Endometrial Ablation

Endometrial ablation is a procedure designed to reduce or eliminate menstrual bleeding by targeting the endometrium, which is responsible for menstruation. The goal of the procedure is to remove or destroy the endometrial tissue, resulting in lighter periods or the complete cessation of menstruation.

The procedure for endometrial ablation generally involves the following steps:

1. Anesthesia: Endometrial ablation can be performed under local anesthesia, regional anesthesia, or general anesthesia. The choice of anesthesia depends on factors such as patient preference, the specific technique used, and the surgeon's recommendation.

2. Access to the Uterus: The surgeon gains access to the uterus through the vagina. This can be achieved using various techniques, including hysteroscopy (insertion of a thin, lighted instrument called a hysteroscope), a specialized ablation device, or other energy sources.

3. Ablation Techniques: Different techniques can be used to remove or destroy the endometrial lining. Common methods include thermal ablation (using heat energy), cryoablation (using extreme cold), radiofrequency ablation (using electrical current), and microwave ablation.

4. Monitoring and Safety: Throughout the procedure, the surgeon carefully monitors the progress and ensures the safety of the patient. Temperature sensors or other monitoring devices may be used to maintain optimal conditions and prevent complications.

5. Recovery and Follow-up: Following endometrial ablation, most patients can go home the same day. Recovery time is relatively short, and discomfort can typically be managed with over-the-counter pain medication. Patients will be advised on postoperative care, including restrictions on sexual activity and the use of contraception if pregnancy is not desired.