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Endometrial ablation is a treatment to stop or reduce heavy periods and abnormal bleeding from the uterus. The endometrium, the lining of the uterus is destroyed with the aim of reducing or ceasing the blood flow.
How is Endometrial Ablation Performed?
Endometrial ablation is usually performed as a day case operation requiring you to stay in hospital for 3 - 4 hours following the procedure which is performed under general anaesthetic.
It can also be performed in the Outpatients department under local anaesthetic.
During the procedure the cervix is dilated to allow passage of the instruments into the uterus. There are a number of different procedures that can be used to destroy the uterine lining including laser beam, electricity, freezing, heating, or microwave energy.
Endometrial Ablation Treatment Types & Names include:
- NovaSure - radiofrequency (similar to a microwave) impedance-based technology destroys the endometrium.
- Thermachoice - Gynecare Thermachoice, thermal balloon endometrial ablation system. A balloon is inserted into the uterine cavity, liquid is introduced into the ballon and it is heated to destroy the endometrium.
- Cavaterm - Thermal endometrial ablation. A balloon is inserted into the uterine cavity, liquid is introduced into the balloon and it is heated to destroy the endometrium.
Endometrial Ablation Procedure - Who Has This Treatment?
Women who bleed heavily most months, the bleeding will be due to a benign condition (meaning it is not cancerous). Women with Uterine Cancer cannot be treated with endometrial ablation.
Women who are not pregnant and are not planning to become pregnant - pregnancy is still possible following treatment but the pregnancies carry a higher risk of miscarriage.
This procedure is not a first-line treatment - it is only performed when other medical treatment or hormone treatments have not been successful.
Endometrial Ablation Side Effects
- Pain, bleeding or infection
- Heat or cold damage to nearby organs
- If you have diabetes recovery may be slower and you have a higher risk of infection.
- If you are overweight it can take you longer to recover from the anaesthetic and there is a higher risk of infection and thrombosis.
- Urine infection following surgery
- Perforation of uterus by medical instruments
- Heavy & prolonged bleeding following a womb infection
- Lower abdominal pain
Endometrial Ablation Recovery
Following the procedure The Royal College of Obstetricians and Gynaecologists recommend a couple of gentle walks for 15 - 20 minutes on the first day. You are also advised to avoid heavy work or substantial exercise until your body is recovered from the anaesthetic and the uterus starts to heel.
Your Sex Life After Endometrial Ablation
- For many women this is an important milestone in their recovery and it is recommended that you wait until vaginal bleeding or discharge has stopped and you feel ready to be intimate again.
Kegel8 and Endometrial Ablation
- Do not use your Kegel8 if you have vaginal bleeding or discharge following your treatment. You can resume using your Kegel8 Pelvic Toner when you feel able to do so. Exercising will have a positive effect on your pelvic floor and pelvic area; it can help to relieve pain and also help to improve circulation and sensation.
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