As the Mayo Clinic explains, endometrial ablation is a surgical procedure that is performed to ablate (destroy) the uterus lining. This lining is called the endometrium. This procedure becomes necessary if you suffer from extremely heavy periods, extremely long periods, or anemia due to menstrual blood loss. We perform endometrial ablation at our OB/GYN clinic. Let’s talk more about this procedure.
When Ablation Is Necessary
Generally, ablation becomes necessary if other efforts to reduce your menstrual flow fail. For example, we may prescribe the birth control pill or insert an IUD (intrauterine device) to control your periods. If these treatments are ineffective, we may opt for endometrial ablation to slow down the blood flow.
Endometrial Ablation Risks
Endometrial ablation is a safe and non-invasive surgery. Rather than cutting you open, we ablate the endometrium by inserting surgical tools into the uterus through the vagina. The most common side effects or complications include
- Bleeding
- Infection
- Pain
- Punctured uterine wall
- Temperature organ damage
The latter two can occur if the surgical tools are not used properly. We are trained and have vast experience in endometrial ablation.
Pre-surgery Procedures
Prior to your ablation procedure, we will test you to make certain you are not pregnant. We cannot ablate the endometrium if you are pregnant. We will also test for uterine cancer, as this, too, can cause excessive bleeding. We will remove your IUD if you use this form of birth control. If necessary, we will also thin out the uterine lining with medication or a D&C if the endometrium is too thick.
Post-surgery Experience
You can expect some discomfort after the endometrial ablation. You will feel cramps that remind you of menstrual cramps. These cramps will last for a few days, and you can treat the cramps with acetaminophen or ibuprofen.
You may also have to wear period pads – we do not recommend tampons – to collect a watery and bloody discharge. This discharge can leak out of the uterus for a few weeks.
Finally, you may have a frequent urge to urinate for 24 hours after the treatment. Other than that, you should feel normal and free of other effects.
If your periods are extremely heavy and long-lasting, call us to schedule an appointment with one of our board-certified gynecologists. You may be anemic. We can reduce the blood loss during your period with endometrial ablation if necessary. We will discuss all of your treatment options with you so you can determine what is best for you.
