Surgical Procedures for Menstrual Disorders
by Cynthia M. Johnson, MA
Surgery may be needed to treat problems that do not get better with other methods. The care team will talk about the risks and benefits of surgery.
Surgery is rare. It may be done to:
Ablation is destroys the lining of the uterus. Periods can happen after it is done, but the flow should be lighter. It can make it very hard to get pregnant. It may be done using:
The tools can be passed through the vagina to the uterus. Incisions are not needed. Ablation is not right for all types of menorrhagia.
A tube called a hysteroscope is passed through the vagina into the uterus. Tissue that is not normal can then be removed or repaired.
Hysterectomy removes the uterus. It is only done for women with severe problems. A woman no longer has periods after it. Pregnancy will not be able to happen.
Dilation and Curettage (D&C)
D&C is a scraping of the lining of the uterus. New, healthier cells will grow in place. It may ease bleeding. It is done through the vagina without incisions.
D&C is not helpful for all types of menorrhagia.
Abnormal uterine bleeding. EBSCO DynaMed website. Available at: http://www.dynamed.... Updated October 10, 2019. Accessed November 14, 2019.
Amenorrhea. EBSCO DynaMed website. Available at: https://www.dynamed.com/approach-to/abnormal-uterine-bleeding. Updated January 16, 2018. Accessed November 14, 2019.
Bleeding Disorders in Women. Center for Disease Control (CDC) website. Available at: https://www.cdc.gov/ncbddd/blooddisorders/women/index.html. Updated April 25, 2018. Accessed November 14, 2019.
Klein DA, Poth MA. Amenorrhea: an approach to diagnosis and management. Am Fam Physician. 2013 Jun 1;87(11):781-788.
Last reviewed September 2019 by EBSCO Medical Review Board Elliot M. Levine, MD, FACOG
Last Updated: 11/14/2019
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.