Endometrial Ablation

Endometrial ablation is a procedure that destroys (ablates) the uterine lining, or endometrium – which is shed each month during menstruation. Endometrial ablation is typically used to treat dysfunctional or abnormal uterine bleeding when medications have failed. It can also be used to treat small fibroids inside the uterus.

The procedure does not require making an incision. Depending on the method chosen for the ablation, slender tools – sometimes including a lighted viewing instrument called a hysteroscope – are inserted into the uterus through the vagina and cervix. Some types of endometrial ablation use extreme cold, while other methods involve heated fluids, microwave energy, lasers or high-energy radiofrequencies to destroy the uterine lining.

Endometrial ablation can often be done in an outpatient facility or medical office, using a local or spinal anesthetic. Learn more about endometrial ablation by calling (206) 223-6191.

How Well Does Endometrial Ablation Work?

Most women will have reduced or absent menstrual flow following endometrial ablation. Younger women are more likely to continue to have periods and may need a repeat procedure in the future.

Pregnancy is very unlikely after ablation, but can happen and have serious complications. Women who may still wish to become pregnant should not undergo endometrial ablation. Women who are sexually active must continue using birth control until after menopause.

Who Should Not Have Endometrial Ablation?

The procedure should not be performed in women past menopause, and it’s not recommended for women who have the following conditions:

  • Disorders of the endometrium or uterus, such as endometrial hyperplasia
  • A current or recent uterine infection
  • A recent pregnancy
  • Cancer of the uterus

If you have questions about endometrial ablation or would like more information about this service, call (206) 223-6191.