When is Endometrial Ablation Performed?

Endometrial ablation is a medical procedure that destroys the lining of the uterus, causing scar tissue to form in its place. It is performed to treat heavy menstrual bleeding and to prevent pregnancy.

Treats Heavy Bleeding

• Usually, a gynecologist will first treat heavy menstrual flow with medication, such as birth-control pills. He may suggest endometrial ablation if the medication is ineffective.

Prevents Pregnancy

• A woman may opt for endometrial ablation as a means of preventing pregnancy; however, if any part of the uterine lining remains after the procedure, she could still become pregnant, resulting in severe complications. A woman who undergoes endometrial ablation should continue using birth control to prevent pregnancy until she goes through menopause.

Alternative to Hysterectomy

• A doctor may recommend endometrial ablation as an alternative to a hysterectomy if his patient would prefer not to have one or if a medical condition prevents it.

Good Candidates

• Good candidates for endometrial ablation include women who have not gone through menopause but are done having children, as well as those whose heavy bleeding does not respond to other treatments.

Poor Candidates

• Women who have uterine or endometrial disorders, such as thin endometrial lining, should not undergo an ablation. Additionally, women with uterine cancer or a current or recent uterine infection should not receive this treatment. Doctors will not perform an ablation on pregnant women or those who have had a recent pregnancy.

Before the procedure

• Prior to performing the ablation, a doctor will examine the patient for uterine cancer. He may also check the size and shape of the patient’s uterus to make sure she is a good candidate for the procedure. If an intrauterine device (IUD) is in place, it will be removed.