Why is this procedure done?
The uterus is the organ where a baby grows when you are pregnant. The uterus is also called the womb. You get rid of the lining of the uterus each time you have your period. The lining of your uterus is called the endometrium. ‚
Endometrial ablation is a procedure that strips your uterine lining. Endometrial ablation uses heat, extreme cold, or electrical stimulation. ‚
You may need this procedure: ‚
- If you have heavy bleeding each month
- So you dont need a hysterectomy, which is when your uterus is removed
- If taking drugs to control your bleeding has not worked
What will the results be?
Your wombs lining will be removed. Menstrual bleeding may stop or may be much less. You will likely not be able to get pregnant after having endometrial ablation. If you plan to have more children, talk with your doctor before your procedure. ‚
What happens before the procedure?
- Your doctor will take your history. Talk to your doctor about:
- All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
- Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some examples are Coumadin, ibuprofen, Aleve (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about all of your drugs.
- If you need to stop eating or drinking before your procedure.
- Your doctor will do an exam and may order:
- Your doctor may give you shots 1 to 2 months before your ablation. These shots will lessen the thickness of your wombs lining to get ready for the ablation.
- Your doctor may plan your ablation a week or so after your menstrual period.
- Your doctor will ask you to empty your bladder and wash your vaginal area with a germ killing soap.
- You will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home.
What happens during the procedure?
- Once you are in the operating room, the staff will put an IV in your arm to give you fluids and drugs. You will be given a drug to make you sleepy. The drugs will also help you stay pain free during the surgery.
- You will lie on your back with your feet in foot holders.
- Your doctor will give you a drug to open your cervix, which is at the bottom of your uterus.
- A special tool called a speculum is put into your vagina. The speculum helps keep your vagina open so the doctor is able to see. A tube with a camera at the tip is gently moved through the cervix into your uterus. Your uterus may be filled with a harmless gas. Your doctor will look at your womb by looking at the screen linked to the camera.
- Your doctor will get rid of the lining of your womb using special tools. Your doctor will decide the best way for you. A very small tool or probe is put through the tube. The probe may give an electrical charge, laser, or energy waves to remove the lining. Other times, chemicals are put into your womb through the tube to take away the lining.
- Your doctor will take all the tools out of your womb and clean your vagina.
- Your doctor may leave sterile gauze packs inside your vagina. The gauze may be removed before you go home.
- Your ablation can take about 30 to 45 minutes.
What happens after the procedure?
- You will go to the Recovery Room and the staff will watch you closely. You may have to stay in the hospital for 2 to 4 hours. You may be sent home after the procedure.
- You may have some cramping. Your doctor may give you drugs for cramping.
- You may have discharge from your vagina that is mixed with blood. It may last for several days after your ablation. Use pads, but do not use tampons as they may increase risk of problems.
What drugs may be needed?
The doctor may order drugs to: ‚
- Help with pain
- Help heal the inside of your womb
What problems could happen?
- Infection
- A hole made in your uterus, bladder, or intestines
- Cuts on your cervix
- Bleeding
- Too much thickening of the lining of your uterus
- Blood clots in your legs or lungs
Where can I learn more?
American College of Obstetricians and Gynecologists ‚
http://www.acog.org/Patients/FAQs/Endometrial-Ablation ‚
American Society of Reproductive Medicine ‚
http://www.reproductivefacts.org/FACTSHEET_Endometrial_Ablation/ ‚
The Royal College of Obstetricians and Gynaecologists ‚
https://www.rcog.org.uk/en/patients/patient-leaflets/endometrial-ablation/ ‚
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚
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Copyright ‚ © 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. ‚