Abstract
Article: Endometrial Ablation: A Tale of Two Women
Authors: Deanna Barymon, MSHS, RDMS, RDCS, RVT, and Cheryl O. DuBose, EdD, RT(R)(MR)(CT)(QM)
Category: Ob/Gyn [OB]
Credit: 0.75 SDMS CME Credit
Objectives: After studying the article entitled “Endometrial Ablation: A Tale of Two Women,” you will be able to:
Describe why sonography is the imaging modality of choice for abnormal vaginal bleeding in the evaluation of patients both prior to and after ablation procedures
Explain why endometrial ablation procedures are employed for the treatment of menorrhagia and dysmenorrhea
Discuss the advantages, risk, and complications associated with endometrial ablation treatment
What is the imaging modality of choice in the evaluation of patients prior to and after ablation procedures cited in the American College of Radiology Appropriateness Criteria? Radiographic hysterogram Computed tomography Magnetic resonance Sonography
Global endometrial ablation techniques: Include hysteroscopy and radiofrequency Are easier for the physician to perform Prevent endometriosis Require major significant skill with hysteroscopic procedures
What procedure evaluates intrauterine pathology and measures the cavity length? Carbon dioxide injection Dilation and curettage Hysterography Bipolar radiofrequencies
What time period is it most difficult for imaging studies to diagnose hematometra, postablation endometriosis, and postablation tubal sterilization syndrome? First-trimester pregnancy Menstrual phase Ovulatory phase Patient is asymptomatic
What situation presents a predisposing condition increasing the risk of postablation complications? History of cesarean section >45 years of age Postmenopausal Uterine atrophy
What condition explains bleeding into the pelvis when the patient has no history of a tubal sterilization procedure? Recent history of a second-generation ablation procedure Insertion of Essure fallopian coils Bleeding into the pelvis as a result of uterine adhesions Pressurized carbon dioxide injection
What are the most common patient complaints leading to reintervention? Amenorrhea and pain Pregnancy loss Hormone shock with increased estrogen level Bleeding and pain
Footnotes