Endometrial Ablation

What is endometrial ablation?

Endometrial ablation is a procedure which eliminates the lining of the uterus and stops the menstrual bleeding in many people. In some, menstrual bleeding does not stop but is reduced to normal or lighter levels. If ablation does not control heavy bleeding, further treatment or surgery may be required.

Why is endometrial ablation done?

Endometrial ablation is used to treat many causes of heavy bleeding. In most cases, women with heavy bleeding are treated first with medication. If heavy bleeding cannot be controlled with medication, endometrial ablation may be used.

Can I still get pregnant after having an endometrial ablation?

Pregnancy is not likely after ablation, but it can happen. If it does, the risk of miscarriage and other problems are substantially increased. If a person still wants to become pregnant, they should not have this procedure. Those who have endometrial ablation should use birth control until after menopause. Sterilization may be a good option to prevent pregnancy after ablation.

A person who has had ablation still has all their reproductive organs. Routine cervical cancer screening and pelvic exams are still needed.

What techniques are used to perform endometrial ablation?

Several techniques can be used to perform an endometrial ablation, including the use of radiofrequency, freezing, heated balloon, microwave energy, and electrosurgery. At Premier Ob-Gyn, our doctors most commonly use radiofrequency energy, or Novasure (www.Novasure.com). The procedure can often be performed safely in the office with little or no recovery time needed.

What should I expect after the procedure?

Some minor side effects are common after endometrial ablation:

• Cramping, like menstrual cramps, for 1–2 days
• Thin, watery discharge mixed with blood, which can last a few weeks. The discharge may be heavy for 2–3 days after the procedure.
• Frequent urination for 24 hours
• Nausea