Private gynaecologist | The Surrey Park Clinic

Endometrial Ablation

What is an Endometrial Ablation?

Endometrial Ablation is a surgical procedure to reduce excessive menstrual bleeding (menorrhagia).  This procedure destroys the lining (endometrium) of the womb (uterus) by one of several methods. 

What happens during an Endometrial Ablation?

Endometrial Ablation is normally performed as an outpatient procedure.  Depending on which ablation you have may determine whether you would have this done under local or general anaesthetic.  You may be given medication beforehand to minimize cramping during and after the procedure.

The procedure usually takes about half an hour. A telescope is entered into the womb to allow the surgeon to look in the womb using a special telescope: the womb is then inflated so the surgeon can see it clearly.  Different techniques can be used to destroy the lining of the uterus, most commonly diathermy (a small electric current is passed through a wire loop or ball-shaped sensor, which heats up), or balloon ablation (a balloon is inflated with fluid which is then heated for several minutes) both which destroy the lining of the womb to stop bleeding.  Other methods include freezing, microwave or laser techniques.

What happens after an Endometrial Ablation?

You can usually return home the same day following this procedure, but should have someone to drive you home.  You may experience some vaginal bleeding for a few days and a watery discharge for a few weeks afterwards.  Normal over the counter pain relief should help with any discomfort.  You should be able to return to your normal activities about a week after your procedure.

Am I a candidate for an Endometrial Ablation?

Before you proceed to an ablation your doctor must rule out abnormal uterine conditions for example fibroids, and your smear test and biopsy must also be normal.  If you still want to have children then an endometrial ablation is not an option since the uterine lining is destroyed during the procedure.

Can I get pregnant after treatment?

Since there is a chance pregnancy could occur contraception or sterilisation should be used after an endometrial ablation.  You should not have an endometrial ablation if you still want to have children.  Pregnancies after ablation can be dangerous for both foetus and mother.

Are there any possible complications?

An endometrial ablation is a safe and routine procedure and complications are rare.  It is possible that inflammation of the lining of the womb or an infection could occur.  In more rare cases damage to your womb or bowel can occur.  You should discuss any concerns with your surgeon prior to the procedure.

In most cases the operation is very successful, with patients experiencing no bleeding or only light bleeds.

For more information about endometrial ablation or to make an appointment call 01483 454 016.   Alternatively email us, our friendly team handle all enquiries in complete confidence.