Endometrial Ablation

WHY the procedure is performed

Endometrial ablation procedures destroy the lining of the uterus in order to eliminate or reduce menstrual bleeding.

There are a number of techniques to achieve this goal. We most commonly use the Novasure or Thermachoice balloon techniques as safe, effective options. The procedure is done as an outpatient in our office, surgicenter or hospital and virtually no recovery is needed.

Not everyone is a candidate for endometrial ablation. Women who desire pregnancy obviously should not destroy the lining of their uterus. In order to work, the device must maintain close contact with the uterine lining so if a woman has an irregularly shaped uterus or fibroids, the treatment is often ineffective. We will generally do an ultrasound with saline infusion prior to ablation to assure that the cavity of the uterus is normal and that there are no large fibroids that would increase the chance of treatment failure. A hysteroscopy (a procedure to look inside the uterus) prior to an ablation or at the time of the ablation to evaluate the cavity is often performed. Often an alternative treatment may be a better, more appropriate choice. A uterine biopsy prior to the ablation to assure there are no pre-cancerous or cancerous cells present is also recommended in most situations. If there is any question as to the cause of the bleeding, the treatment should not be done. Your doctor will help you determine if you are a good candidate for ablation.

WHAT you should do to prepare

Thermachoice procedures should be scheduled after a menstrual period. Novasure can be performed anytime during the cycle.

You will be receiving sedation during the procedure and should refrain from eating or drinking for 6 hours prior to the procedure. Someone MUST accompany you to the office or hospital and be available to take you home.

WHAT to expect during the procedure

An IV will be started and you will receive medication so you are sedated during the procedure. You will not remember or feel anything during the procedure. The procedure takes approximately 30 minutes. Please see the individual websites for further information about what occurs during the procedure.

Thermachoice: www.endheavyperiods.com
Novasure: www.novasure.com

WHAT to expect after the procedure

Slight cramping or light bleeding is not unusual. If you experience heavy bleeding, fever, severe pain, persistent nausea or vomiting or abdominal distention, call the office.

FAQ

Is it possible to become pregnant after an ablation?
It is possible but not recommended. Please talk to us regarding appropriate contraception options.

Can other procedures such as an incontinence procedure or tubal ligation be performed at the same time?
Yes, but only in the hospital.

What are possible complications?
As in any surgical procedure, there is always a possibility of complications. While complications are rare, infection, bleeding, or uterine perforation is possible. In rare cases, uterine perforation can cause damage to the bowel, or bladder.