“…EA is related to a wide range of amenorrhea rates (13.9%-55.3%) [5,6]. Within 3 to 12 months after surgery, both first-and second-generation ablative methods induce intrauterine scarring and contracture, but rarely is the whole endometrium destroyed, as demonstrated by magnetic resonance imaging studies showing the presence of endometrial tissue in up to 95% of patients undergoing ablation, including those with amenorrhea [6,7]. Furthermore, intrauterine scarring and contracture limit any bleeding from persistent or regenerating endometrium just behind the scar, which can cause such complications as cyclic pelvic pain, central hematometra, cornual hematometra, postablation tubal sterilization syndrome, and retrograde menstruation in premenopausal women [6,8].…”