What is endometrial ablation?
Endometrial ablation is one of several non-hormonal treatment options of heavy periods.
If you’re seeking expert care and advice from a specialist gynaecology surgeon in Melbourne, please call us.
What are the different types of endometrial ablation?
First generation (using a resectoscope) or second generation devices (such as NovaSure) deliver energy inside the uterus, and destroy (ablate) the internal lining (endometrium) of the uterus. Most women have much lighter periods, and many have no periods at all after endometrial ablation.
How does endometrial ablation compare to Mirena IUD?
There are different treatment options for different causes of heavy periods, each treatment needs to be tailored to individual patient. Mirena intrauterine device (IUD) and endometrial ablation are 2 options frequently offered to those wanting a long term solution without having a hysterectomy. Here is a link to our blog comparing both options.
How is endometrial ablation performed?
It is usually done under general anaesthetic as a day procedure, with no incision, and a 1-2 day recovery period. If permanent contraception such as tubal ligation (a laparoscopic procedure) is offered at the same time, recovery may take up to 1 week. Permanent contraception is recommended to prevent pregnancy in the abnormal ablated endometrium.
What are the potential risks of endometrial ablation?
All surgery, including minimally invasive surgery such as endometrial ablation, presents risk. Suitability, pros and cons of endometrial ablation, and alternative treatment options of heavy periods need to be discussed with your gynaecologist.
Potential risks of endometrial ablation include:
- infection (to the uterus, or bladder)
- bleeding
- uterine perforation (with potential to damaging the surrounding organs such as bladder or bowel)
- fluid overload and electrolyte disturbances (when using resectoscope)
Who should consider endometrial ablation as an option?
Endometrial ablation is suitable for women who:
- wants to avoid hormonal therapy (such as contraceptive pill, progesterone, or progesterone containing intrauterine device)
- wants to avoid hysterectomy
- have completed their family
Who should avoid having endometrial ablation as an option?
Endometrial ablation is not suitable for women who:
- have not completed their family
- have endometrial hyperplasia or cancer
- have severe adenomyosis
- have abnormal endometrial cavity and shape, either from structural abnormalities of the uterus or fibroids
- want complete amenorrhoea (no period at all) – only hysterectomy achieves this
- want to avoid any surgery
The different treatment options are offered depending on your age, your medical condition, your fertility wishes, and personal preference.
Dr Kent Kuswanto is available to see his private patients in Epworth Freemasons in East Melbourne and Werribee.
Further Information
Link to AGES Patient Information Video on Endometrial Ablation.
