Endometrial Ablation Care for Uterus at Nyle Hospital

Endometrial ablation is a simple procedure for removing endometrium (thin layer of tissue) in the uterus. The purpose of doing it is to reduce heavy bleeding during menstruation. However, it is not suitable for women who have idea to get pregnant. Women can be free from cuts or incisions or scars as it is not a surgical procedure. The process involves the insertion of small and thin tools into the uterus through vaginal opening.

Reasons for Performing Endometrial Ablation

Endometrial ablation is an effective treatment to control too much menstrual blood loss. It is usually recommended, if the woman has:

  • Abnormally heavy bleeding involving the change of sanitary pad every 2 h or less
  • Menstrual flow lasting for more than 8 days
  • Become anemic due to over blood loss

Techniques Followed to Perform Endometrial Ablation

Endometrial ablation is usually performed by using any of the following methods:

  • Heated fluid It involves filling of fluid into the womb with the help of a hysteroscope, which is a thin, light-illuminating device. The liquid is heated and allowed to remain in the uterus for 10 min. This heated fluid destroys the endometrium.
  • Freezing A thin probe is sent into the womb so that its tip freezes the lining of the uterus. This procedure is guided by the use of Ultrasound.
  • Radiofrequency It involves the insertion of a probe into the womb via the cervix. The probes tip is subjected to expansion inside a mesh-like device used for sending radiofrequency waves into the uterus lining. The endometrial tissues are destroyed by the heat energy and removed through suction.
  • Heated balloon With the help of a hysteroscope, a balloon is inserted into the uterus. It is later filled with heated fluid which causes the expansion of balloon till it touches the uterine lining. The heat of the balloon destroys the tissues lining the uterine.
  • Microwave energy A small, special probe that is inserted into the womb generates microwave energy which destroys the endometrial tissues.
  • Electrosurgery A resectoscope, a thin telescopic device is placed inside the uterus. It comprises an electrical loop wire, spiked-ball or roller-ball tip sufficient enough to destroy the lining of the uterus.Endometrial ablation is generally not suggested for post-menopausal women or those who have or had:
  • Any uterus abnormalities
  • Uterine cancer or high-risk for uterine cancer
  • Cervical or endometrial cancer
  • Pelvic inflammatory disease
  • Cervical or vaginal infection
  • Chronic pelvic infection
  • Recent pregnancy
  • Intrauterine device (IUD)
  • Weakened uterine wall
  • Surgery of uterus for fibroids
  • Vertical or classic C-section cut
  • Abnormal uterine shape or structure