If you’re experiencing excessive menstrual bleeding, an endometrial ablation may be able to slow or stop the bleeding and associated pain. At Naples Women’s Center, OB/GYNs have a proven track record in successfully performing endometrial ablations using minimally invasive techniques, which will put an end to your problem.
Frequently Asked Questions
Endometrial ablation is a procedure that destroys the lining of your uterus, called the endometrium, to stop or slow abnormal menstrual bleeding. The goal of using an ablative technique is to cause scarring on the inside of your uterus to prevent excessive bleeding. In some women, periods stop altogether, while in others, the period flow will lessen.
The primary goal of an endometrial ablation is to stop or slow heavy vaginal bleeding, which is defined by:
- Periods that soak a pad or tampon every two hours
- Periods that last longer than eight days
- Anemia due to blood loss
Typically, the doctors will try several methods to control your bleeding before resorting to an ablation, such as prescribed medicines, or the use of an intrauterine device (IUD). If these therapies prove unsuccessful, your OB/GYN may recommend an endometrial ablation.
There are several techniques for performing an endometrial ablation, all of which are minimally invasive, and are done in your vagina and cervix via small tubes and instruments. At The Association for Women’s Healthcare, two procedures are available: Novasure® and the Genesys HTA System®.
Novasure is a one-time, five-minute procedure designed to remove your uterine lining. This procedure includes the following steps:
- The doctor inserts a small instrument through your vagina and cervix and extends a triangular-shaped netted device into your uterus
- The netting expands to fit the inside of your uterus
- Radiofrequency energy is emitted through the netting for 90 seconds
- The instrument and netting are removed
Genesys HTA System
Using the Genesys HTA system, the doctor will follow these steps, which take about 10 minutes in total:
- Dilate your cervix
- Place a sheath inside your cervix.
- Pump a saline solution through to fill your uterus
- Heat the solution to 194°F
- Flush the uterus with a cool saline solution
- Remove the sheath
The doctors at Naples Women’s Center will review all options and help you choose the best one for your situation and comfort level.
The primary side effect of endometrial ablation is the loss of the ability to get pregnant. It’s important to note, however, that the ablation doesn’t affect your reproductive organs, so there is a chance you still may become pregnant, but complications will generally prevent you from carrying the child to term.
Other potential risks or side effects are:
- Cramps that last a day or two after the procedure
- Watery discharge for a few weeks after the procedure
- Frequent urination following the procedure