Endometrial Ablation

Why get an Endometrial Ablation?

The endometrium is shed each month during menstruation. Endometrial ablation is a treatment for excessive menstrual blood loss, characterized by:

While medications are typically the first line of treatment for heavy menstrual bleeding, endometrial ablation may be an option if medications don't help.

Endometrial ablation is not recommended for women who:

How is it done?

Endometrial ablation is a procedure to destroy the endometrium β€” the lining of your uterus. No incisions are needed for endometrial ablation. Your doctor will insert slender tools through your cervix β€” the doorway between your vagina and your uterus.

The tools vary, depending on the method used to destroy the endometrium. Some types of endometrial ablation use extreme cold, while other varieties depend on heated fluids, microwave energy or high-energy radiofrequencies.

Some types of endometrial ablation procedures can be done in your doctor's office, while others must be performed in an operating room. Factors such as the size and condition of your uterus will help determine which endometrial ablation method is most appropriate.

Risks

Endometrial ablation risks may include:

Future fertility

Many women stop having periods after endometrial ablation, but pregnancy is still possible in some women. However, these pregnancies usually end in miscarriage because the lining of the uterus has been damaged. Women who want to become pregnant in the future should not undergo endometrial ablation.

Types of Endometrial Ablation

There are several techniques used to perform endometrial ablation including the following:

Balloon ablation
One type of endometrial ablation uses a balloon filled with hot fluid to destroy the endometrial lining of the uterus.

Description: llustration showing balloon ablation

HTA – Hydrothermal Ablation
The cervix is slightly dilated to allow the introduction of a hysteroscope through the vagina, into the cervix and then into the uterus. This gives Dr Vered a view of the inside of your uterus to assure proper positioning. Then, the uterus is filled with room temperature saline solution to gently clean and flush the uterus. The fluid is gradually heated to 90ΒΊ C and circulated in the uterus for ten minute.

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