancer if they are on HRT after they have had an ablation. A progestogen is required either continuously, in combination with oestrogen, or for ten to fourteen days each month.
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