Endometrial Ablation

Endometrial ablation is a procedure used to treat excessive uterine bleeding. It involves the destruction of the uterine lining, or endometrium, to reduce or stop the abnormal bleeding. Endometrial ablation typically uses heat, electrical energy, microwaves, or freezing to destroy the endometrium. This procedure is usually performed in an outpatient setting and is often recommended for women who experience heavy menstrual bleeding, but who do not want to undergo a hysterectomy. Endometrial ablation is a relatively simple procedure with minimal risks and a high success rate. It is a safe alternative to hysterectomy for some women. After the procedure, most women experience a significant reduction in monthly bleeding and periods that last fewer days. However, endometrial ablation is not recommended for women who want to become pregnant in the future. The procedure is usually performed using a hysteroscope, a thin, lighted instrument inserted through the vagina and cervix into the uterus. Once the hysteroscope is in place, the doctor can insert other tools to remove or destroy the endometrium. The procedure can be performed with general anesthesia or local anesthesia. Possible complications of endometrial ablation include infection, bleeding, scarring, and damage to the uterus or other internal organs. In rare cases, the procedure can cause an imbalance of hormones, which can lead to irregular bleeding or spotting.