Surgery Overview
Endometrial ablation is a type of procedure that's often used to treat heavy menstrual bleeding. It can also be used for other types of bleeding in the uterus. It's not recommended if you plan to get pregnant.
Ablation works by destroying the lining of the uterus (endometrium). As it heals, the lining will scar. This scarring reduces or prevents bleeding.
You may be given gonadotropin-releasing hormone agonists (GnRH-As) 1 to 2 months before endometrial ablation. This can help thin the lining of the uterus before the procedure.
For the procedure, your doctor may give you medicine to help you relax. You may also get medicine to help with pain. First, your doctor places a tool called a speculum into your vagina. This opens the vagina a little bit. Next, the doctor may put a lighted tube through your cervix. This is called a hysteroscope or scope. It helps the doctor see inside your uterus. Then the doctor inserts a device to destroy the lining. This device may work in one of many ways. It may use a laser beam, heat, electricity, freezing, or microwaves.
Ablation can be done in a doctor's office. Or it may be done in a hospital. It usually takes less than an hour. You can go home after the procedure.
