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What Is Endometrial Ablation?

Endometrial ablation is a procedure that causes scarring of the lining of your uterus. This procedure may not completely stop menstrual bleeding, but it significantly reduces the volume of your subsequent periods. Endometrial ablation is generally considered after medications have not been effective in managing pain and heavy bleeding.

Common ablation methods may include cauterization (burning) or cryotherapy (freezing). This prevents the formation of a new uterine lining, resulting in lighter bleeding.

An ablation does not affect your hormones, so your menstrual cycles should continue, and your reproductive organs will not be removed. Your healthcare provider will follow up to ensure that you are recovering well. It may take a few months to experience the full relief from your ablation.

What Can I Expect During Endometrial Ablation?

While each ablation technique has slightly different procedures, your provider will explain what to expect. Endometrial ablation is performed in your provider’s office to help you feel more comfortable. You will be able to go home the same day.

When you arrive for your procedure, your provider may perform a pregnancy test to ensure that you are not pregnant before proceeding with the ablation. You will change into a gown, receive an IV, and be asked to lie on an exam table with your feet in stirrups, much like during a typical pelvic exam. Your provider will discuss options for medications to minimize discomfort during the procedure.

During the procedure, a device called a wand will be inserted into your vagina and guided into your uterus to access the lining and begin the ablation, which will only take a few minutes. You may experience some cramping for a few days afterward.

Can I Get Pregnant After Endometrial Ablation?

Though pregnancy is less likely after endometrial ablation, it is still possible. 

Pregnancy following endometrial ablation is considered high-risk and should be avoided, as the risk of having a miscarriage is elevated.  It’s important to discuss contraceptive options with your provider prior to the procedure.

Discuss Endometrial Ablation With Your Provider

If you want to learn more about endometrial ablation, speak with your UWH of Michigan provider. We have several practices staffed with providers who can address your healthcare needs. To explore this treatment and whether it may be appropriate for you, schedule an appointment with your UWH of Michigan provider today.