Has anyone experienced pain after a uterine ablation?

[CaraVann]

After over 3 decades of heavy periods, last year I evetunally ended up so anaemic/iron deficient, I needed iron infusions.
I then had a uterine ablation due to the thick uterine lining and recurring uterine polyps which were causing all the issues.
All seemed good for several months and it sorted out the heavy bleeding and anaemia, I was still experiencing periods but these were getting lighter each month and come October 2022 they were very light indeed.
However, I am now experiencing so much pain during the light periods and it’s awful.
Even though I had years of horrendous heavy periods, I never actually ever experienced period pain with them.
This pain is akin to labour pains, it stops me in my tracks, lasts about 2-3 days and then eases off. I do/have always experienced pain but weirdly only during mid cycle/ovulation but have always just put up with that but this pain is so much worse.
I contacted the gynae department but I’m now discharged so will need a referral to see the gynaecologist. It’s a 6 week wait for a gp appointment and even then will be months to see him, urgh!
I am gutted tbh. I know the GP will advise me to take pain killers but I have digestive issues too and pain killers upset my stomach so I’m buggered either way.
I truly hate being a woman at times.

Has anyone else experienced anything like this? I fear it could be post ablation failure.

Hi,

I know this is a very old post but I do hope you see this and reply.

I am in the similar boat. And I mean similar to the exact details of anaemia and infusions and mid cycle/ovulation pains. I had my endometrial ablation done 2 years ago. It's been heaven since. No periods and no pains. A few months ago cyclic pain started with light spotting. This month it is horrible with just spotting. I am so tender and sore it's so painful to pee and poo as well, because all the muscles down there are in a spasm or something.

Please, if you have gotten to the bottom of your problem, can you share it with me. It not only painful but very worrying as well. And I am already dreading the GP and specialist and ultrasound waiting times.!!!

One of the most common causes of abnormal uterine bleeding is adenomyosis, where endometrial tissue grows into the myometrium (muscle wall of the womb).
If the adenomyosis is anything beyond superficial then endometrial ablation will not fix this, it just creates scar tissue over the top, and the surgical trauma can make the adenomyosis worse.
The endometrial tissue in the myometrium will continue to bleed under the layer of scar tissue from the ablation (the blood doesn't escape but is eventually reabsorbed). As the condition progresses, the pain each month gradually worsens.

https://www.sciencedirect.com/science/article/abs/pii/S1553465014014423

https://www.sydneyfibroidclinic.com.au/why-endometrial-ablation-for-adenomyosis-might-make-pain-worse/

I haven't had this done yet but asked my gynaecologist. My periods are very heavy and painful. Feels like I'm in labour for 3 days a month. For the pain I've been given mefanamic acid and then paracetamol and honestly it's been a life saver. For the heaviness I'm on tranexamic acid and that's helped so much.

I hope you can get some relief as that sounds awful.

Ashemark do you know if this can be detected on an mri? My gynae says I have post ablation syndrome. I had a recent us scan but nothing untoward came up, he now wants to do an mri.

Adenomyosis can usually be seen on an MRI. It can sometimes (but not always) be seen on ultrasound.

Thanks Ashemark