Endometrial ablation is a procedure that uses different types of energy to destroy the tissue that lines your uterus. It is often recommended for women with very heavy periods (i.e., anemia, soaking through pads in two hours or less, or periods lasting longer than seven days) who have already tried other methods or whose periods are severely impacting their quality of life.

Several different techniques are used to perform endometrial ablation: hydrothermal, balloon therapy, radiofrequency, and cryoablation.

The decision to undergo endometrial ablation is highly personal, and we are dedicated to ensuring that you fully understand the procedure, risks, side effects, and recovery process before deciding to move forward with this or any other procedure.

In most cases, a woman cannot become pregnant after endometrial ablation is performed (though it is possible), so it is recommended for women who do not plan to get pregnant. Your provider may recommend it as an alternative to a hysterectomy (the surgical removal of the uterus) because it is less invasive and does not induce the hormonal changes that often accompany partial or full hysterectomies.

You are not a candidate for endometrial ablation if you are postmenopausal, have cancer of the uterus, have a heightened risk of cancer of the uterus, or have had a recent pregnancy.

Like any surgical procedure, endometrial ablation comes with some risks, along with a few specific to this procedure. However, understanding these risks can help you make an informed decision:

• Temporary pain
• Bleeding or potential for infection
• Potential injury to surrounding organs and the uterine wall
• Risk of miscarriage or complications with a fetus or placenta if pregnancy occurs after the procedure

Your Women's Health Connecticut provider will discuss every aspect of your unique situation so you can make the most informed decision. We provide comprehensive information and support to ensure you feel confident and prepared.

One of the most common questions is what to expect after the procedure. The recovery process is different for everyone, and it will depend on several factors, such as the type of ablation, age, and general health prior to the procedure.

The amount of time it takes to heal after the procedure depends on the type of endometrial ablation you had, though most people are back to their regular routine in 7-10 days. Within the first few days of recovery, you may experience:

• Nausea and an urge to urinate within the first 24 hours after the procedure
• Swelling in the lower abdomen, cramping, and bleeding 2-4 days after the procedure
• Watery or bloody discharge for up to three weeks after the procedure

You should not take baths or go into a swimming pool until the discharge has stopped.

For the first few days or weeks following the procedure, you may experience a combination of bleeding and bloody or watery discharge. It is recommended that you wear a sanitary pad.

Yes. While some women's periods stop completely after the procedure, for many they will continue to have a period, but they will be lighter and shorter.

Yes. Endometrial ablation is not a sterilization procedure, and unless you have a permanent birth control method, you should continue to use contraception. Because the uterus lining no longer functions correctly after an endometrial ablation, there is a higher risk for pregnancy complications.

If you suffer from heavy periods that are impacting your quality of life, a provider can work with you to decide on the best treatment option. Typically, medications are the first-line treatment for heavy periods. If that does not work, you may be a candidate for endometrial ablation.

Our team of experienced board-certified and board-eligible women's health specialists is ready to help.