Surgery
Endometrial Ablation
Endometrial ablation destroys the lining of the womb to treat heavy periods, avoiding a hysterectomy.
Quick answer
Endometrial Ablation: what it is, why it's done and what happens
Endometrial ablation removes or destroys the lining of the womb (endometrium) using heat, radiofrequency, freezing or other energy, so that periods become much lighter or stop.
- Why it is done: It is used for heavy menstrual bleeding that affects quality of life and has not responded to medicines, in women who have completed their families, as a less major alternative to hysterectomy.
- What happens: Under general or local anaesthetic, a device is passed through the cervix into the womb and delivers energy to treat the lining, with no external cuts.
What it is
Endometrial ablation removes or destroys the lining of the womb (endometrium) using heat, radiofrequency, freezing or other energy, so that periods become much lighter or stop.
Why it is done
It is used for heavy menstrual bleeding that affects quality of life and has not responded to medicines, in women who have completed their families, as a less major alternative to hysterectomy.
What happens
Under general or local anaesthetic, a device is passed through the cervix into the womb and delivers energy to treat the lining, with no external cuts. It usually takes around 15–30 minutes.
Recovery
Cramping and watery or bloody discharge are common for a few days to weeks. Most people return to normal activities within a day or two, avoiding tampons and sex for a short period.
Good to know
Risks and things to consider
Risks include infection, bleeding and, rarely, a hole in the womb. It is not a reliable form of contraception and is not suitable if you may want children, as pregnancy afterwards can be dangerous.
Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.
Answers
Endometrial Ablation: frequently asked questions
Will my periods stop completely?
For some women periods stop, while for others they become much lighter. A minority find the benefit wears off over time or need further treatment.
Can I still get pregnant after ablation?
Pregnancy is less likely but still possible, and can be dangerous, so reliable contraception is still needed. Ablation is only advised for women who have completed their families.
Related
Other surgery
Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — procedure and treatment guidance
- Royal College of Obstetricians and Gynaecologists / relevant professional body
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