Endometrial ablation is a procedure to treat abnormal, heavy uterine bleeding, by allowing heated saline to circulate with the uterus, while destroying the lining (endometrium). This is only done in women with a form of permanent birth control in place. This can be done on an outpatient basis or as an in-office procedure, pending insurance authorization and/or patient preference.
Your doctor may do some pretreatment tests that may include a Pap smear, ultrasound or endometrial biopsy to rule out any abnormal findings.
This procedure allows your doctor to insert a small probe into your uterus that includes a tiny telescope for viewing the lining of the uterus. When treatment is complete, the uterus is flushed with room temperature saline to cool the uterus and probe. The lining will slough off, similar to a menstrual period over the next few weeks.
You should be able to return home on the day of the procedure. You may experience light abdominal cramping and vaginal bleeding or watery discharge for a few weeks. Do not use tampons until you are evaluated at your 2 week post-op visit.
Call your doctor if you have heavy vaginal bleeding, severe abdominal pain or fever greater than 100.4. Most women are able to return to normal activity the next day. Try to avoid heavy lifting or “bearing down” activities for 1-2 days. It is advised that you do not resume sexual activity until advised by your physician.