Removal of the lining of the uterus

A removal of the lining of the uterus is performed to prevent heavy bleedings. After an ultrasound scan and a discussion of your symptoms, we’ll usually be able to decide whether this procedure is a good solution to your problems. First we take a sample of the lining of the uterus to rule out cell changes. This sample is sent for further analysis and we’ll have the results in 8-10 days. Then we’ll carry out the procedure. In most cases, surgically removing the lining means that the bleedings will lessen or even stop. Most women benefit from the procedure, but in some cases it isn’t enough. In those cases removing the uterus may be worth considering.

Below you can read more about what happens during the operation.

Before the operation

A removal of the lining of the uterus is performed through keyhole surgery of the uterus (hysteroscopy).

It’s a small procedure, which means you can usually go home 2-3 hours later. But because there may be some side-effects of the anaesthetic, you must have somebody to come and pick you up at the clinic and stay with you for next 24 hours.  

Before the procedure, it’s important that you tell the specialist about any drugs or medicine you take because some of them may be dangerous in combination with the anaesthetic. You’ll have a hormone treatment about 6 weeks before the procedure, which will make the lining of the uterus thinner. If you can, it’s also a good idea to stop smoking at that time because smoking slows down the healing process. That goes for the period after the operation as well. 

Fasting:

  • You are not allowed to eat anything during the last 6 hours before your operation
  • You are allowed to drink water and juice until 2 hours before your operation
The operation

Usually you’ll have a general anaesthetic for the operation.  We’ll put an IV line in the back of your hand and give you the anaesthetic through it. The operation is performed via the vagina. The cervix is dilated and a lighted magnifying scope is inserted into the uterus. The uterus itself is filled with saline water so that we can get a good overview through the scope. We use a loop of fine wire to cut the lining from the uterine wall. The lining and any polyps or fibroids found will be sent to the Aarhus University Department of Histopathology for further analysis.

After the operation

After the operation you should take it easy for the rest of the day. The day after the operation, our nurse will call you at home to check that you’re OK.

Post-operative checkup

14 days after the operation, we will contact you by phone/email/letter to give you the results of your tests results.  After 4 months you come in for a checkup.

Good to know

Bleeding: You’ll probably experience bleeding similar to a period for 1-2 weeks after the operation. Then the bleeding will gradually diminish.  But you can still have some brownish discharge or light bleeding for a couple of weeks after that.

Pain: You should expect some labour- or period-like pain, caused by the uterus contracting after the procedure. The pain will usually lessen after a couple of hours. You’ll get some pain-killers to take home when you leave the clinic.

Hygiene: To avoid infection, you shouldn’t use tampons until the bleeding has stopped. Take showers only, and don’t go swimming for 4 weeks after the operation.

Activity and sex: You can go back to work and resume sports activities 4-7 days after the operation. Don’t have sexual intercourse until you’ve stopped bleeding.

Pregnancy: You must avoid getting pregnant, as a pregnancy can’t develop normally when the lining of the uterus has been removed.

Side-effects and complications

If you experience strong pain, a fever or any bleeding heavier than an ordinary period, you must contact the clinic at +45 8612 6121 or +45 2320 4221.