Definition

Endometrial ablation is the destruction of the lining of the uterus. It may involve using heat, cold temperatures, microwave energy, or other methods.

Reasons for Procedure

Endometrial ablation is used to treat regular heavy periods that cannot be controlled with medicine. It should make menstrual flow lighter. In some cases, it stops menstrual flow completely.

This procedure should not be done if you plan to become pregnant in the future.

Possible Complications

Complications are rare, but no procedure is completely free of risk. The doctor will review a list of possible problems, which may include:

• Infection
• Bleeding
• Complications related to anesthesia
• Puncture of uterus or organ injury
• Edema (swelling) due to fluid leakage and absorption
• Heat injury to the vagina, vulva, or bowel

The risk of new or worsening pain may be higher if there is a history of painful periods or tubal sterilization.

Some things can increase the chance of problems such as:

• Smoking
• Drinking
• Chronic disease, such as diabetes or obesity

The following may also increase the risk of problems:

• Pregnancy or possible pregnancy—procedure should not be done if there is a chance that you are pregnant
• History of pelvic inflammatory disease (PID)—may trigger a recurrence of PID
• Inflammation of the cervix

What to Expect

Call Your Doctor

After you leave the hospital, call your doctor if any of the following occurs:

• Heavy vaginal bleeding
• Severe abdominal cramping and pelvic pain
• Severe pain during sex
• Severe low back pain
• Pain during bowel movements or urination
• Signs of infection, including fever and chills
• Nausea and vomiting
• Cough, chest pain, or shortness of breath
• Lightheadedness
• Pain or tenderness in the calf or leg
• Menstruation does not get lighter after 2 to 3 periods

In case of an emergency, call for emergency medical services right away.