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Endometrial Ablation at Drexel Gynecology

Endometrial ablation is used to control heavy, prolonged vaginal bleeding.Endometrial ablation is used to stop or reduce excessive or abnormal bleeding in women. This procedure, which is offered as an alternative to a hysterectomy, is the removal of a thin layer of the lining of the uterus (endometrium).

Endometrial ablation is used to control heavy, prolonged vaginal bleeding in these cases:

  • Heavy bleeding does not subside with other treatments
  • Childbearing is finished
  • The patient does not want to have a hysterectomy
  • Hysterectomy is not an option because of other medical conditions

There are several ways to perform endometrial ablation. These are the different approaches:

  • Balloon therapy (thermal balloon ablation) – a balloon is inserted into the uterus and filled with saline solution that has been heated to 85°C (185°F).
  • Cryoablation – a probe destroys the endometrial tissue using extremely low temperatures.
  • Electrocautery – an electrically charged wire loop or rollerball is applied to the endometrial lining to cauterize (burn) the tissue.
  • Hydrothermal ablation – heated fluid is pumped into the uterus and destroys the endometrial lining with high temperatures.
  • Microwave ablation – a slender probe inserted into the uterus delivers microwave energy that destroys the endometrial lining.
  • Radiofrequency (thermal ablation) – an electrode is inserted into the uterine cavity and delivers an electrical current that destroys the endometrial lining.

Following endometrial ablation, the endometrium heals by scarring, which usually reduces or prevents uterine bleeding. Endometrial ablation may be done in an outpatient facility or doctor's office. The procedure can take up to about 45 minutes, and may be done using general, local or spinal anesthesia.

The information on these pages is provided for general information only and should not be used for diagnosis or treatment, or as a substitute for consultation with a physician or health care professional. If you have specific questions or concerns about your health, you should consult your health care professional.

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