Can the endometrial ablation procedures be done while I am on coumadin®?
” A8: Yes, they can be done on coumadin® (hot balloon ablation, NovaSure™, Her Option™), since no cutting is done. There may be blood-tinged discharge after the procedure, but patients do fine without stopping coumadin®. For the hysteroscopic endometrial ablation procedure temporary discontinuation of coumadin® may be appropriate. Women not on warfarin In women (not on warfarin) with heavy menstrual bleeding (=menorrhagia) an underlying bleeding disorder is frequently present (ref. 1,2). However, rarely do physicians evaluate a patient for a bleeding disorder (ref 3). A physician should consider laboratory work-up for a bleeding disorder in women with unusually heavy menstrual bleeds. The suspicion for a bleeding disorder should even be higher if the woman has a history of other bleeding (with teeth extractions, surgery of the tonsils, childbirth, etc.) or a family history of bleeding, such as heavy menstrual bleeds in female family members. The most common bleeding disorders are von W
