What should you know about transcervical resection of endometrium?

A clinician passes a slender instrument through the vagina and cervix into the uterus. A small cutting or energy device removes part of the endometrium, the tissue that lines the womb. The removed tissue may be sent for laboratory examination. This approach does not involve an abdominal incision, but it is still an operation and may use anaesthesia or sedation.

The aim may be to reduce heavy menstrual bleeding or remove abnormal tissue. It is different from removing the uterus, and it does not prevent every future cause of bleeding. Your clinician will consider the appearance of the lining, your symptoms, fertility plans and any test results before recommending it.

Before the procedure, share your medicines, allergies, pregnancy possibility and relevant medical conditions. Follow the instructions about eating, drinking and medicines. Arrange transport and support if you receive sedation or general anaesthesia.

Afterward, cramping, tiredness and light vaginal bleeding or watery discharge can occur. Use only the pain relief and menstrual products advised by your care team. Keep follow-up appointments so results and ongoing bleeding can be reviewed. Avoid inserting anything into the vagina or strenuous activity until your clinician says it is appropriate.

Contact your care team promptly for bleeding that is becoming heavier, worsening pelvic pain, fever, foul-smelling discharge, dizziness or difficulty passing urine. Seek urgent help for severe pain, fainting, breathing difficulty or bleeding that makes you feel weak. These symptoms need assessment because infection, significant bleeding or another complication may require treatment.

Ask what is causing the bleeding, whether a sample will be tested, which anaesthetic is planned, how long normal discharge may last, and when you can return to work, exercise and sexual activity. Ask how the procedure fits with your fertility plans and what alternatives are available.