The discharge is typically heaviest for the first few days after the procedure. A watery discharge, mixed with blood, may occur for a few weeks. Nonprescription pain-relief medicine such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others) can help relieve cramping. You may have period-like cramps for a few days. ![]() New devices using this method of ablation are in development.Īfter endometrial ablation, you might have: The device applies microwave energy to the uterine lining and destroys it. This method of ablation is used less often than other options. Electrocautery ablation requires general anesthesia. The tool uses electric current to remove or destroy the uterine lining. A tool, such as a wire loop or a probe with a rollerball tip or an electrode tip, is passed through the scope. A slender scope is used to see inside the uterus. The device is then removed from the uterus. The ablation device sends out radiofrequency energy that destroys the uterine lining in 1 to 2 minutes. A special instrument opens a flexible, triangular device inside the uterus. Misshaping of the uterus can occur from conditions such as lesions inside the uterus or uterine fibroids. An advantage of this method is that it can be performed in someone who has an irregular-shaped uterus from altered tissue growth. Fluid is inserted into the uterus and heated for about 10 minutes. The number of cycles needed depends on the size and shape of the uterus. ![]() Each freeze cycle takes about six minutes. Ultrasound allows your provider to track the progress. Extreme cold at the tip of the probe freezes the lining of the uterus in sections, destroying the uterine lining. A probe is inserted inside the uterus and cooled. Dilation of the cervix can happen with medicine or by inserting a series of rods that gradually get bigger.Įndometrial ablation procedures vary by the method used to remove or destroy the endometrium. This allows room for the tools needed for the ablation to be inserted. The opening in your cervix may be made wider through a process called dilation. The ablation device is then removed from the uterus.Įndometrial ablation may be done in your provider's office or in an operating room. This means you're in a sleep-like state during the procedure.ĭuring radiofrequency ablation, a triangular ablation device uses radiofrequency energy to destroy the tissue lining the uterus. But, sometimes general anesthesia is used. This may include numbing shots into the cervix and uterus. Ablation often can be done with sedation and pain medicine. In this procedure, your provider uses a special tool to remove extra tissue from the lining of the uterus. Another option is to do a dilation and curettage (D&C). Your health care provider might have you take medicine to thin the lining. Some types of endometrial ablation work better when the uterine lining is thin. Endometrial ablation isn't done with an IUD in place. These tests can help your provider choose which endometrial ablation procedure to use. You also may have a procedure that uses a thin device with a light, called a scope, to look at the inside of your uterus. Your provider may examine your uterus using an ultrasound. A thin tube is inserted through the cervix to collect a small sample of the endometrium to be tested for cancer. Endometrial ablation can't be done if you're pregnant. In the weeks before the procedure, your health care provider typically will: ![]() If you have an endometrial ablation, long-lasting or permanent birth control is advised to prevent pregnancy. Or the pregnancy might occur in one of the fallopian tubes or cervix instead of the uterus. ![]() The placenta may not implant correctly, causing it to grow into the uterus wall. The pregnancy might end in miscarriage because the lining of the uterus has been damaged. But the pregnancy is higher risk to you and the baby. You can still get pregnant after endometrial ablation. A puncture injury of the wall of the uterus from surgical tools.Complications of endometrial ablation are rare and can include:
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