Endometrial ablation is one of several non-hormonal treatment options of heavy periods.
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.
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.
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.
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:
Endometrial ablation is suitable for women who:
Endometrial ablation is not suitable for women who:
The different treatment options are offered depending on your age, your medical condition, your fertility wishes, and personal preference.
Link to AGES Patient Information Video on Endometrial Ablation.