Endometrial ablation is a method of treatment often used to treat conditions of heavy bleeding. Because it is a surgical method, many physicians opt to treat these conditions with medication prior to surgical options. In the event bleeding cannot be corrected using medications, the procedure of endometrial ablation may be recommended.

What is Endometrial Ablation?

Endometrial ablation is a surgical procedure done within the uterus, on women prior to menopause, and typically after pregnancy. It is done to remove a thin layer of the uterus lining, in an attempt to halt the menstrual flow. It can help to reduce the extent of abnormal menstrual bleeding, and in some women, it may stop menstrual bleeding altogether. In the event menstrual bleeding continues at heavy levels, additional surgery may be recommended.

Ablation is not a sterilization method, and the procedure does not remove any reproductive organs. Getting pregnant after having endometrial ablation is unlikely, however, it is not guaranteed to not occur. In the event pregnancy occurs after having an ablation, the chance of miscarriage and other complications is greatly increased. Therefore, endometrial ablation is not recommended in the event a woman still wishes to become pregnant. Sterilization is an option for those who want an additional method of reassurance, in knowing they will surely not become pregnant after having endometrial ablation performed.

What is the Procedure of Endometrial Ablation Like?

The overall procedure of endometrial ablation is short, and it is often performed as an outpatient surgery. During the procedure, no incisions are made, however, the cervix will be dilated to accommodate access. Pain relief will be prescribed, and recovery is typically around 2 hours, depending on the pain relief administered.

Depending on your circumstances and the preferences of the surgeon, different methods are used to perform the actual endometrial ablation. Here is a look at several methods for performing ablation:

NovaSure: The NovaSure method is one of the most advanced options for endometrial ablation. It uses an electrode to deliver radiofrequency, and is complete in about 90 seconds. Afterward, the electrode array retracts easily, with the lining of the uterus desiccated.

Radiofrequency: This involves a probe inserted into the uterus, which provides radiofrequency energy and heat to destroy the lining of the uterus. To complete the procedure, suction will be utilized to remove the lining.

Heated Fluid: Using a hysteroscope, fluid is inserted into the uterus, where it gets heated. In about 10 minutes it will have destroyed the uterus lining.

Freezing: In this method, a thin probe gets inserted into the uterus, which is then used to freeze the lining of the uterus.

Microwave Energy: This method uses a probe to apply microwave energy into the lining of the uterus to destroy it.

Heated Balloon: In this method of endometrial ablation, a balloon is placed into the uterus using a hysteroscope, which is then filled with heated fluid. The balloon is then left to expand until its edges reach the lining of the uterus, destroying it.

Electrosurgery: Using this method, a resectoscope is inserted into the uterus to destroy the lining.

For many women dealing with conditions that involve heavy bleeding, endometrial ablation serves as an option to manage their symptoms, without going as far as a hysterectomy. It may not be an option for everyone, but if you are living with unmanageable uterine bleeding, it can serve a tremendous benefit in making your condition more tolerable. If you’d like to learn more about your options, contact the office of Dr. Shakiba of Women’s Pelvic Surgery of North Jersey today to schedule an appointment.


Women’s Pelvic Surgery of North Jersey and Dr. Shakiba can be reached at:
Women’s Pelvic Surgery of North Jersey, LLC
211 Essex Street, Suite 402
Hackensack, 07601
Telephone: (201)- 301-2772
Fax: (551)- 313-8274