---
title: OB/GYN
---

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# A is the correct answer

### Explanation:

Resectoscopic and nonresectoscopic **endometrial ablation** techniques can be used for the treatment of **heavy menstrual bleeding**. Patients are usually premenopausal, have not responded to a trial of medical management, and do not desire future fertility. More commonly, destruction of the endometrium results in a decrease in the amount of bleeding rather than in amenorrhea.

Contraindications to endometrial ablation include a desire for future fertility, endometrial hyperplasia or carcinoma, postmenopausal status, uterine malformations, and a history of prior uterine surgery that may have resulted in thinning of the myometrium. Complications and their rates vary depending on the technique employed. Of the adverse outcomes listed, **abdominal pain** is the most common for nonresectoscopic endometrial ablation, occurring in as high as 4% of cases.

![](https://roshreview.imgix.net/d93b0f12b5734a39f8b0f8fd8ba59d07_Image%20-%20Endometrial%20Ablation%20Preop%20Eval%20and%20Outcome%20%408x.png?w=3040&fit=max&q=30&auto=compress)

**Endometritis (B)**, **hematometra (C)** secondary to intrauterine scarring, and **urinary tract injury (D)** can occur after nonresectoscopic endometrial ablation procedures but do so at lower rates than abdominal pain.

 

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