You will lie on a procedure table, with your feet and legs supported as for a pelvic exam. They will use it to widen your vagina and see the cervix. The healthcare provider will numb the area using a small needle to inject medicines. Your provider will insert a thin, rod-like tool uterine sound through the cervical opening. This is to find out how long your uterus and cervical canal are. The tool may cause some cramping. The tool will then be removed. With balloon ablation, your provider will put a small balloon through the cervical opening and into your uterus.
He or she will put hot liquid into the balloon to destroy the uterus lining. A computer will control the pressure, temperature, and time of the treatment. This may cause some mild to strong cramping. With radiofrequency ablation, your provider will put a special mesh through the cervical opening.
They will expand it to fill the uterus. Radio wave energy will be passed into the mesh. This will destroy the uterus lining. Suction helps remove liquids, steam, and other gases that will be made during ablation. For cryoablation, your provider will put a special probe through the cervical opening and into the uterus. They will place an ultrasound transducer on your abdomen. This will guide the cryoablation probe to the right areas in the uterus for freezing.
The recovery process will vary, depending on what type of ablation you had and the type of anesthesia used. If you had spinal, epidural or general anesthesia, you will be taken to the recovery room. Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room or sent home. If you had the procedure as an outpatient, plan to have someone else drive you home.
If you did not get anesthesia, you will need to rest for about 2 hours before going home. You may want to wear a sanitary pad for bleeding. It's normal to have vaginal bleeding for a few days after the procedure. You may also have a watery-bloody discharge for several weeks. You may have strong cramping, nausea, vomiting, or the need to urinate often for the first few days after the procedure.
Cramping may continue for a longer time. Don't to douche, use tampons, or have sex for 2 to 3 days after an endometrial ablation, or as advised by your healthcare provider. You may also have other limits on your activity. These may include no strenuous activity or heavy lifting. You may go back to your normal diet unless your healthcare provider tells you otherwise.
Take a pain reliever for cramping or soreness as recommended by your healthcare provider. Aspirin or certain other pain medicines may increase the chance of bleeding and should not be taken. Be sure to take only recommended medicines. Endometrial ablation is used to control heavy, prolonged vaginal bleeding when:. Most women will have reduced menstrual flow following endometrial ablation. And up to half will stop having periods. Younger women are less likely than older women to respond to endometrial ablation.
After an endometrial ablation, younger women are more likely to continue to have periods and need a repeat procedure.
Young women may be treated with gonadotropin-releasing hormone analogues GnRH-As 1 to 3 months before the procedure. This will decrease their production of estrogen and help thin the lining of the uterus endometrium. Problems that can happen during endometrial ablation include:. These problems are uncommon but can be severe. Regrowth of the endometrium may occur after you have endometrial ablation. This procedure is not recommended if you have a high risk for endometrial cancer.
Do not consider this procedure if you plan to become pregnant in the future. Although this surgery usually causes sterility by destroying the lining of the uterus, pregnancy may still be possible if a small part of the endometrium is left in place.
This can lead to severe pregnancy problems. Birth control of some form is needed if you have not finished menopause. Your doctor will discuss any follow-up care with you. Recovering from endometrial ablation It may take you a few days to recover and heal from endometrial ablation. Side-effects of endometrial ablation Endometrial ablation may cause some side-effects. Here are some things to consider. The operation can ease heavy periods and is often better than using medicines.
It may not be the best treatment if you have pain as well as heavy periods — hysterectomy may be a better option. It works by thinning the lining of your womb and reducing bleeding. Medicines such as the combined oral contraceptive pill or tranexamic acid may reduce the amount of blood you lose during each period. Frequently asked questions Expand all. Did our information help you? Complete the survey. About our health information At Bupa we produce a wealth of free health information for you and your family.
Related information. Fibroids are benign non-cancerous growths that can develop in the walls of your womb uterus. You can have one or more fibroids and they can vary in size. Read more. Heavy periods menorrhagia. Heavy periods are when your periods are consistently heavy; so much so that they interfere with your daily life. The medical name for it is menorrhagia. A hysterectomy is an operation to remove your womb uterus.
You may be offered a hysterectomy if you have a condition that affects your reproductive system. Local anaesthesia. General anaesthesia. Expand all. Royal College of Obstetricians and Gynaecologists www. Endometrial resection and ablation techniques for heavy menstrual bleeding.
Cochrane Database of Systematic Reviews , Issue 1. BMJ Best Practice. Laparoscopic supracervical hysterectomy versus endometrial ablation for women with heavy menstrual bleeding health : a parallel-group, open-label, randomised controlled trial.
The Lancet ; — Oxford handbook of general practice. In younger women, tissue regrowth may occur months or years later. Talk to your healthcare provider about whether this is the best option for you. Prior to scheduling, your healthcare provider will request your medication history, including any allergies you have.
Your uterine lining may need to be thinned beforehand to make the procedure more effective. This can be done with medication, or with a dilation and curettage D and C procedure. Not all endometrial ablation procedures require anesthesia. Additional preliminary tests, such as an electrocardiogram , may also be done. Although your reproductive organs remain intact, conception and successful pregnancy afterward is unlikely.
You should discuss your reproductive options with an infertility specialist before having the procedure. If your eggs are of good quality, you can opt to freeze your eggs or fertilized embryos prior to the procedure.
A surrogate might carry the pregnancy for you. If you can choose to delay the procedure until you have children, you might want to do so. Adoption is also a consideration. Weighing these options, as well as the need for the procedure, may feel overwhelming. Talking to your healthcare provider about your feelings may be beneficial. They can recommend a counselor or therapist to help you process and provide you with support.
In an endometrial ablation, your healthcare provider first inserts a slender instrument through your cervix and into your uterus. This widens your cervix and allows them to perform the procedure. The procedure can be done in one of several ways.
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