Endometrial ablation

What is endometrial ablation?

An endometrial ablation is an operation to remove the lining of the uterus (womb). After the operation most women will experience a noticeable reduction in their periods, and in some cases, periods stop completely.

The need for an endometrial ablation is to relieve heavy periods usually caused by:

  • Fibroids where the muscle of the womb is overgrown
  • Polyps which is a small skin tag
  • Excessive thickening of the lining of the womb

What does an endometrial ablation involve?

A microwave endometrial ablation can be performed under local or general anaesthetic and normally takes less than twenty minutes.

Your gynaecologist will pass a small telescope (hysteroscope) through your vagina and cervix and into the cavity in your womb. Fluid will be passed through the telescope to distend your womb.

They will check that your womb is the correct size and shape for you to have the operation and they may take a biopsy. A microwave probe will be placed into your womb and removed slowly (one to three minutes) to ensure the whole cavity of the womb is treated. The probe will release enough microwave energy to remove the lining of your womb to a safe depth

Endometrial ablation recovery time

You should be able to go home the same day although your doctor may recommend you stay a little longer. You may experience some period like cramps and mild bleeding which can be treated with pain killers.

You should rest for one or two days and you should be able to return to normal activities within two to four days.

What risks should I know about?

Microwave endometrial ablation is a routinely performed operation but nevertheless carries some small risks: 

  • Making a hole in the womb or damage to a nearby structure - risk less than 1%
  • Haematometra where blood and other menstrual fluids collect in pockets in cavities in the womb 

Circle care

Endometrial ablation is carried out at our state of the art facilities and we have a dedicated team of surgeons and nurses who will guide you through the process from first consultation to after-care and will be available to answer any questions or queries you may have.

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