Endometrial ablation is a quick outpatient treatment for heavy bleeding.

Endometrial ablation is the removal or destruction of the endometrium (lining of the uterus). It does not require hospitalization, and most women return to normal activities in a day or two. Ablation is an alternative to hysterectomy for many women with heavy uterine bleeding who are wish to avoid major surgery. After a successful endometrial ablation, most women will have little or no menstrual bleeding. Patient selection and physician experience is essential to a good outcome.

Recovery from endometrial ablation

Most women are able to go home within an hour after the an endometrial ablation. There may be mild cramping, which can usually be relieved by ibuprofen. Occasionally stronger medicine may be needed. It is normal to be tired for a few days, but most women are able to return to most normal activities in a day or two. Intercourse and very strenuous activity is usually restricted for 2 weeks. It is normal to have a increased discharge for 2 to 4 weeks afterward, as the lining is shedding. I normally do the first check-up 4 weeks afterwards.

Who should consider endometrial ablation?

Women who have menstrual bleeding that is impacting their life, and do not have other problems that require a hysterectomy should consider endometrial ablation.

  • You limit your activity because of your periods.
  • Bleeding is causing you to be anemic and tired
  • Bleeding limits your intimate time with your partner?
  • You do not desire to retain fertility