There are many different ways for the doctor to do this procedure. A simple ablation procedure is short. It can sometimes be done in an office or care center. Other procedures take longer and need to be done in a hospital.
A small probe will be inserted through the vagina. It will be passed into the uterus through the cervix. The tip of the probe will deliver on of the following:
Electrosurgery—electrical current and a heated rollerball or spiked ball
All methods will destroy the cells lining the uterine cavity. You will not feel pain. An ultrasound may be done at the same time. The doctor will use it to guide the probe. Damaged tissue may be removed with suction.
How Long Will It Take?
This depends on the type of method. It can take 15 to 45 minutes or longer.
How Much Will It Hurt?
Cramping and some discomfort is common after surgery. Pain medicine can help to manage it.
At the Care Center or Hospital
Your doctor will ask you how you feel. You will be able to leave when you feel ready.
Most can return to normal activity within a few days. Some more intense activity may need to be delayed.
Call Your Doctor
After you leave the hospital, call your doctor if any of the following occurs:
Heavy vaginal bleeding
Severe abdominal cramping and pelvic pain
Severe pain during sex
Severe low back pain
Pain during bowel movements or urination
Signs of infection, including fever and chills
Nausea and vomiting
Cough, chest pain, or shortness of breath
Pain or tenderness in the calf or leg
Menstruation does not get lighter after 2-3 periods
In case of an emergency, call for emergency medical services right away.
Endometrial ablation. The American College of Obstetricians and Gynecologists, Practice bulletin. No. 81, May 2007. Obstet Gynecol. 2007 May;109(5):1233-48.
Endometrial ablation. The American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/Patients/FAQs/Endometrial-Ablation. Published July 2017. Accessed March 19, 2020.
Heavy menstrual bleeding. National Institute for Health and Clinical Excellence website. Available at: http://www.nice.org.uk/nicemedia/pdf/CG44NICEGuideline.pdf. Updated August 2016. Accessed March 19, 2020.
Lethaby A, Hickey M, et al. Endometrial destruction techniques for heavy menstrual bleeding. Cochrane Collection website. Available at: http://www.cochrane.org/reviews/en/ab001501.html. Published August 23, 2013. Accessed March 19, 2020.
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