Surgical Procedures for Menstrual Disorders

Surgeries for Amenorrhea

Surgery is only done in rare cases where amenorrhea is linked to:

  • Ovarian cyst
  • Vaginal blockage
  • Uterine abnormalities
  • Vaginal abnormalities that create a blockage

Surgeries for Menorrhagia

There are many choices for women with heavy menstrual bleeding. Think about them with care. Some may change your ability to have children.

Dilation and Curettage

Dilation and curettage (D&C) removes the lining of the womb and lets it get replaced by healthier cells. The cervix is dilated and a tool is inserted and used to scrape the lining and remove tissue through the vagina.

In the past, D&C was thought to be a diagnostic and therapeutic treatment. It is no longer viewed as a helpful therapy. It will not help menorrhagia from adenomysosis (a problem in which endometrial cells move into the muscle of the womb).


A long, thin telescope called ahysteroscopeis used to view the inside of the womb and remove any abnormal tissue, such as a polyp or a fibroid, that might be the cause of the bleeding. This is often done with an ablation or a resection of the uterine lining.

Endometrial Ablation

In an endometrial ablation, the lining of your womb (the endometrium) is destroyed. This is very helpful in treating heavy bleeding.

There are many ways to do an endometrial ablation. The tissue can be destroyed with:

  • Radiofrequency
  • Freezing
  • Heated fluid
  • Heated balloon
  • Microwave energy
  • Electrosurgery

In an endometrial resection, the lining of your womb is removed. This is very effective in treating heavy bleeding. The cervix is dilated and fluid is pumped into the uterine cavity to help the doctor view of the womb. The lining is then removed with an electrosurgical wire loop.

These methods will not help menorrhagia from adenomyosis.


Hysterectomy is the surgical removal of the womb. The most common reason for it is heavy bleeding, but this surgery is only done for women with severe symptoms. A woman no longer has periods after this surgery.


Abnormal uterine bleeding. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated August 24, 2018. Accessed October 29, 2018.
Amenorrhea. EBSCO DynaMed Plus website. Available at: Updated January 16, 2018. Accessed October 29, 2018.
Klein DA, Poth MA. Amenorrhea: an approach to diagnosis and management. Am Fam Physician. 2013 Jun 1;87(11):781-788.
Menstruation and the menstrual cycle fact sheet. Office on Women's Health website. Available at:
...(Click grey area to select URL)
Updated April 25, 2018. Accessed October 29, 2018.
Last reviewed September 2018 by EBSCO Medical Review BoardBeverly Siegal, MD, FACOG
Last Updated: 10/29/2018

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