Hysteroscopic Endometrial Ablation
This webpage will give you information about an endometrial
ablation. If you have any questions, you should ask your GP or
other relevant health professional.
What is an endometrial ablation?
An endometrial ablation is an operation to remove the lining
(endometrium) of the womb (uterus). The most common reason for
having an endometrial ablation is to get relief from the symptoms
of heavy periods.
What are the benefits of surgery?
Most women will experience a noticeable reduction in their
periods and, in some cases, periods stop altogether.
An endometrial ablation has fewer complications and a quicker
recovery time than a hysterectomy.
Are there any alternatives to surgery?
Heavy periods can be treated using a variety of non-hormonal and
hormonal oral medications. Other alternatives include a hormonal
coil that fits in the uterus.
What does the operation involve?
An endometrial ablation is usually performed under a general
anaesthetic. The operation usually takes about half an hour.
Your gynaecologist will pass a hysteroscope (telescope with
operating instruments) through your vagina and cervix into the
cavity of your womb and pass fluid through the telescope to swell
the womb (see figure 1).
Figure 1 - An endometrial ablation
They will use electricity or laser energy to remove the lining of
your womb and any polyps or small fibroids they find.
What complications can happen?
General complications of any operation
- Pain
- Sickness or feeling sick
- Bleeding or discharge
- Infection
- Blood clots
Specific early complications of this
operation
- Bleeding during the procedure
- Fluid overload
- Making a hole in the womb
- Failed procedure
Specific late complications of this
operation
- Haematometra
- Continued bleeding or pain
How soon will I recover?
You should be able to go home the same day.
You should be able to return to normal activities after two to
four days. Most women are fit for work after about a week.
You should expect to have some bleeding or discharge for up to
six weeks after the operation.
Regular exercise should help you to return to normal activities
as soon as possible. Before you start exercising, you should ask a
member of the healthcare team or your GP for advice.
Will I still be able to have children?
The operation is not recommended for women who still want
children.
However, even if your periods stop, there is still a risk of you
becoming pregnant.
Summary
An endometrial ablation is a commonly-performed gynaecological
operation to relieve the symptoms of heavy periods. If the
operation is successful, you should have less bleeding and
pain.
Acknowledgements
Author: Mr Jeremy Hawe MBChB MRCOG
Illustrations: Hannah Ravenscroft RM
This document is intended for information purposes only and
should not replace advice that your relevant health professional
would give you.
Copyright © 2008 EIDO Healthcare Limited
The operation and treatment information on this website is
produced by EIDO Healthcare Ltd and is licensed by Ramsay Health
Care UK.
The intellectual property rights to the information belong
exclusively to EIDO Healthcare Limited.
You may not copy, print out, download or otherwise reproduce any
of the information other than for your personal, non-commercial
use.
The information should not replace advice that your relevant
health professional would give you.