Microwave Endometrial Ablation
This page will give you information about a microwave
endometrial ablation. If you have any questions, you should ask
your GP or other relevant health professional.
What is a microwave endometrial ablation?
A microwave endometrial ablation is an operation that uses
microwave energy 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?
A microwave endometrial ablation can be performed under local or
general anaesthetic and usually takes less than twenty minutes.
Your gynaecologist will usually pass a hysteroscope (telescope
with operating instruments) through your vagina and cervix into the
cavity of your womb and pass fluid or gas through the telescope to
swell the womb. They will place a microwave probe into your womb
and then remove it slowly (over about one to three minutes) to
remove the lining of your womb (see figure 1).
Figure 1: A microwave probe in the womb
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
- 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.
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You may not copy, print out, download or otherwise reproduce any
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The information should not replace advice that your relevant
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