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Women's Health Last Updated: Jan 3rd, 2010 - 00:09:53


Endometrial Ablation
Answered by: Dr. Delgado
Jan 16, 2009, 12:00

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Question

My sister was told that she should have a procedure called endometrial ablation with Nova Sure. This prevents the uterine lining from bleeding and if there was a fertilized ovum, it couldn't attach. Therefore I believe this procedure is against Catholic teaching...is this correct? My sister is considering this procedure and asked me to find out for her.

Cathy

Answer

Dear Cathy,

Depending on the circumstances of the individual patient, this procedure, endometrial ablation, does pose an ethical dilemma. On one hand, it can treat and sometimes stop heavy and abnormal uterine bleeding. For some women that can be an answer to prayers.

On the other hand, a woman who is still in her fertile years may lose her fertility due to the procedure. Certainly, if a woman might be pregnant at the time, the procedure should not be done.

A woman who is past her fertile years could have this treatment, assuming it was the best option from a medical standpoint, with little or no ethical concerns. A woman in her fertile years, however, probably should only have this procedure if all other fertility-sparing, ethical treatments have been carefully considered and/or tried.

In the case of life-threatening or other very serious bleeding, a fertile woman could use this procedure as a last resort even if though it would compromise her fertility. The principle of double effect would apply in this case.

In your sister’s case, the details will dictate which option is best for her: Have other treatments been tried or considered? What is her age and fertility status?

George Delgado, MD


George Delgado, MD, FAAFP

George Delgado, M.D., F.A.A.F.P. is a Fertility Care Medical Consultant, a physician with Pregnancy and Family Care Centers of San Diego and Escondido, and a Voluntary Associate Clinical Professor, Department of Family and Preventative Medicine, School of Medicine, University of California, San Diego.


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