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Endometrial Ablation

 

Endometrial ablation is a medical procedure that is used to remove (ablate) or destroy the endometrial lining of a woman's uterus. This technique is most often employed for women who suffer from excessive or prolonged bleeding during their menstrual cycle but cannot or do not wish to undergo a hysterectomy. The procedure is most commonly done on an outpatient basis. Uterine ablation is contraindicated in patients who may want to get pregnant. Endometrial Ablation is an option for pre-menopausal women who have completed childbearing. It can be performed in our office using a local anesthetic.

 

Surgery

Endometrial ablation is a procedure that uses a lighted viewing instrument (hysteroscope) and other instruments to destroy (ablate) the uterine lining, or endometrium. Endometrial ablation can be done by:

  • Laser beam (laser thermal ablation).
  • Heat (thermal ablation), using:
    • Radiofrequency.
    • A balloon filled with saline solution that has been heated to 85C (thermal balloon ablation).
    • Normal saline (heated free fluid).
  • Electricity, using a resectoscope with a loop or rolling ball electrode.
  • Freezing.
  • Microwave.

The endometrium heals by scarring, which usually reduces or prevents uterine bleeding. Endometrial ablation is usually done in an outpatient facility or hospital. The procedure may be done using a local or spinal anesthesia, although general anesthesia is sometimes used. It takes a few days to 2 weeks to recover.

Symptoms

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Women who have menstrual bleeding that is impacting their life, and do not have other problems that require a hysterectomy should consider endometrial ablation.

  • You limit your activity because of your periods.
  • Bleeding is causing you to be anemic and tired
  • Bleeding limits your intimate time with your partner

Endometrial ablation is used to control heavy, prolonged vaginal bleeding when:

  • Bleeding has not responded to other treatments.
  • Childbearing is completed.
  • You prefer not to have a hysterectomy to control bleeding.
  • Other medical problems prevent a hysterectomy.
 
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