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Endometrial ablation is a minor surgical procedure performed to destroy the inner lining (endometrium) of the uterus. This treatment is done without making any visible cuts on the body. Depending upon the technique used, the actual procedure takes around anywhere between 2 and 10 minutes.
How long does the effect of endometrial ablation last?
Endometrial ablation is done to reduce excessive menstrual bleeding that has not subsided with medications.
The expected effect of endometrial ablation usually shows up in a few months and usually lasts for a longer time in most women.
About 3 in 10 women will see a significant reduction in their menstrual bleeding.
Nearly 50% of women who undergo this treatment will have their menstrual periods stopped permanently.
Can you have a baby after endometrial ablation?
This procedure is recommended for those women who no longer plan to have a baby. You can still become pregnant after endometrial ablation because all other reproductive organs are still intact. However, if you get pregnant, the risk of miscarriage or the fetus being implanted in the fallopian tube (ectopic pregnancy) is extremely high. Such a pregnancy can be fatal for the mother. Hence, it is recommended to either use contraceptives or plan for a sterilization surgery after the procedure.
Your doctor will recommend other options for you if you are planning to have your baby in the future (like surrogacy).
How is endometrial ablation performed?
Endometrial ablation removes the entire thin layer of the endometrium by heating or freezing it. It can be performed either in a doctor’s office as an outpatient or in the operative room during a hospital stay.
The surgeon can perform endometrial ablation using any of the following methods:
- Cryoablation: It is freezing the endometrium with the help of liquid nitrogen.
- Radiofrequency ablation: It is the use of radiofrequency waves to vaporize the endometrium.
- Hot fluid: It is circulating heated saline fluid within the uterus.
- Heated balloon: It is the insertion of a balloon device into the uterus and inflating it with hot liquid.
- Microwave energy: It is the use of a slender wand to emit microwaves that heat the endometrium.
- Electrosurgery: It is the use of electric current passed through wires to burn the endometrium (requires general anesthesia to make you sleep throughout the procedure).
How do you prepare for endometrial ablation?
Your surgeon will discuss with you all the benefits and risks of the procedure. Usually, you will be asked
- If you are pregnant or think you may be pregnant.
- If you have an intrauterine device (IUD) fitted inside the uterus.
- If you are allergic to any medicines.
- About all medicines that you are on.
- If you are particularly taking any blood-thinning medications (such as aspirin, heparin, and warfarin). This will be discontinued for a few days before and after the surgery.
- To take some medicines several weeks before the procedure. These medicines will make the endometrium thin enough to get ready for the surgery.
- To stop eating and drinking (fast) after midnight (generally in case of general anesthesia).
Make sure that you follow all these and any other instructions given by your doctor. You can also make a list of all doubts you have before the surgery and get it cleared by your doctor.
What happens after endometrial ablation?
After endometrial ablation, you might experience
- Frequent urination: You may feel like peeing more than usual in the first 24 hours of the surgery.
- Abdominal cramps: These are usually similar to the cramps that you typically experience during your periods. They usually last for a few hours to a few days and can be relieved by over-the-counter pain medications.
- Minimal vaginal bleeding and vaginal discharge: Most bleeding subsides within a few days followed by a clear, watery discharge, that stays up to two weeks.
What is the recovery period for endometrial ablation?
Being a minor procedure, recovery takes a few days to a week. It might take two weeks in some patients. You might be able to resume all your activities immediately after the surgery. Strenuous activities can wait for a week. Make sure to ask your doctor how long the recovery period will be for you.
What are the possible complications of endometrial ablation?
Endometrial ablation carries relatively fewer risks than major surgical procedures such as a hysterectomy. Although minimal, the possible complications are as follows:
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Treatment of endometriosis can be with medication or surgery.
What Is Endometriosis?What is endometriosis? Endometriosis is an abnormal growth of endometrial cells found in the uterus. Not to be confused with endometrial cancer, endometriosis has different symptoms and treatments, including surgery.
Endometriosis QuizEndometriosis is a common gynecological condition. Take this quiz to learn what happens when a woman has endometriosis as well as causes, treatments, and risks.
How Do I Know If I Have Endometriosis?Approximately, one-third of the women with endometriosis remain asymptomatic. Severe pain during menses may be the first sign of endometriosis. Other symptoms that you may experience include heavy periods, low back pain, cramps, pain during intercourse and other symptoms.
What Are the Early Signs of Endometriosis?The endometrium is the inner lining of the uterus, which changes throughout the menstrual cycle, shedding during menstrual periods. Endometriosis is the presence of normal endometrial tissue abnormally implanted in locations other than the inner wall of the uterus. This causes pain and other symptoms that may include infertility.
What Is Endometrial Ablation Used For?Endometrial ablation involves surgical removal (ablation) of the lining of the uterus (endometrium) to stop or diminish heavy bleeding, bleeding between menstruation, or periods that last for a long time. It does not stop heavy bleeding completely but reduces it to normal or lighter levels.
What Is the Ablation Procedure?An ablation procedure is a minimally invasive procedure. It is used to destroy layers of abnormal tissues in various parts of the body using lasers or cold. Ablation can be done for cosmetic reasons (on the skin for brightening, wart removal and tattoo removal) or treating serious disorders (heart ablation to treat abnormal rhythm or uterine ablation for fibroids).