Treatment

Uterine Ablation

Overview

Uterine ablation, also known as endometrial ablation, it is a medical procedure used to treat heavy or prolonged menstrual bleeding. During this treatment, the lining of the uterus (called the endometrium) is destroyed using heat, cold or other methods. It is a minimally invasive procedure that does not require large incisions and is often done on an outpatient basis.

This procedure is not a form of birth control and is usually recommended for women who no longer wish to get pregnant and want relief from abnormal or heavy bleeding.

Why Uterine Ablation is Required?

• When menstrual bleeding is unusually heavy or prolonged (medically called menorrhagia).
• To avoid hysterectomy, especially when symptoms are not cancer-related.
• If medications for bleeding haven’t worked or cause side effects.
• When bleeding leads to anemia or affects your daily life.
• For women with small fibroids or thickened uterine lining not caused by cancer.
• As an alternative to long-term hormone therapy.

Key Advantages of Uterine Ablation Treatment

• Minimally invasive – no major surgery needed.
• Shorter recovery time compared to hysterectomy.
• Can significantly reduce or stop periods.
• Improves quality of life by reducing bleeding and associated symptoms.
• Lower cost compared to major surgeries.
• Often performed as an outpatient procedure – you go home the same day.
• Can reduce need for long-term medication.

How Should You Prepare Yourself Before Uterine Ablation Treatment

• Share your full medical history with your doctor, especially if you plan future pregnancy.
• Undergo pelvic exams or ultrasound to assess the uterus.
• Some doctors may recommend a pregnancy test – the procedure is not safe during pregnancy.
• Stop certain medications (especially blood thinners) before the procedure if advised.
• Arrange transportation if you are receiving sedation or anesthesia.
• Follow fasting instructions if anesthesia will be used.

How Uterine Ablation Treatment is Performed?

• It may be done using heat (thermal ablation), freezing (cryoablation) or other energy forms.
• Common method includes NovaSure uterine ablation, which uses radiofrequency.
• Instruments are inserted through the vagina and cervix – no external cuts.
• The entire procedure takes about 15 to 45 minutes.
• You may receive local, spinal, or general anesthesia depending on your case.

What You Can Expect Before, During and After Procedure?

• Before Procedure:
• Basic testing, pregnancy check, and fasting (if needed).
• Doctor explains what will happen and obtains your consent.
• During Procedure:
• You lie comfortably on a table.
• A device is inserted into the uterus to remove or destroy the lining.
• Sedation or anesthesia ensures minimal discomfort.
• After Procedure:
• Mild cramping or watery discharge for a few days.
• Light bleeding for 1–2 weeks.
• Can return to normal activities in 2–3 days.
• Full healing time varies but usually around 2 weeks.

Risk and Potential Complications

• Infection (watch for signs like fever, foul-smelling discharge).
• Uterine injury (though rare).
• Bleeding or spotting that may continue for a few weeks.
• Cramps and pelvic pain during early recovery.
• Possible urinary issues if swelling irritates the bladder.
• Long-term side effects (rare) may include pelvic pain or scarring.
• Pregnancy after ablation is risky and uncommon – but not impossible.

Results/Outcomes

• Most women experience lighter periods or no periods at all after uterine ablation.
• Success rate is high for reducing symptoms of heavy bleeding.
• Not suitable for women planning to have children in future.
• It is not a guaranteed cure but can significantly improve daily life for many.
• May delay or avoid hysterectomy in several cases.