Endometrial Ablation

What is Endometrial Ablation?

Endometrial ablation is a procedure that surgically destroys (ablates) the lining of your uterus (endometrium). The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely.

No incisions are needed for endometrial ablation. Your doctor inserts slender tools through the passageway between your vagina and uterus (cervix). The tools vary, depending on the method used to ablate the endometrium. They might include extreme cold, heated fluids, microwave energy, or high-energy radiofrequencies.

Some types of endometrial ablation can be done in your doctor’s office. Others must be performed in an operating room. Factors such as the size and condition of your uterus will help determine which endometrial ablation method is most appropriate.

You’re a Candidate for Endometrial Ablation if You…

  • Have excessively heavy periods.
  • Soak a pad or tampon in less than two hours
  • Continue bleeding for eight days or more.
  • Have anemia due to the loss of blood.
  • Haven’t responded sufficiently to prescribed medications.
  • Aren’t postmenopausal.
  • Don’t have abnormalities in your uterus.
  • Don’t have uterine cancer.
  • Don’t have active pelvic infections.

Dr. Bonni’s Endometrial Ablation Procedure

Endometrial ablation is performed as an in-office procedure under local or general anesthesia, depending on your specific needs and condition. During the procedure, the opening in your cervix is widened with medications or via the insertion of small rods with gradually increasing diameters. The cervix must be dilated for the smooth passage of the devices used for endometrial ablation.

The endometrial ablation procedure includes various possible techniques, including electrosurgery, cryoablation, free-flowing hot fluid, heated balloon, microwave, and radiofrequency. Dr. Bonni discusses all your treatment options and chooses the ideal technique for your specific needs.

The following is a brief overview of endometrial ablation techniques:

  • Electrosurgery involves carving furrows into the endometrium via a heated wire loop passed through a slender scope.
  • Cryoablation involves destroying the endometrium with two to three ice balls produced using extremely cold temperatures.
  • Free-flowing hot fluid involves delivering a heated saline solution into the uterus to distort the endometrium.
  • Heated balloon involves inserting a balloon device into the cervix and inflating it with a heated fluid.
  • Microwave involves emitting microwaves that heat the endometrial tissues via a slender wand.
  • Radiofrequency involves delivering radiofrequency energy into the uterus to vaporize the endometrial tissues.

Recovering from Your Endometrial Ablation

You might experience menstrual-like cramps, watery vaginal discharge, and frequent urination for a few days. However, most of the side-effects dissipate in a few days, and you can manage the pain with over-the-counter medications. You should notice the results in a few weeks or months.

Why Choose Dr. Bonni?

Dr. Bonni is an incredibly talented and skilled gynecologist and cosmetic surgeon specializing in female pelvic medicine and reconstructive surgery. During your comprehensive consultation, he’ll carefully review your medical history and discuss all your options to recommend the ideal endometrial ablation technique, ensuring optimal results. Please schedule an appointment to discuss your options with Dr. Bonni.