Hematometra after thermal balloon endometrial ablation in a patient with cervical incompetence

Academic Article


  • Background: Thermal balloon endometrial ablation is a relatively safe nonsurgical treatment for menorrhagia. Hematometra follows this procedure in <3% of patients, but risk factors for this complication are unclear. Case: A woman with a history of cervical incompetence during pregnancy later developed cervical occlusion and hematometra after thermal balloon endometrial ablation. Cervical occlusion did not recur after cervical dilatation and temporary placement of a catheter as a stent. Conclusion: The normal resistance of the internal cervical os may be an important factor in avoiding thermal damage to the cervix during thermal balloon endometrial ablation. This case suggests that a history of cervical incompetence may be a clinical indicator of decreased cervical resistance. © 2001 Mary Ann Liebert, Inc.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Hubert SR; Marcus PS; Rothenberg JM; Schilder JM; Hurd WW
  • Start Page

  • 311
  • End Page

  • 313
  • Volume

  • 11
  • Issue

  • 5